• Title, Summary, Keyword: Pain Measurement

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A Study for Testing Validity of Korean Pain Measurement Tool (국어통증척도의 타당도 연구)

  • 김주희
    • Journal of Korean Academy of Nursing
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    • v.16 no.1
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    • pp.81-88
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    • 1986
  • The main purpose of this study was to clarify the validity with patient's general background of Korean Pain Measurement tool. The subjects of this study were 195 patient from the 8 Med-Surgical wards in H. University Hospital in Seoul. The study was conducted over a 40 day period from Oct. 5, 1985 to Nov. 15, 1985. All patients had pain. Korean Pain Measurement tool and simple discriptive pain scale as Graphic Rating Scale were used to measure the pain, The Pearson Correlation Coefficient test was exercised to measure the correlation between the two kinds of pain tools. To clarify the Sensitivity of Korean Pain tool was used frequency with patient's response. To compare the difference in Pain levels with patient's general background, ANOVA and t-test was employed. To compare the difference in pain levels existed due to pain area of the body used mean numbers. The outcome of the study was as follows : 1. A positive correlation did exist between two pain measurement tools. (r=.2028∼.7768, p <0.002) 2. The sensitive subclass in Korean Pain Measurement tools was 7 subclass. The 7 subclass are inflammatory repeated pain, simple stimulating, traction pressure, dull pain, cavity pain, digestion related pain, suffering. related pain. 3. The existence of levels of pain in accordance with patient's general background, the department of hospital, pain area of the body and school age was supported. Age, sex, religion, marrital status, economic status, acute or chronic status was not supported. 4. The existence of higher pain levels of the body area was anus, chest, and lower pain levels of the body area was eye, ear, nose and throat. Based on the above results, it was found that sensitive subclasses of the Korean Pain Measurement tool was 7 subclass among all of 20 subclass. Thus it can be concluded that Korean Pain Mea-surement tool when partialy used and supplemented, can be an effective tool of pain measurement for the patient in Korea.

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A Review of the Pain and Function Assessment Instruments for Shoulder Disease Patients in Korean Medicine Clinical Studies Published in South Korea (국내 한의임상연구에서의 어깨질환 환자의 통증 및 기능측정도구 사용에 대한 현황분석)

  • Lee, Geon-Yeong;Jo, Hee-Geun;Seol, Jae-Uk;Kim, Shin-Ae
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.1
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    • pp.33-51
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    • 2018
  • Objectives The purpose of this study is to analyze the current status of measurement instruments used to evaluate pain and function for shoulder disease patients in Korean Medicine clinical studies published in South Korea. Methods 5 Korean online databases from January 2007 to July 2017 were used to source articles for the review. Data of pain and function assessment instruments, measurement methods, time point and frequency for shoulder assessment were extracted. And it was analyzed by investigating the frequency of use for each item. Results A total of 78 studies met the selection criteria. There were many studies with no description for pain assessment instruments or inconsistent measurement methods. In the function assessment, the frequency of use was low and there were a lot of use of instruments with low validity and reliability. Conclusions To develop the objectivity of clinical research, further clinical studies, active use of measurement instruments, and standardization of measurement methods are needed.

Validity and Reliability Assessment of the Performance Measures Based on the Nursing Process for Prevention and Management of Pressure Ulcers, Falls and Pain (간호과정 적용 평가도구의 타당도 및 신뢰도 조사 - 욕창, 낙상예방 및 통증 간호를 중심으로 -)

  • Kim, Keum Soon;Kim, Jin A;Choi, Yun Kyoung;Kim, Yu Jeong;Song, Mal Soon;Kim, Eul Soon
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.3
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    • pp.5-23
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    • 2010
  • Purpose: This study was conducted to determine the validity and reliability of performance measurement tools based on the nursing process for prevention and management of pressure ulcers, falls and pain. Methods: The performance measurement tools were reviewed by a panel of experts and refined on the basis of the panel's suggestions. The validity of the performance measurement tools was measured by surveying hospital nurses. The reliability of these tools was tested by having nursing experts use the tools in five nursing units to assess nursing performance in prevention and management of pressure ulcers, falls and pain. Results: The performance measurement tools in this study were found to be acceptable as tools to evaluate quality of nursing care in pressure ulcers, falls and pain. The reliability of the performance measurement tools was acceptable. Conclusion: These results indicate that the performance measurement tools developed in this study are valid and reliable instruments to monitor and improve quality of nursing care in prevention and management of pressure ulcers, falls and pain.

