Measuring Acute Pain Over Time in the Critically Ill Using the Multidimensional Objective Pain Assessment Tool (MOPAT)

被引：17

作者：

Wiegand, Debra L. ^{[1
]}

Wilson, Tracey ^{[2
]}

Pannullo, Diane ^{[3
]}

Russo, Marguerite M. ^{[4
,5
]}

Kaiser, Karen Snow ^{[6
]}

Soeken, Karen ^{[1
]}

McGuire, Deborah B. ^{[7
]}

机构：

[1] Univ Maryland, Sch Nursing, 655 West Lombard St,Off 445C, Baltimore, MD 20201 USA

[2] Univ Maryland, Med Ctr, Med Intens Care Unit, Baltimore, MD 21201 USA

[3] Univ Maryland, Med Ctr, Surg Intens Care Unit, Baltimore, MD 21201 USA

[4] Univ Maryland, Med Ctr, Palliat Care, Baltimore, MD 21201 USA

[5] Univ Maryland Baltimore, Grad Sch, Baltimore, MD USA

[6] Univ Maryland Med Syst, Baltimore, MD USA

[7] Virginia Commonwealth Univ, Sch Nursing, Richmond, VA USA

来源：

PAIN MANAGEMENT NURSING | 2018年 / 19卷 / 03期

关键词：

INTENSIVE-CARE-UNIT; SETTING PSYCHOMETRIC EVALUATION; AGITATION-SEDATION SCALE; QUALITY-OF-LIFE; PHYSIOLOGICAL INDICATORS; MECHANICAL VENTILATION; ADULT; VALIDATION; EXPERIENCES; PATIENT;

D O I：

10.1016/j.pmn.2017.10.013

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: A valid and reliable instrument is needed to assess acute pain in critically ill patients unable to self-report and who may be transitioning between critical care and other settings. Aim: To examine the reliability, validity, and clinical utility of the Multidimensional Objective Pain Assessment Tool (MOPAT) when used over time by critical care nurses to assess acute pain in non-communicative critically ill patients. Methods: Twenty-seven patients had pain assessed at two time points (T1 and T2) surrounding a painful event for up to 3 days. Twenty-one ICU nurses participated in pain assessments and completed the Clinical Utility Questionnaire. Results: Internal consistency reliability coefficient alphas for the MOPAT were .68 at T1 and .72 at T2. Inter-rater agreement during painful procedures or turning was 68% for the behavioral dimension and 80% for the physiologic dimension. Validity was evidenced by decreases (p < .001) in the MOPAT total and behavioral and physiologic dimension scores when comparing T1 and T2. Nurses found the tool clinically useful. Conclusion: The MOPAT can be used in the critical care setting as a helpful tool to assess pain in non-communicative patients. The MOPAT is unique in that the instrument can be used over time and across settings. (C) 2017 by the American Society for Pain Management Nursing.

引用

页码：277 / 287

页数：11

共 51 条

[1] THE MULTIDIMENSIONAL NATURE OF CANCER-RELATED PAIN [J].

AHLES, TA ;

BLANCHARD, EB ;

RUCKDESCHEL, JC .

PAIN, 1983, 17 (03) :277-288

[2] Palliative performance scale (PPS): A new tool [J].

Anderson, F ;

Downing, GM ;

Hill, J ;

Casorso, L ;

Lerch, N .

JOURNAL OF PALLIATIVE CARE, 1996, 12 (01) :5-11

[3]

[Anonymous], 2014, IASP Taxonomy

[4] Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit [J].

Barr, Juliana ;

Fraser, Gilles L. ;

Puntillo, Kathleen ;

Ely, E. Wesley ;

Gelinas, Celine ;

Dasta, Joseph F. ;

Davidson, Judy E. ;

Devlin, John W. ;

Kress, John P. ;

Davidson, Judy E. ;

Devlin, John W. ;

Kress, John P. ;

Joffe, Aaron M. ;

Coursin, Douglas B. ;

Herr, Daniel L. ;

Tung, Avery ;

Robinson, Bryce R. H. ;

Fontaine, Dorrie K. ;

Ramsay, Michael A. ;

Riker, Richard R. ;

Sessler, Curtis N. ;

Pun, Brenda ;

Skrobik, Yoanna ;

Jaeschke, Roman .

CRITICAL CARE MEDICINE, 2013, 41 (01) :263-306

[5]

Bausell R.B., 2002, Power analysis for experimental research: a practical guide for the biological, medical and social sciences

[6] Assessment of pain in the nonverbal or cognitively impaired older-adult [J].

Bjoro, Karen ;

Herr, Keela .

CLINICS IN GERIATRIC MEDICINE, 2008, 24 (02) :237-+

[7]

Blakely W P, 2001, Crit Care Nurs Clin North Am, V13, P167

[8]

Decker Sheila A, 2003, Pain Manag Nurs, V4, P77, DOI 10.1016/S1524-9042(02)54209-0

[9] Pain during hospitalization is associated with continued pain six months later in survivors of serious illness [J].

Desbiens, NA ;

Wu, AW ;

Alzola, C ;

MuellerRizner, N ;

Wenger, NS ;

Connors, AF ;

Lynn, J ;

Phillips, RS .

AMERICAN JOURNAL OF MEDICINE, 1997, 102 (03) :269-276

[10] Monitoring sedation status over time in ICU patients - Reliability and validity of the Richmond Agitation-Sedation Scale (RASS) [J].

Ely, EW ;

Truman, B ;

Shintani, A ;

Thomason, JWW ;

Wheeler, AP ;

Gordon, S ;

Francis, J ;

Speroff, T ;

Gautam, S ;

Margolin, R ;

Sessler, CN ;

Dittus, RS ;

Bernard, GR .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (22) :2983-2991

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