Assessing pain in non-intubated critically ill patients unable to self report: an adaptation of the Behavioral Pain Scale
| العنوان: | Assessing pain in non-intubated critically ill patients unable to self report: an adaptation of the Behavioral Pain Scale |
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| المؤلفون: | Samir Jaber, M. Cisse, Jean François Payen, Boris Jung, Gregoire Mercier, Eric Viel, Gerald Chanques, Jean Yves Lefrant, Sylvie de Lattre |
| المصدر: | Intensive Care Medicine. 35 |
| بيانات النشر: | Springer Science and Business Media LLC, 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Critical Care, Critical Illness, Movement, Pain medicine, Pain, urologic and male genital diseases, Critical Care and Intensive Care Medicine, Severity of Illness Index, law.invention, Upper Extremity, Organic mental disorders, law, Surveys and Questionnaires, Intensive care, Anesthesiology, medicine, Humans, Intensive care medicine, Aged, Pain Measurement, Verbal Behavior, business.industry, Reproducibility of Results, Pain scale, Middle Aged, medicine.disease, Intensive care unit, Self Efficacy, Facial Expression, Intensive Care Units, Physical therapy, Delirium, Female, medicine.symptom, Intubation, business, Psychomotor disorder, hormones, hormone substitutes, and hormone antagonists |
| الوصف: | To validate an adaptation of the Behavioral Pain Scale (BPS) for its use in non-intubated intensive care unit (ICU) patients unable to self-report their pain because of the occurrence of delirium. The "vocalization" domain was inserted to construct the BPS-non intubated (BPS-NI) scale, ranging from 3 (no pain) to 12 (most pain).Prospective psychometric study in a medical-surgical ICU.The same physician and one bedside nurse rated pain in non-intubated patients unable to self-report their pain during four conditions: before and after a catheter dressing change (non-nociceptive procedure) and before and after turning the patient (nociceptive procedure). Delirium was assessed by the Confusion Assessment Method for the ICU (CAM-ICU).A total of 120 paired evaluations were performed in 30 consecutive adult patients, 84% with delirium (CAM-ICU positive). BPS-NI scores were higher during painful procedures than at rest [6.0 (5.0-8.0) vs. 3.0 (3.0-3.8); P0.001], while no changes in BPS-NI scores were found during non-nociceptive procedures (discriminative validity). The BPS-NI had good internal consistency (standardized Cronbach alpha = 0.79), and each domain reflected the pain expression factor in a balanced way (coefficients between 0.57 and 0.59). The BPS-NI had a good inter-rater reliability (weighted kappa coefficient = 0.89 for the four conditions and 0.82 during nociceptive procedures) and a good responsiveness, with an effect size ranging from 1.5 to 3.6.Pain during procedures is perceived even in non-intubated ICU patients with delirium. In those patients, pain level can be assessed with the BPS-NI scale since this instrument exhibited good psychometric properties. Electronic supplementary material The online version of this article (doi:10.1007/s00134-009-1590-5) contains supplementary material, which is available to authorized users. |
| تدمد: | 1432-1238 0342-4642 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c86c8ec0901c5b5d9300d36e88d3f3f5 https://doi.org/10.1007/s00134-009-1590-5 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....c86c8ec0901c5b5d9300d36e88d3f3f5 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14321238 03424642 |
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