Validation of the Dutch version of the critical care pain observation tool in an Intensive Care Unit

2.50
Hdl Handle:
http://hdl.handle.net/10755/308053
Category:
Abstract
Type:
Presentation
Title:
Validation of the Dutch version of the critical care pain observation tool in an Intensive Care Unit
Author(s):
Luiking, Marie-Louise
Lead Author STTI Affiliation:
Rho Chi
Author Details:
Marie-Louise Luiking, MA, RN, m.luiking@antonius.net
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Background 

Pain assessment commonly depends on asking the patient about their perceived  pain. In the Intensive Care Unit (ICU) a visual analogue scale (VAS) is used in this way. Patient communication can be problematic on an ICU and the Critical-care pain observational tool (CPOT) was developed to be less dependent on communication with the patient. A validated Dutch version of the CPOT is not available.

Method 

A translation into Dutch and a back translation procedure of the English CPOT was done. In 50 patients pain was evaluated using the CPOT and the VAS in 4 situations: before any nursing procedure (pre), during a low nociceptive procedure (face wash), immediately after a nociceptive procedure (turning) and 20 minutes thereafter (post). The CPOT  and VAS scores were compared between the 4 situations (paired student t-test). To establish a correlation between a change in CPOT and VAS scores the Pearson’s correlation coefficient was calculated.

Results

The  CPOT and VAS scores in the pre and post situation were not different, confirming the unchanged baseline (rest) pain score for these patients. The CPOT score increased during a low nociceptive procedure (p< 0.05), but the VAS score increase was not significant (p= 0.14). Both the CPOT and the VAS scores increased  immediately after a nociceptive procedure (p<0.005 for both scores). The correlation coefficient between a change in CPOT and in VAS scores was for the low nociceptive procedure 0.89 (considered very good). The correlation coefficient for the nociceptive procedure was 0.58, (substantial).  These coefficients indicate a consistent pattern of significant correlation between CPOT and VAS scores.

Conclusion

The Dutch version of the CPOT is a suitable instrument for assessing pain in the critically ill patients. It has a good correlation with measuring pain with the standard VAS, but is less patient communication dependent.

Keywords:
Dutch language; Pain; Criticalcare pain observation tool
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleValidation of the Dutch version of the critical care pain observation tool in an Intensive Care Uniten_GB
dc.contributor.authorLuiking, Marie-Louiseen_GB
dc.contributor.departmentRho Chien_GB
dc.author.detailsMarie-Louise Luiking, MA, RN, m.luiking@antonius.neten_GB
dc.identifier.urihttp://hdl.handle.net/10755/308053-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p>Background  <p>Pain assessment commonly depends on asking the patient about their perceived  pain. In the Intensive Care Unit (ICU) a visual analogue scale (VAS) is used in this way. Patient communication can be problematic on an ICU and the Critical-care pain observational tool (CPOT) was developed to be less dependent on communication with the patient. A validated Dutch version of the CPOT is not available. <p>Method  <p>A translation into Dutch and a back translation procedure of the English CPOT was done. In 50 patients pain was evaluated using the CPOT and the VAS in 4 situations: before any nursing procedure (pre), during a low nociceptive procedure (face wash), immediately after a nociceptive procedure (turning) and 20 minutes thereafter (post). The CPOT  and VAS scores were compared between the 4 situations (paired student t-test). To establish a correlation between a change in CPOT and VAS scores the Pearson’s correlation coefficient was calculated. <p>Results <p>The  CPOT and VAS scores in the pre and post situation were not different, confirming the unchanged baseline (rest) pain score for these patients. The CPOT score increased during a low nociceptive procedure (p< 0.05), but the VAS score increase was not significant (p= 0.14). Both the CPOT and the VAS scores increased  immediately after a nociceptive procedure (p<0.005 for both scores). The correlation coefficient between a change in CPOT and in VAS scores was for the low nociceptive procedure 0.89 (considered very good). The correlation coefficient for the nociceptive procedure was 0.58, (substantial).  These coefficients indicate a consistent pattern of significant correlation between CPOT and VAS scores. <p>Conclusion <p>The Dutch version of the CPOT is a suitable instrument for assessing pain in the critically ill patients. It has a good correlation with measuring pain with the standard VAS, but is less patient communication dependent.en_GB
dc.subjectDutch languageen_GB
dc.subjectPainen_GB
dc.subjectCriticalcare pain observation toolen_GB
dc.date.available2013-12-19T17:26:15Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:15Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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