Usefulness of a Visual Analog Scale for Measuring Anxiety in Hospitalized Patients Experiencing Pain: A Multicenter Cross-Sectional Study
| Autor: | Quentin Lenglet, Karine Lacroix, Tristan Pascart, Sahara Graf, Adeline Versavel, Roman Chiquet, Marie Moukagni, Guillaume Bouquet, Vincent Ducoulombier, Amelie Devaux, Alexandre Kone, Bernard Leroy, Eric Houvenagel, Stéphane Verdun, Gauthier Calais, Robert Jeanson, Antoine Lefebvre, Marie Ledein, Adeline Grimbert, Benoit Coviaux, Fabienne Martellier, Didier Duthoit |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Psychometrics Hospitalized patients Cross-sectional study Visual analogue scale Population Psychological intervention Anxiety Hospital Anxiety and Depression Scale 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine education Aged Pain Measurement Advanced and Specialized Nursing education.field_of_study 030504 nursing business.industry Middle Aged Confidence interval Hospitalization Cross-Sectional Studies Physical therapy Female medicine.symptom 0305 other medical science business |
| Zdroj: | Pain Management Nursing. 21:572-578 |
| ISSN: | 1524-9042 |
| Popis: | Background Anxiety is common in hospitalized patients and can worsen pain or lead to unsuccessful pain relief. Aims The purpose of this study was to evaluate the usefulness of measuring anxiety with a visual analog scale (VAS) in the hospitalized patient experiencing pain. Design We conducted a multiple-center cross-sectional study. Participants/Subjects Adult inpatients experiencing moderate to severe pain defined by a pain VAS score ≥40 of 100 were included. Methods Pain and anxiety data were collected using the following instruments: pain VAS, anxiety VAS, State Anxiety Scale of the Spielberger State-Trait Anxiety Inventory (STAI-YA) and Anxiety Subscale of the Hospital Anxiety and Depression Scale (HAD-A). Results Data were collected from 394 patients. Of those patients, 43.6% (171 of 392) and 36.6% (143 of 391) had significant anxiety according to STAI-Ya and HAD-A, respectively. Correlation was good between anxiety-VAS and STAI-YA (ρ = 0.67 [95% confidence interval 0.61-0.72]) and moderate between anxiety VAS and HAD-D (ρ = 0.48 [0.39-0.56]). The main factor predictive of situational anxiety was history of anxiety-depression symptoms (odds ratio = 2.95 [1.93-4.56]). For anxiety VAS score ≥ 40 of 100, the sensitivity for detecting anxiety was 81% with 70% specificity. Conclusion This study confirmed the high prevalence of anxiety among inpatients experiencing pain, demonstrated the capacity of a VAS to assess this anxiety, determined an anxiety VAS cutoff level to screen for significant anxiety, and identified risk factors of anxiety in this population. Anxiety VAS has been found to be an easy-to-use method familiar to caregivers, with all the advantages needed for an effective screening instrument. An anxiety VAS score ≥40 of 100 would thus warrant particular attention to adapt care to the patient's anxiety-related pain and initiate specific therapeutic interventions. |
| Databáze: | OpenAIRE |
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