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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A Study for Development of a Korean Pain Measurement Tool(II). A Study for Testing Ranks of Words in each Subclass of a Korean Pain Measurement Tool (동통 평가도구 개발을 위한 연구 -한국 통증 어휘별 강도 순위의 유의도 및 신뢰도 검사-)

  • 이은옥;송미순
    • Journal of Korean Academy of Nursing
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    • v.13 no.3
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    • pp.106-118
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    • 1983
  • The main purpose of this study is to systematically classify words indicating pain in terms of their ranks in each subclass. This study is a part of developing a Korean Pain Measurement Tool. This study didnot include exploration of each word's dimension such as sensory or affective. Eighty three Korean words tentatively classified in 19 subclasses in previous study were used for this study. At least three to six words were included in each subclass and the words were randomly placed in which each subject indicates their rank of pain degree. One hundred and fifty nursing students and one hundred clinical nurses were requested to indicate the rank of each word. One hundred and sixteen students and eighty three nurses completed the ratings for analysis. The data were collected from June 1983 to July 1983. The data using ordinal scale were analyzed by Friedman ANOVA to test significant difference between rank means. All of pain words indicated significant rank mean difference in all of 19 subclasses. Some of the words were either cancelled or replaced by other words, or rearranged for their ranks. Subclasses of which words were cancelled were 1) Simple stimulating pain, 2) Punctuate pressure, 3) peripheral nerve pain, 4) radiation pain, 5) punishment-related pain, and 6) suffering-related pain. Subclasses of which words were replaced or rearranged were 1) incisive pressure, 2) constrictive pressure, 3) dull pain, 4) tract pain, 5) digestion-related pain and 6) fear-related pain. Four subclasses such as traction pressure, thermal, cavity pressure, and fatigue- elated pain indicated significant differences among rank means in each subclasses and showed no visible overlaps of the ranks among means. Further research is needed using high level measurement of pain degree of each word and more sophisticated analysis of the pain degrees. Three pain words which would be related to chemical stimulation were newly explored and included as a new subclass. Through this study, the total number of subclasses increases from 19 to 20 and the total number of Korean words in the scale decreases from 83 to 80.

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A Survey on Changes of Postoperative Pain of Surgical Patients according to Time Variation (환자의 수술후 경과시간에 따른 동통정도의 변화에 관한 연구)

  • 이은옥;김수진;이경숙
    • Journal of Korean Academy of Nursing
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    • v.14 no.1
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    • pp.60-68
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    • 1984
  • The main purpose of this study is to observe patterns of pain of surgical patients following surgery The postoperative pain was checked with the interval of every 2 hours from 6 hours to 80 hours after surgery. Graphic rating scale from unidimensional concept of pain and sensory intensity scale and unpleasantness scale from two dimensional concept of pain were used for pain measurement. Thirty two patients were participated in this study in which 22 were undergone upper abdominal surgery, 7 thyroid or neck surgery and 3 other surgeries. The findings obtained from this study were as follows: 1) In all cases of using 3 different pain measurement tools, postoperative pain was markedly decreased since 36 hours after surgery. In case of patient's less cooperation, either sensory intensity scale or graphic rating scale may be chosen for the measurement of pain. 2) Pain amounts measured by sensory intensity scale were highly correlated with those measured by unpleasantness scale in all situations except several situations having few cases included. Unpleasantness scale may be separately used for themeasurement of affective response due to pain. 3) Almost 90% of total amount of analgesics used for relief of pain were used within 36 hours after surgery. 4) Mean frequency of analgesics used by every patient during 80 hours following surgery was 0.84.

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A Comparative Study of Oswestry Back Pain Disability Questionnaire Versus Computer Adaptive Testing for Measuring Back Pain

  • Choi, Bong-Sam
    • Physical Therapy Korea
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    • v.20 no.4
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    • pp.22-31
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    • 2013
  • The aim of the present study was to compare measurement precisions of the Oswestry Back Pain Disability Questionnaire (ODQ) and a computer adaptive testing (CAT) method. The ODQ has been regarded as one of the most reliable condition-specific measure for back pain for decades. Cross-sectional study was carried out with two independent convenient samples from two out-patient rehabilitation clinics for back pain ($n_1=42$) and non-back pain group ($n_2=42$). Participants were asked to fill out the ODQ and CAT of International Classification of Functioning, Disability and Health-Activity Measure (ICF-AM). A series of Rasch analyses were performed to calculate person ability measures. The CAT measures had greater relative precision in discriminating the groups than did the ODQ measure in comparisons of the relative precision. The CAT measure appears to be more effective than did the ODQ measure in terms of measurement precision. By administering test items calibrated in a way, CAT measures using item response theory may promise a means with measurement precision as well as efficiency.

