• Title/Summary/Keyword: pain rating scale

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Development of Oriental Medical Rating Scale of Knee Pain and Validity Assessment (한의학적 슬통 평가 척도 개발 및 타당성 평가)

  • Lee, Eun Sol;Oh, Ji Yun;Yu, A Mi;Lee, Eun Yong;Kim, Eun Jung;Lee, Seung Deok;Kim, Kap Sung
    • Journal of Acupuncture Research
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    • v.30 no.5
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    • pp.51-64
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    • 2013
  • Objectives : This study is performed to develop the oriental medical rating scale of knee pain and to assess its validity. Methods : 250 knee pain patients completed the previously accepted rating scale of knee pain(VAS, WOMAC(pain, function, stiffness), 6 minute walk test(number of steps, distance)) and oriental medical rating scale of knee pain which was developed by Hwang et al at 2012, before and after the 6 weeks acupuncture treatment. Comparing these results, we assessed the validity of oriental medical rating scale. Results : Comparing oriental medical rating scale of knee pain before acupuncture treatment with VAS, WOMAC(pain, function, stiffness) and 6 minute walk test(number of steps, distance), oriental medical rating scale showed correlation with VAS, WOMAC(pain, function, stiffness) and showed the highest correlation with WOMAC(function). Comparing the change of oriental medical rating scale of knee pain after 6 weeks of acupuncture treatment with the change of VAS, WOMAC(pain, function, stiffness) and 6 minute walk test(number of steps, distance) after 6 weeks, change of oriental medical rating scale showed correlation with the change of VAS, WOMAC(pain, function, stiffness) and showed the highest correlation with the change of WOMAC(function). Through factor analysis of oriental medical rating scale items, 4 factors(pain, swelling, deformation of the knee, thermal sense of the knee), 17 items were extracted. Conclusions : Oriental medical rating scale of knee pain reflected the patient's pain, functional limitation and stiffness well. And oriental medical rating scale reflected the patient's functional improvement after the treatment well.

Correlation of Pain and Anxiety (통증과 불안의 관계분석)

  • Kang, Jeom-Deok
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.8 no.2
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    • pp.19-29
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    • 2002
  • Objectives: This study was to analysis of pain using visual analogue scale and self rating anxiety scale questionnaire. Methods: Questionnaire were completed by 83 adult patients of department relation to pain in hospitals of Daegu from June 20, to August 10, 2001. The information was used to estimate multiple regression for the pain and anxiety scale related factors association. Results: Women visual analogue scale 4.6 scores of mean was higher than man 4.3 scores. Man self rating anxiety scale 30.2 scores of mean was higher than women 26.8 scores. The scores of 6 months above was discomfort 51.8, 1 month below was mild 22.1%, 2-3 months was discomfort 10.5%, and 4-5 months was discomfort 9.3% in association between present pain index and duration. Conclusion: Visual analogue scale scores was significantly associated with frequency of present pain index. Self rating anxiety scale scores was significantly associated with frequency of occupation and present pain index.

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Comparison Study with Pain Assessment Tools of Pain Measurement in Children for Intravenous Catheter Placement in the Computed Tomography (CT 검사에서 소아 환자의 정맥 카데터 삽입 통증에 대한 측정 도구 비교)

  • Kweon, Dae-Cheol;Jang, Keun-Jo
    • The Journal of the Korea Contents Association
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    • v.8 no.2
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    • pp.205-212
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    • 2008
  • Needle phobia of medical devices is a significant problem in children patients. We conducted study in 130 pediatric patients aged $8{\sim}13$(mean age 10.5) who had venipuncture performed in a computed tomography. This review aims to explore the research available relating to three commonly used pain rating scales of children, the visual analogue scale(VAS), numeric pain rating scale(NPRS) and Wong-Baker faces pain scale(WBFPS) with scores. Its validity is supported by a strong positive correlation with the three-pain rating scales(correlations ranging from 0.70 to 0.92) measure in children. There were no significant differences between the means on the VAS and either of the pain rating scales. It has the advantage of being suitable for use with the most widely used metric for scoring($0{\sim}10$), and conforms closely to a linear interval scale. These scales presented moderate to good correlation and moderate agreement, sufficient for valid use in children. All three pain-rating scales are valid, reliable and appropriate for use in intravenous catheter placement.

