임상간호연구 (Journal of Korean Clinical Nursing Research)
- 제19권2호
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- Pages.245-254
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- 2013
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- 1598-9186(pISSN)
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- 2287-3694(eISSN)
DOI QR Code
중환자 통증사정 도구의 타당성 평가
Validation of Critical Care Non-verbal Pain Scale for Critically Ill Patients
- 최은희 (한국성서대학교 간호학부) ;
- 김진희 (중앙대학교병원) ;
- 고미숙 (한국성서대학교 간호학부) ;
- 김지양 (아주대학교병원 집중간호팀) ;
- 권은옥 (서울대학교병원 특수간호팀) ;
- 장인순 (한국성서대학교 간호학부)
- Choi, Eun Hee (Department of Nursing, Korean Bible University) ;
- Kim, Jin Hee (Department of Nursing, Chung-Ang University Healthcare System) ;
- Ko, Mi Suk (Department of Nursing, Korean Bible University) ;
- Kim, Ji Yang (Department of Nursing, Ajou University Hospital) ;
- Kwon, Eun Ok (Department of Nursing, Seoul National University Hospital) ;
- Jang, In Sun (Department of Nursing, Korean Bible University)
- 투고 : 2013.05.31
- 심사 : 2013.06.24
- 발행 : 2013.08.30
초록
Purpose: This study was done to examine predictive validity of Critical Care Non-verbal Pain Scale (CNPS) and develop criteria for pain assessment using CNPS with critically ill patients who have communication problems. Methods: Data were collected from intensive care units at three major general hospitals in Seoul and Kyunggi province. During each observation, a nurse assessed pain severity using CNPS ratings (range 0-9) at four treatment stages: at rest, during central catheter dressing change (nonpainful procedure), position change and suctioning (routine painful procedures). Patients also assessed their pain using a self-report 4-point VRS-4. Results: There were significant differences between the four treatment stages except between "at rest" and "nonpainful procedure". Strong correlations were found between CNPS and VRS-4 for "at rest" (r=.552, p<.001), central catheter dressing change (r=.505, p<.001), position change (r=.709, p<.001), and suctioning (r=.662, p<.001). ROC curve analysis of CNPS based on 3 point on VRS-4 showed the cutoff point was 3 for CNPS, the starting point for pain management with 73% sensitivity, 92.2% specificity, 73% positive predictive value, and 92.8% negative predictive value. Conclusion: Results indicate that CNPS is a valid tool for measuring pain in critically ill patients with communication problems and 3 point should be the standardized pain treatment point.
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