الفهرس 
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Abstract
Post-cardiac surgery pain is one of the major obstacles in the prevention of complications during patient postoperative period. It is a universal and potentially dangerous problem which in recent years have witnessed with increasing interest attention from the medical profession. Accurate assessment of postoperative pain is a key factor for successful pain management. Patients usually cannot express their pain adequately during the immediate postoperative period particularly after the critical surgery as cardiac surgery. In addition, in such stressful situations, it sometimes can impose an additional psychological burden on the patients to understand and mark somewhat complicated pain assessment tools. However, nurses are the health professionals who operate closest to the patient in open heart intensive care unit and thus have a special and significant impact on the assessment and alleviation of post-cardiac surgery pain.
The present study aimed to compare Nurses’ versus patients’ rating of pain after open heart surgery.
This study was conducted at:
1. The open heart intensive care unit of the Alexandria Main University Hospital, University of Alexandria.
2. The cardiothoracic surgery intensive care unit of Shark El Madina hospital, Ministry of Health, Alexandria.
The subjects of the study were:
1. Fifty adult patients of both sexes undergoing cardiac surgery.
2. Fifty nurses working in the above setting and providing direct patient care.
Patients who excluded from the study were those who had the sedation scale rating was 3 or more (extremely sleep or sedated).
The data for this study were obtained using the following tools:
Tool I: Numeric pain Rating Scale (116):
Assessment of pain level was done by using the Numeric pain Rating Scale, it consists of three parts:
A- Patient demographic and clinical data
B- Nurses’ demographic data
C- Numeric rating pain scale adopted from McCaffery and Beebe, it was used for assessment of pain intensity by patients’ self report and by nurses’ rating of patients’ pain.