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김은정 ( Kim Eun-Jeong ) - 동아대학교 대학원 간호학과
홍지원 ( Hong Ji-Won ) - 동아대학교 대학원 간호학과
강지연 ( Kang Ji-Yeon ) - 동아대학교 간호학부
김나경 ( Kim Na-Geong ) - 동아대학교 대학원 간호학과
김나리 ( Kim Na-Ri ) - 동아대학교 대학원 간호학과
맹수연 ( Maeng Su-Youn ) - 동아대학교 대학원 간호학과
박혜련 ( Park Hye-Ryeon ) - 동아대학교 대학원 간호학과
반민경 ( Ban Min-Kyung ) - 동아대학교 대학원 간호학과
양근영 ( Yang Gun-Young ) - 동아대학교 대학원 간호학과
이경숙 ( Lee Kyung-Suk ) - 동아대학교 대학원 간호학과
장은혜 ( Jang Eun-Hye ) - 동아대학교 대학원 간호학과
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Abstract
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Purpose : The purpose of this study was to systematically review the measurement tools that are used to assess the pain of intensive care unit (ICU) patients.
Method : In this systematic review, the studies published between 2009 and 2018 were selected based on the PRISMA flow chart. Data sources included MEDLINE, EMBASE, CINAHL, and Cochran. We assessed the quality of pain assessment tools reported in individual studies using Terwee et al.’s the Quality Criteria for Measurement Properties.
Results : We reviewed 67 studies and 12 pain assessment tools that included two self-reported, seven observational, and three multifaced tools with observations and physiological indicators. The most frequently used tool was the Critical Care Pain Observation Tool. The Multidimensional Observational Pain Assessment Tool was rated the highest quality. Nine of the ten tools that included observations reported content validity, four reported construct validity and nine reported correlation coefficient.
Conclusion : It was found that observational tools are appropriate for assessing pain in ICU patients with limited communication skills. To increase the validity and reliability of pain assessment in ICU patients, further research on the physiological indicators of pain is needed.
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KeyWords
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중환자실, 통증, 통증평가, 체계적 고찰
Intensive care units, Pain, Pain measurement, Systematic review
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원문 및 링크아웃 정보
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등재저널 정보
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