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최은희 ( Choi Eun-Hee ) - 한국성서대학교 간호학부
김진희 ( Kim Jin-Hee ) - 중앙대학교병원
최경옥 ( Choi Kyoung-Ok ) - 가톨릭대학교 서울성모병원 간호부
유정숙 ( Yoo Cheong-Suk ) - 서울대학교병원 간호부
김미순 ( Kim Mi-Soon ) - 삼성서울병원
김필자 ( Kim Phill-Ja ) - 세브란스병원
장인순 ( Jang In-Sun ) - 한국성서대학교 간호학부
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Abstract
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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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KeyWords
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중증질환, 통증, 통증사정 도구
Critically ill, Pain, Pain measure
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원문 및 링크아웃 정보
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등재저널 정보
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