중환자간호학회지 (Journal of Korean Critical Care Nursing)
- 제6권1호
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- Pages.1-10
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- 2013
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- 2005-212X(pISSN)
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- 2671-8634(eISSN)
자가보고 능력이 없는 중환자의 통증사정을 위한 한국어판 Critical Care Pain Observation Tool의 신뢰도와 타당도 검증
Reliability and Validity of a Korean Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients Unable to Self Report
- Lee, Hee Og (Critical Care Nursing Department, Samsung Medical Center) ;
- Kim, Yeon Su (Critical Care Nursing Department, Samsung Medical Center) ;
- Lee, Chang Ok (Critical Care Nursing Department, Samsung Medical Center) ;
- Hur, Sung Yi (Critical Care Nursing Department, Samsung Medical Center) ;
- Kwon, In Gak (Department of Clinical Nursing Science, Samsung Medical Center)
- 투고 : 2013.02.28
- 심사 : 2013.05.22
- 발행 : 2013.06.30
초록
Purpose: The purpose of this study was to examine the reliability and validity of a Korean version of the Critical Care Pain Observation Tool (CPOT) developed for assessment of pain in critically ill nonverbal patients. Methods: Data were collected from a convenience sample of 30 critically ill patients admitted to a medical ICU in a hospital. The CPOT was tested at before, during and 20 minutes after changing a position and suction. Upon establishment of content and translation equivalence between the English and Korean version of CPOT. Results: The interrater reliability was found to be acceptable with the kappa coefficients of .76-1. The construct validity of the pain scores were increased from 0.43 to 2.5 in changing a position (t=-8.60, p<.001)and 0.1 to 3.23 (t=-9.36, p<.001) in suctioning. The pain scores were decreased from 6.06 to 4.01 in changing a position (t=-10.19, p<.001) and 6.45 to 4.13 (t=-10.39, p<.001) in suctioning. The concurrent validity the correlations between pain scores and physiological indicators, and a increased in Heart rate before and after changing a position (r=.65, p<.001). Conclusion: The CPOT can be used as a reliable and valid measure to assess pain in critically ill nonverbal a medical ICU patients.