Pain Assessment Tool Development for ICU Patients with Difficulty in Verbal Communication.

本研究旨在为重症监护病房(ICU)中言语交流有困难的患者开发一种疼痛评估工具。疼痛评估工具需要评估疼痛的程度并确定疼痛的位置。使用日本版的重症护理疼痛和观察工具(CPOT)观察疼痛程度，并测试可靠性、效度和反应性。在康复后对患者进行访谈。日本版CPOT确定了评定者间信度、标准相关效度、区分效度、趋同效度和反应性。与患者的访谈有助于了解伤口疼痛、引流管插入点疼痛、背痛、口渴、不适等。新的疼痛评估工具是使用来自患者访谈和日本版CPOT的信息创建的。

This study is aimed at the development of a pain assessment tool for Intensive Care Unit (ICU) patients who have difficulty with verbal communication. The pain assessment tool needed an evaluation of the degree of pain and identifying the location of the pain. The degree of pain was observed using the Japanese version of The Critical-care Pain and Observation Tool (CPOT), and tested reliability, validity and responsiveness. The patients were interviewed after recovery.The Japanese version of the CPOT identified inter-rater reliability, criterion-related validity, discrimination validity, convergence validity and responsiveness. The interview with patients helped to understand such things as wound pain, pain at the drain insertion point, back pain, thirst, malaise, et al. The new pain assessment tool was created Using information combined from patient interviews and the Japanese version of the CPOT.