Validity, Reliability and Efficiency of Pain Self-report Scale in Elderly with Dementia (치매노인의 통증사정에 대한 자가보고 도구의 타당도, 신뢰도 및 효율성 검증)

  • Ryoo, Eon-Na;Park, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.111-122
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    • 2011
  • Purpose: The aim on this study was to establish the validity, reliability and efficiency of a Pain Self-Report Scale for elderly with dementia and compare these results with an observational pain rating scale. Methods: Study subjects were 136 elderly with dementia who were residents in a nursing home, geriatric hospital, or day care center. The subject's pain was measured by five self-report scales and observational scale. DS-DAT (discomfort scale-dementia of the Alzheimer's type) was used for pain behavior observational measure. Cognitive state was assessed using the MMSE (Mini-Mental State Examination). Results: Observational rating correlated moderately with self-report (r=.225~.585, p<.05) and tended to underestimate pain intensity. Test-retest reliability was high for all five self-report scales, and the correlation between these scales was very strong (r=.735~.856, p<.05). Comprehension rate of VDS (verbal descriptor scale) was 88.3%, and NRS (numeric rating scale) 69.9%, FPS (face pain scale) 66.9%, HVAS (horizontal visual analog scale) and VVAS (vertical visual analog scale) 65.4%. Conclusion: Nurses should not apply observational scales routinely in demented patients as many of these are capable of reporting their own pain. Self-report, the highest standard of pain measurement can be reliably performed in a large proportion of demented elderly.

The Study For Clinical Measurement of Pain (통증(痛症)의 임상적평가법(臨床的評價法)에 관한 고찰(考察))

  • Shin, Seung-Uoo;Chung, Seok-Hee;Lee, Jong-Soo;Shin, Hyun-Dae;Kim, Sung-Soo
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.2
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    • pp.25-46
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    • 2000
  • Pain can be evaluated by experimental methods and clinical methods, but due to subjective characteristics of pain, clinical methods are generally used. The clinical pain measurement tools are divided into unidimensional and multidimensional assessment tools. The former include Visual Analogue Scale, Verbal Rating Scale, Numerical Rating Scale, Pain Faces Scale, and Poker Chip Tool and the latter include McGill Pain Questionnaire, MMPI, Pain Behavior Scale, Pain disability index, and Pain Rating Scale. Unidimensional pain scales mainly measure the intensity of pain on the basis of the patient's self report and their simple construction and ease of use enable the invesgator to assess acute pain. Multidimensional pain scales are used to evaluate subjective, psychological and behavioral aspects of pain and because of its comprehensive and confidential properties they are applied to chronic pain. Patient's linguistic and cognitive abilities are major factors to restrain accurate assessment of pain. Although behavioral patterns and vital sign are inferior to self-report in the measurement of pain, they can be useful indexes in those situations. When deciding on a pain-assessment tool, the investigator must determine which aspect of pain he or she wishes to evaluate on the characteristics of the group of patients, their backgrounds, and their communication skills. Making the proper choice will facilitate the acquisition of meaningful data and the formulation of valid conclusions.

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The Clinical Observation of Kinesio Taping at Left hip joint of hemiparesis (고관절부위 통증을 호소하는 뇌수막종 환자에 대한 Kinesio taping 치료 1례)

  • Yang, Dong-Hoon;Nam, Tong-Hyun;Park, Young-Jae;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.1
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    • pp.111-118
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    • 2010
  • Objective : The study was performed to evaluate the effect of Kinesio taping on pain of Left hip joint. Methods : A 35-year-old, female patient who suffers from pain of left hip joint by brain tumor was treated by Kinesio taping therapy. The improvement of the patient's pain of left hip joint was evaluated by Visual Analog Scale(VAS), Faces Pain Rating Scale, McGill Pain Questionnaire(MPQ), and Pain Rating Score(PRS). Result : During the 9 days with Kinesio taping, VAS and Pain Rating Scale were decreased slightly. But Faces Pain Rating Scale and McGill Pain Questionnaire showed no change. Conclusions : The result suggests that Kinesio Taping was effective treatment to pain but not intensive. Further study is needed to evaluate the significancy of this report.

An Overview of Pain Measurements (통증평가도구에 관한 고찰)

  • Shim, Sung-Youn;Park, Hi-Joon;Lee, Jun-Mu;Lee, Hyang-Sook
    • Korean Journal of Acupuncture
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    • v.24 no.2
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    • pp.77-97
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    • 2007
  • Objectives : The aim of this study is to introduce pain measurement tools that are considered suitable for clinical practice and research for Korean Medicine Doctors. Methods : We analysed some widely used and also useful pain measurement tools in terms of their methods and dimensions. Results : Diagrams, scales and questions are usually used to measure pain intensity, temporal pattern, treatment including exacerbating and/or relieving factors, pain location, pain interference, pain quality, pain affect, pain duration, pain beliefs and pain history. Specific pain measurements are also available for specific conditions such as Western Ontario and McMaster Universities Osteoarthritis Index, Oswestry Disability Index and Neck Disability Index. Conclusions : Faces Pain Rating Scale, numeric rating scale, visual analogue scale, McGill Pain Questionnaire and Brief Pain Inventory and commonly used pain measurements. Specific measurements should be considered depending on research topics.