Reliability of Visual Analog Scale in Assessment of Acute Pain (시각적 상사 척도의 신뢰도 검사 -급성 통증 측정-)

  • Choi, Ja-Yun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.1
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    • pp.136-143
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    • 2003
  • The purpose of this study was to test the reliability of visual analog scale in assessing the degree of acute pain related to blood sugar test. A sample of 113 subjects is composed of 56 DM patients and 57 their family who are admitted in a ward of medical part of C university hospital in Gwangju. Data are collected from July, 2001 to December, 2001. The degree of pain is twice measured in a week interval. Correlations were moderate between times in DM patients group and healty group. In both measures, correlations were high between VAS score and the score of color pain circle measurement tool. Visual analog scale is methodologically sound instrument for assessment of acute pain. Further study will be needed to evaluate the correlation with physiology measurement.

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Selecting Common Items for Linking the Oswestry Low Back Pain Questionnaire and a Short Form of Self-Reported Activity Measure for Low Back Pain

  • Choi, Bong-sam
    • Physical Therapy Korea
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    • v.22 no.3
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    • pp.61-70
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    • 2015
  • To develop an effective and efficient measurement system for tracking changes of functional status across two measures, it is essential to integrate information and communicate scores across two measures. The lack of communication between two measures leads to score incompatibility. A potential solution would be the development of a crosswalk table between those measures. Prior to creating a crosswalk table, selecting common items between two measures is critical. By using the Oswestry low back pain disability questionnaire (Oswestry) and a short form measuring disability resulting from low back pain, item level statistics as well as differential item functioning (DIF) using the Rasch measurement were investigated. Eighty-two participants with known group validity were recruited. Based on the application of the Rasch measurement model, item difficulties across the two measures were logically and hierarchically ordered. Ceiling effects for both measures were detected, which were not be able to be effectively measured with the two measures. The DIF analysis across the two measures confirmed that five paired items were found to have DIF and five common items were selected for common items. Although five paired items function differently across the Oswestry and the short form, all items of both measures were well targeted study participants. The common items selected by the Rasch measurement model may be effective when creating a crosswalk table between the Oswestry and the short form.

Testing the Reliability of the Pain Color Circle Measurement Tool (색채동통척도의 신뢰도 연구)

  • 김주희
    • Journal of Korean Academy of Nursing
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    • v.21 no.3
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    • pp.339-348
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    • 1991
  • The study problem was to determine the reliability of the Stewart pain circle measurement tool with Korean subjects. The purpose was to assess the tool for potential use in research in Korea. The subjects were 95 primary school students and 103 university students in Seoul. The study was conducted from May to June 1990, using Stewart's pain color circle tool. To determine the difference in the rated intensity of the order of the pain color circles, statistical mean and standard deviation were employed. Item reliability and test - retest reliability were used to test for reliability. ANOVA and t-test were used to explore for differences in the rated intensity of the order of the pain color circles according to the subjects' general characteristics. The findings were as follows ; 1. Higher level pain intensity was assigned to color circle numbers 2, 4, and 6 (These contain large amounts of color). Lower level pain intensity was assigned to numbers 1, 3, and 5(These contain small amounts of color). Higher and lower levels of pain intensity selection patterns were the same as Stewart's but the highest rating of pain was different. The highest pain intensity rating was given to the color red in this study instead of black as in Stewart's test. 2. University students and primary school students' ratings were not very difteferent. 3. Pain color circle reliability was $\alpha$=0.3468, Test - retest reliability was supported (t=0.02~0.97, p=0.337~0.988) 4. Differences in the rating of the pain intensity order were related to the subjects' age and sex, but not to religion. It was concluded that the pain color circle measurement tool is worth for further study as a research instrument with both Korean adult and child clients for validity and reliability.

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