Reliability and Feasibility of the Pain Assessment in Advanced Dementia Scale-Korean Version (PAINAD-K)
| Autor: | Yeon-Su Cho, So-Hi Kwon, Hyunsim Kim |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Psychometrics 03 medical and health sciences 0302 clinical medicine Pain assessment Republic of Korea Criterion validity Numeric Rating Scale Medicine Humans 030212 general & internal medicine Reliability (statistics) Aged Pain Measurement Advanced and Specialized Nursing 030504 nursing business.industry Discriminant validity Reproducibility of Results Inter-rater reliability FLACC scale Physical therapy Feasibility Studies Observational study Dementia 0305 other medical science business |
| Zdroj: | Pain management nursing : official journal of the American Society of Pain Management Nurses. 22(5) |
| ISSN: | 1532-8635 |
| Popis: | Background There is currently no observational instrument for assessing pain in aged patients who are unable to provide self-report in long-term care hospitals in Korea. Aims The goal of this research was to culturally adapt and test the validity, reliability, and feasibility of the Korean version of the Pain Assessment in Advanced Dementia Scale. Design This was a methodologic study aiming to translate the Pain Assessment in Advanced Dementia Scale. Participants/Subjects The inpatients in a 270-bed LTC hospital in D metropolitan city were assessed pain levels. Methods The Pain Assessment in Advanced Dementia (PAINAD) Scale was used as an observation scale to assess 192 long-term care hospital patients, with observation durations of 1 and 5 minutes. Results The interrater reliability (1 minute) for the scale showed substantial kappa agreement of .62, and scores for the 1- and 5-minute observations showed almost perfect agreement of .95. The criterion validity of the scale (1 minute) was high relative to the Face-Legs-Activity-Cry-Consolability (FLACC) Scale, and low compared with the numeric rating scale (NRS). Discriminant validity was established between patients with and without pain. The feasibility of the Pain Assessment in Advanced Dementia Scale–Korean Version (PAINAD-K) (1 minute) indicated low sensitivity of 41.3% and high specificity of 92.6%. Conclusions Therefore, the PAINAD-K is a valid and reliable tool to determine the absence of pain in non-verbal aged patients. |
| Databáze: | OpenAIRE |
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