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Pain measurement in oral and maxillofacial surgery

  • Sirintawat, Nattapong;Sawang, Kamonpun;Chaiyasamut, Teeranut;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.4
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    • pp.253-263
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    • 2017
  • Regardless of whether it is acute or chronic, the assessment of pain should be simple and practical. Since the intensity of pain is thought to be one of the primary factors that determine its effect on a human's overall function and sense, there are many scales to assess pain. The aim of the current article was to review pain intensity scales that are commonly used in dental and oral and maxillofacial surgery (OMFS). Previous studies demonstrated that multidimensional scales, such as the McGill Pain Questionnaire, Short form of the McGill Pain Questionnaire, and Wisconsin Brief Pain Questionnaire were suitable for assessing chronic pain, while unidimensional scales, like the Visual Analogue Scales (VAS), Verbal descriptor scale, Verbal rating scale, Numerical rating Scale, Faces Pain Scale, Wong-Baker Faces Pain Rating Scale (WBS), and Full Cup Test, were used to evaluate acute pain. The WBS is widely used to assess pain in children and elderly because other scales are often difficult to understand, which could consequently lead to an overestimation of the pain intensity. In dental or OMFS research, the use of the VAS is more common because it is more reliable, valid, sensitive, and appropriate. However, some researchers use NRS to evaluate OMFS pain in adults because this scale is easier to use than VAS and yields relatively similar pain scores. This review only assessed pain scales used for post-operative OMFS or dental pain.

Sensitivity and Validity Test of Pain Rating Scale Using Pain Behavior of Adult Patients with Chronic Pain (만성통증환자의 통증연관 행위를 이용한 통증척도의 민감성 및 타당성 조사)

  • 이은옥;이선옥;임난영;최순희;김달숙;김순자;한윤복;김주희;김광주
    • Journal of Korean Academy of Nursing
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    • v.22 no.1
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    • pp.5-16
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    • 1992
  • The purposes of this study were : 1) to evaluate validity of a pain rating scale using the level of correlation between the Korean Pain Rating Scale(KPRS), Short -Form KPRS(SKPRS) and the Graphic Rating Scale(GRS). 2) to identify sensitivity of the scale using pain behavior of patients with chronic pain. Of the 2025 patients with chronic pain who visited the orthopedic and neurosurgical out - patients departments of 11 university hospitals in various districts of Korea, 520 subjects were selected through convenient sampling and responded to the questionnaires by mail. The results of the study can be summarized as follows : 1. The mean pain score measured by the KPRS was 444,85 : the mean sensory score was 209.47, the mean affective score, 147.63 and the mean miscellaneus score. 87.75. The mean pain score measured by the GRS was 20.11 : the mean sensory intensity score, 10.54. and the mean distress score, 9.57. 2. The average number of hours of rest during the day was 3.3, the average score of discomfort in carrying out ADL was 99, the average frequency of pain relieving practices was 3.0, the average number of pain sites was 3.6. 3. The most sensitive scale to differentiate each group was the GRS, the KPRS and SKPRS were less sensitive than the GRS. 4. The intercorrelation between the KPRS total score and the GRS score(.500) as well as that of the SKPRS score were highly correlated(.652), but intercorrelation between the SKPRS score and the GRS score(.172) was not high. Based on the above results, it was found that the SKPRS must be studied further to obtain validity.

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A study for assessing accuracy rates of pain rating Scales(KPRS & VAS) (국어통증 척도와 시각적 상사 척도의 정확도 연구)

  • 이은옥;정면숙
    • Journal of Korean Academy of Nursing
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    • v.18 no.3
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    • pp.239-244
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    • 1988
  • The purpose of this study was to identify the accuracy rates(hit ratio) which mean the degree of concordance between pain rating scale differences over time & subjective comparisons. Subjective comparisons mean the responses to the question “how does the pain you are now experiencing compare with the one at the time of the assessment yesterday\ulcorner” Answers to this question were translated into ‘greater’, ‘same’, or ‘less’. KPRS(Korean Pain Rating Scale) was developed through 4 consecutive studies to assess pain extensively & accurately by Lee etc. VAS(Visual Analogue Scale) was reported as valid & veliable measure for the intensity of pain by many researchers. Thirty hospitalized patients with complaints of Headache were partispated in this study during the period from May 1 to July 31, 1987. In conclusion, the accuracy rates of KPRS and VAS were 60%, 67%, respectively.

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