Determining mild, moderate, and severe pain equivalency across pain-intensity tools in nursing home residents
Determining mild, moderate, and severe pain equivalency across pain-intensity tools in nursing home residents
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DOI：
10.1682/jrrd.2006.05.0051
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发表时间：
2007-01-01
影响因子：
--
通讯作者：
Fink, Regina
中科院分区：
文献类型：
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作者：
Jones, Katherine R.;Vojir, Carol P.;Fink, Regina
养老院的老年人经历的疼痛往往被低估和治疗不足。视觉模拟疼痛强度量表，建议在成人中广泛使用，在老年人群体中效果不佳。其他各种工具也在使用中，包括语言描述量表、面部疼痛量表（FPS）和数字评定量表。这些工具更容易被老年人接受，但对于如何比较不同居民之间的疼痛强度评分，目前还没有达成一致。本研究检查了135名疗养院居民的疼痛强度评分的等效性，这些居民在三种不同的仪器上报告了他们的疼痛。第二个样本的135个养老院居民的结果进行了验证。这三种工具的疼痛水平高度相关，但发现居民低估了FPS的疼痛强度。FPS评分的修改导致三种工具之间更大的一致性。这些发现对使用这些工具提高质量和公开报告疼痛有影响。
Older adults in nursing homes experience pain that is often underassessed and undertreated. Visual analog pain-intensity scales, recommended for widespread use in adults, do not work well in the older adult population. A variety of other tools are in use, including the Verbal Descriptor Scale, the Faces Pain Scale (FPS), and the Numeric Rating Scale. These tools are more acceptable to older adults, but no agreement exists about how to compare the resulting pain-intensity scores across residents. This study examined the equivalency of pain-intensity scores for 135 nursing home residents who reported their pain on the three different instruments. The results were validated with a second sample of 135 nursing home residents. The pain levels across the three tools were highly correlated, but residents were found to underrate higher pain intensity on the FPS. A modification of scoring for the FPS led to greater agreement across the three tools. The findings have implications for use of these tools for quality improvement and public reporting of pain.