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최은희 ( Choi Eun-Hee ) - 한국성서대학교 간호학부
김진희 ( Kim Jin-Hee ) - 중앙대학교병원
고미숙 ( Ko Mi-Suk ) - 한국성서대학교 간호학부
권은옥 ( Kwon Eun-Ok ) - 서울대학교병원 간호부
장인순 ( Jang In-Sun ) - 한국성서대학교 간호학부
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Abstract
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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 ommunication problems and 3 point should be the standardized pain treatment point.
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KeyWords
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중증질환, 통증 측정, 민감도, 특이도, 곡선하면적
Critically ill, Pain measurement, Sensitivity, Specificity, Area under curve
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원문 및 링크아웃 정보
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등재저널 정보
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