Validation of Two Pain Assessment Tools Using a Standardized Nociceptive Stimulation in Critically Ill Adults
| Autor: | Alexandra Lopes, Cristini Klein, Fabiane Neiva Backes, Débora Feijó Villas-Boas, Céline Gélinas, Tatiana Pilger, Valéria Patines, Wolnei Caumo, Silvia Regina Rios Vieira |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Critical Care Critical Illness Rest Nurses Context (language use) Critical Care Nursing Nociceptive Pain law.invention 03 medical and health sciences 0302 clinical medicine Brazilian Portuguese law Pain assessment Physical Stimulation Pressure medicine Humans Glasgow Coma Scale Prospective Studies 030212 general & internal medicine Prospective cohort study General Nursing Reliability (statistics) Aged Pain Measurement Observer Variation Critically ill business.industry Reproducibility of Results 030208 emergency & critical care medicine Pain scale Middle Aged Translating Intensive care unit language.human_language Anesthesiology and Pain Medicine language Physical therapy Female Neurology (clinical) business |
| Zdroj: | Journal of Pain and Symptom Management. 56:594-601 |
| ISSN: | 0885-3924 |
| DOI: | 10.1016/j.jpainsymman.2018.06.014 |
| Popis: | The Behavioral Pain Scale (BPS) or the Critical-Care Pain Observation Tool (CPOT) are recommended in practice guidelines for pain assessment in critically ill adults unable to self-report. However, their use in another language requires cultural adaptation and validation testing.Cross-cultural adaptation of the CPOT and BPS English versions into Brazilian Portuguese, and their validation by comparing behavioral scores during rest, standardized nociceptive stimulation by pressure algometry (SNSPA), and turning were completed. In addition, we explored clinical variables that could predict the CPOT and BPS scores.A prospective cohort study was conducted with 168 medical-surgical critically ill adults unable to self-report in the intensive care unit. Two nurses were trained to use the CPOT and BPS Brazilian Portuguese versions at the following assessments: 1) baseline at rest, 2) after SNSPA with a pressure of 14 kgf/cmInter-rater reliability of nurses' CPOT and BPS scores was supported by high weighted kappa0.7. Discriminative validation was supported with higher CPOT and BPS scores during SNSPA or turning in comparison to baseline (P 0.001). The Glasgow Coma Scale score was the only variable that predicted CPOT and BPS scores with explained variance of 44.5% and 55.2%, respectively.The use of the Brazilian CPOT and BPS versions showed good reliability and validity in critically ill adults unable to self-report. A standardized procedure, the SNSPA, was used for the first time in the validation process of these tools and helped us improve the validation process. |
| Databáze: | OpenAIRE |
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