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http://dx.doi.org/10.4040/jkan.2012.42.1.76

Validation of a Korean translated version of the Critical Care Pain Observation Tool (CPOT) for ICU patients  

Kwak, Eun-Mi (Eulji University Hospital)
Oh, Hee-Young (College of Nursing, Eulji University)
Publication Information
Journal of Korean Academy of Nursing / v.42, no.1, 2012 , pp. 76-84 More about this Journal
Abstract
Purpose: The purpose of this methodological study was to examine the reliability and validity of a translated Korean version of the Critical Care Pain Observation Tool (CPOT) developed for assessment of pain in critically ill nonverbal patients. Methods: A cross-sectional study design was used. Data were collected from a convenience sample of 202 critically ill patients admitted to a university hospital. Upon establishment of content and translation equivalence between the English and Korean version of CPOT, psychometric properties were evaluated. Results: The interrater reliability was found to be acceptable with the weighted kappa coefficients of .81-.88. Significant high correlations between the CPOT and the Checklist of Nonverbal Pain Indicators were found indicating good concurrent validity (r=.72-.83, p<.001). Data showed the area under the ROC curve of 0.86 with a cut-off point of 1, which resulted in 76.9% sensitivity and 88.6% specificity. The mean score of CPOT during suctioning was significantly different from that of before (t= -14.16, p<.001) or 20 minutes after suctioning (t=16.31, p<.001). Conclusion: Results of this study suggest that the CPOT can be used as a reliable and valid measure to assess pain in critically ill nonverbal patients.
Keywords
Pain; Pain measurement; Psychometrics; Critical care;
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1 Payen, J. F., Chanques, G., Mantz, J., Hercule, C., Auriant I, Leguillou, J. L., et al. (2007). Current practices in sedation and analgesia for mechanically ventilated critically ill patients: A prospective multicenter patientbased study. Anesthesiology, 106, 687-95. http://dx.doi.org/10.1097/01.anes.0000264747.09017.da   DOI
2 Puntillo, K. A., Morris, A. B., Thomson, C. L., Stanik-Hutt, J., White, C. A., & Wild, L. R. (2004). Pain behaviors observed during six common procedure: Result from thunder project II. Critical Care Medicine, 32, 421-427. http://dx.doi.org/10.1097/01.CCM.0000108875.35298.D2   DOI
3 Puntillo, K. A., Stannard, D., Miakowski, C., Kehrle, K., & Gleeson, S. (2002). Use of pain assessment and intervention notation(P.A.I.N) tool in critical care nursing practice: Nurses' evaluation. Heart & Lung, 31, 303-314. http://dx.doi.org/10.1067/mhl.2002.125652   DOI
4 Sessler, C. N., & Varney, K. (2008). Patient-focused sedation and analgesia in the ICU. Chest, 133, 552-565. http://dx.doi.org/10.1378/chest. 07- 2026   DOI
5 Shannon, K., & Bucknall, T. (2003). Pain assessment in critical care: What have we learnt from research. Intensive and Critical Care Nursing, 19, 154-162.   DOI
6 Siffleet, J., Young, J., Nikoletti, S., & Shaw, T. (2007). Patients' self-report of procedural pain in the intensive care unit. Journal of Clinical Nursing, 16, 2142-2148. http://dx.doi.org/10.1111/j.1365-2702.2006.01840.x   DOI
7 Stanik-Hutt, J. A., Soeken, K. L., Belcher, A. E., Fontaine, D. K., & Gift, A. G. (2001). Pain experience of traumatically injured patients in a critical care setting. American Journal of Critical Care, 10, 252-259.
8 Swets, J. A. (1988). Measuring the accuracy of diagnostic systems. Science, 240, 1285-1293. http://dx.doi.org/10.1126/science.3287615   DOI
9 Teasdale, G., & Jennett, B. (1974). Assessment of coma and impaired consciousness. A practical scale. Lancet, 2, 81-84.
