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Evaluation of two observational pain assessment scales during the anaesthesia recovery period in Chinese surgical older adults

To purchase or authenticate to the full-text of this article, please visit this link: http://onlinelibrary.wiley.com/doi/10.1111/jocn.12677/abstract Byline: Li-Li Guo, Li Li, Yao-Wei Liu, Keela Herr Keywords: anaesthesia recovery period; Checklist of Nonverbal Pain Indicators; observational pain ass... Full description

Journal Title: Journal of Clinical Nursing January 2015, Vol.24(1-2), pp.212-221
Main Author: Guo, Li‐Li
Other Authors: Li, Li , Liu, Yao‐Wei , Herr, Keela
Format: Electronic Article Electronic Article
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ID: ISSN: 0962-1067 ; E-ISSN: 1365-2702 ; DOI: 10.1111/jocn.12677
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recordid: wj10.1111/jocn.12677
title: Evaluation of two observational pain assessment scales during the anaesthesia recovery period in Chinese surgical older adults
format: Article
creator:
  • Guo, Li‐Li
  • Li, Li
  • Liu, Yao‐Wei
  • Herr, Keela
subjects:
  • Anaesthesia Recovery Period
  • Checklist Of Nonverbal Pain Indicators
  • Observational Pain Assessment Tools
  • Older Adults
  • Pain Assessment
  • Pain Assessment In Advanced Dementia Scale
ispartof: Journal of Clinical Nursing, January 2015, Vol.24(1-2), pp.212-221
description: To purchase or authenticate to the full-text of this article, please visit this link: http://onlinelibrary.wiley.com/doi/10.1111/jocn.12677/abstract Byline: Li-Li Guo, Li Li, Yao-Wei Liu, Keela Herr Keywords: anaesthesia recovery period; Checklist of Nonverbal Pain Indicators; observational pain assessment tools; older adults; pain assessment; Pain Assessment in Advanced Dementia scale Aims and objectives To evaluate the reliability and validity of the Pain Assessment in Advanced Dementia scale and the Checklist of Nonverbal Pain Indicators in Chinese older adults post surgery during the anaesthesia recovery period. Background Pain assessment in older surgical patients is complicated by factors such as anaesthesia and opioid administration. Although observational pain behavioural assessment tools have been validated for those unable to self-report, research on their application during the anaesthesia recovery period is limited. Design A prospective correlational design. Methods Ninety-three older patients admitted for scheduled abdominal surgery were recruited in a university-affiliated hospital. The two observational scales were used to conduct pain assessments during the anaesthesia recovery period. On the first and the third postoperative day, participants recalled their pain intensity during the recovery period using the Numeric Rating Scale or the Faces Pain Scale-Revised. Results The internal consistency reliability of the Pain Assessment in Advanced Dementia scale and the Checklist of Nonverbal Pain Indicators was 0ae81 and 0ae69 respectively. The correlation between scores of the two observational scales was 0ae95. The recalled self-reports of pain intensity were significantly correlated. The correlation of the Pain Assessment in Advanced Dementia scale and patients' recalled self-reports was 0ae55, 0ae54, and the correlation between the Checklist of Nonverbal Pain Indicators and the two recalled pain scores was both 0ae60. Conclusions Both the two observational scales had good reliability and validity when used to assess pain in Chinese surgical older adults during the anaesthesia recovery period. Relevance to clinical practice Observational pain scales can be useful as a tool for patients unable to self-report. Accurate use of one of the observational pain tools can help identify pain during the anaesthesia recovery period, when patients are unable to self-report, to support effective pain management during this period.
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identifier: ISSN: 0962-1067 ; E-ISSN: 1365-2702 ; DOI: 10.1111/jocn.12677
fulltext: fulltext
issn:
  • 0962-1067
  • 09621067
  • 1365-2702
  • 13652702
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titleEvaluation of two observational pain assessment scales during the anaesthesia recovery period in Chinese surgical older adults
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subjectAnaesthesia Recovery Period ; Checklist Of Nonverbal Pain Indicators ; Observational Pain Assessment Tools ; Older Adults ; Pain Assessment ; Pain Assessment In Advanced Dementia Scale
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descriptionTo purchase or authenticate to the full-text of this article, please visit this link: http://onlinelibrary.wiley.com/doi/10.1111/jocn.12677/abstract Byline: Li-Li Guo, Li Li, Yao-Wei Liu, Keela Herr Keywords: anaesthesia recovery period; Checklist of Nonverbal Pain Indicators; observational pain assessment tools; older adults; pain assessment; Pain Assessment in Advanced Dementia scale Aims and objectives To evaluate the reliability and validity of the Pain Assessment in Advanced Dementia scale and the Checklist of Nonverbal Pain Indicators in Chinese older adults post surgery during the anaesthesia recovery period. Background Pain assessment in older surgical patients is complicated by factors such as anaesthesia and opioid administration. Although observational pain behavioural assessment tools have been validated for those unable to self-report, research on their application during the anaesthesia recovery period is limited. Design A prospective correlational design. Methods Ninety-three older patients admitted for scheduled abdominal surgery were recruited in a university-affiliated hospital. The two observational scales were used to conduct pain assessments during the anaesthesia recovery period. On the first and the third postoperative day, participants recalled their pain intensity during the recovery period using the Numeric Rating Scale or the Faces Pain Scale-Revised. Results The internal consistency reliability of the Pain Assessment in Advanced Dementia scale and the Checklist of Nonverbal Pain Indicators was 0ae81 and 0ae69 respectively. The correlation between scores of the two observational scales was 0ae95. The recalled self-reports of pain intensity were significantly correlated. The correlation of the Pain Assessment in Advanced Dementia scale and patients' recalled self-reports was 0ae55, 0ae54, and the correlation between the Checklist of Nonverbal Pain Indicators and the two recalled pain scores was both 0ae60. Conclusions Both the two observational scales had good reliability and validity when used to assess pain in Chinese surgical older adults during the anaesthesia recovery period. Relevance to clinical practice Observational pain scales can be useful as a tool for patients unable to self-report. Accurate use of one of the observational pain tools can help identify pain during the anaesthesia recovery period, when patients are unable to self-report, to support effective pain management during this period.
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