Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Development of a Pain Assessment Tool for Critically Ill Patients

중환자 통증사정 도구 개발

  • Choi, Eun Hee (Department of Nursing, Korean Bible University) ;
  • Kim, Jin Hee (MICU, Chung-ang University Healthcare System) ;
  • Choi, Kyung Ok (Department of Nursing, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Yoo, Jung Sook (Department of Nursing, Seoul National University Hospital) ;
  • Kim, Mi Soon (PCCU, Samsung Medical Center) ;
  • Kim, Pil Ja (CCU, Yonsei University Health System) ;
  • Jang, In Sun (Department of Nursing, Korean Bible University)
  • 최은희 (한국성서대학교 간호학부) ;
  • 김진희 (중앙대학교병원 내과계중환자실) ;
  • 최경옥 (가톨릭대학교 서울성모병원 간호부) ;
  • 유정숙 (서울대학교병원 간호부 행정팀) ;
  • 김미순 (삼성서울병원 소아심장중환자실) ;
  • 김필자 (세브란스병원 심혈관중환자실) ;
  • 장인순 (한국성서대학교 간호학부)
  • Received : 2012.01.27
  • Accepted : 2012.02.29
  • Published : 2012.04.30
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Abstract

Purpose: The purpose of this study was to develop a reliable and valid pain assessment tool suitable for critically ill patients with communication problem in Korean intensive care unit. Methods: This pain assessment tool, Critical Care Non-verbal Pain Scale (CNPS), was developed based on review of national and international researches. Data were collected from ten intensive care units at five major general hospitals in Seoul. Reliability and validity were tested during performance of position change and endotracheal suctioning. Pain was measured before, during, and 20 minutes after the two procedures. Results: Interrater reliability of the CNPS was analyzed by ICC (Intraclass correlation coefficients). ICC values were significant from .833 to .883. Significant correlation between the FPS (Face Pain Scale) scores and the CNPS scores verified concurrent validity of the CNPS. For position change, CNPS scores increased significantly between before and during (t=-23.399, p<.001) and decreased significantly between during and 20 minutes after (t=22.760, p<.001). For endotracheal suctioning, CNPS scores increased significantly between before and during (t=-29.064, p<.001) and significantly decreased between during and 20 minutes after (t=28.194, p<.001), verifying construct validity of the CNPS. Conclusion: Results indicate that the CNPS can be used to assess pain of critically ill patients who have communication problem.

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