10 Wang, H., & Tsai, Y. (2010). Nurse's knowledge and barriers regarding pain management in intensive care units. Journal of Clinical Nursing, 19, 3188-3196. http://dx.doi.org/10.1111/j.1365-2702.2010.03226.x   DOI
11 Berne, R. M., & Levy, M. N. (1986). Cardiovascular physiology (5th ed.). St Louis, MO: CV Mosby Co.
12 Bieri, D., Reeve, R, A., Champion, G. D., Addicoat, L., & Ziegler, J. B. (1990). The faces pain scale for the self-assessment of the severity of pain experienced by children: Development, initial validation, and preliminary investigation for ratio scale properties. Pain, 41, 139-150. http://dx.doi.org/10.1016/0304-3959(90)90018-9   DOI
13 Cade, C. (2008). Clinical tools for the assessment of pain in sedated critically ill adults. Nursing in Critical Care, 13, 288-297.   DOI
14 Carrasco, G. (2000). Instruments for monitoring intensive care unit sedation. Critical Care, 4, 217-225. http://dx.doi.org/10.1186/cc697   DOI
15 Chapman, D. W., & Carter, J. (1979). Translation procedures for the cross cultural use of measurement instruments. Educational Evaluation and Policy Analysis, 1(3), 71-76. http://dx.doi.org/10.3102/01623737001003071   DOI
16 Feldt, K. S. (2000). The checklist of nonverbal pain indicators. Pain Management Nursing, 1(1), 13-21. http://dx.doi.org/10.1053/jpmn.2000.5831   DOI
17 Fraser, G. L., & Riker, R. R. (2001). Monitoring sedation, agitation, analgesia, and delirium in critically ill adult patients. Critical Care Clinics, 17, 967-988. http://dx.doi.org/10.1016/S0749-0704(05)70189-5   DOI
18 Gelinas, C., Fillion, L., Puntillo, K. A., Viens, C., & Fortier, M. (2006). Validation of the critical-care pain observation tool in adult patients. American Journal of Critical Care, 15, 420-427.
19 Gelinas, C., Harel, F., Fillion, L., Puntillo, K. A., & Johnston, C. (2009). Sensitivity and specificity of the critical-care pain observation tool for the detection of pain in intubated adults after cardiac surgery. Journal of Pain and Symptom Management, 37(1), 58-67.   DOI
20 Gelinas, C., Fillion, L., & Puntillo, K. A. (2008). Item selection and content validity of the critical-care pain observation tool for non-verbal adult. Journal of Advanced Nursing, 65, 203-216. http://dx.doi.org/10.1111/j.1365-2648.2008.04847.x
21 Gelinas, C., & Johnston, C. (2007). Pain assessment in the critically ill ventilated adult: Validation of the critical-care pain observation tool and physiologic indicators. The Clinical Journal of Pain, 23, 497-505. http://dx.doi.org/10.1097/AJP.0b013e31806a23fb   DOI
22 Greiner, M., Pfeiffer, D., & Smith, R. D. (2000). Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests. Preventive Veterinary Medicine, 45, 23-41. http://dx.doi.org/10.1016/S0167-5877(00)00115-X   DOI
23 Hamill, R. J., & Marohn, M. L. (1999). Evaluation of pain in the critically ill patient. Critical Care Clinics, 15, 35-54. http://dx.doi.org/10.1016/S0749-0704(05)70038-5   DOI
24 Hwang, Y. H., & Choe, M. A. (2008). Study on the changes in limb circumferences and muscle areas of critically ill patients using ventilators. Journal of Korean Academy of Nursing, 38, 874-880. http://dx.doi.org/10.4040/jkan.2008.38.6.874   DOI
25 Kim, Y. H., Koo, M. J., Kim, S. H., Kim, Y. M., Lee, N. Y., & Chang, K. O. (2007). The experiences of patients in intensive care units. Journal of Korean Academy of Nursing, 37, 924-931.   DOI
26 Li, D., Puntillo, K., & Miaskowski, C. (2008). A review of objective pain measures for use with critical care adult patients unable to self-report. The Journal of Pain, 9(1), 2-10. http://dx.doi.org/10.1016/j.jpain.2007.08.009   DOI
27 Payen, J. F., Bru, O., Bosson, J. L., Lagrasta, A., Novel, E., Deschaux, I., et al. (2001). Assessing pain in critically ill sedated patients by using a behavioral pain scale. Critical Care Medicine, 29, 2258-2263.   DOI
28 Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York, NY: McGraw-Hill.
29 Nygaard, H. A., & Jarland, M. (2006). The checklist of nonverbal pain indictors(CNPI): Testing of reliability and validity in Norwegian nursing homes. Age and Ageing, 35(1), 79-81. http://dx.doi.org/10.1093/ageing/afj008   DOI
30 Odhner, M., Wegman, D., Freeland, N., Steinmetz, A., & Ingersoll, G. (2003). Assessing pain control in nonverval critically ill adults. Dimensions of Critical Care Nursing, 22, 260-267.   DOI