Earticle

초록

영어

Patients unable to speak are at higher risk for untreated pain. Use of valid behavioral and physiologic measures for pain is highly recommended for uncommunicative patients. This study was performed to compare the reliability and validity of NVPS-K and CPOT-K for pain assessment of nonverbal patients. This study was conducted from July to November 2011. A total of 29 nonverbal adult patients admitted to a university hospital intensive care unit participated in this study. Interrater reliability of the NVPS-K and CPOT-K had intermediate to high intraclass correlation coefficients (NVPS-K 0.680 ～ 0.921, CPOT-K 0.710 ～ 0.896). Discriminant validity was supported with higher instrument scores during turning and endotracheal suctioning than that of NIBP. For criterion validity, the NVPS-K scores were correlated to the self-reported pain of the patients but not the CPOT-K scores. The areas under the ROC curve for the NVPS-K and CPOT-K were 0.748 and 0.696 with cutoff points of 1 and 2, respectively. Thus, the NVPS-K and CPOT-K had a sensitivity and specificity of 94.7% and 45.0%, and 60.5% and 75.0%, respectively. The NVPS-K and CPOT-K are reliable and valid tools to assess pain in nonverbal patient and thus, are recommended for the assessment of the pain in nonverbal patients.

목차

 Ⅰ. 서론
  1. 연구의 필요성
  2. 연구목적
 Ⅱ. 연구방법
  1. 연구 설계
  2. 연구대상
  3. 연구방법
  4. 자료분석 방법
 Ⅲ. 연구결과
  1. 연구대상자의 일반적 특성
  2. 도구 점수와 개별 항목 점수표
  3. 관찰자간 신뢰도 검증
  4. 판별타당도 검증
  5. 준거타당도 검증
  6. 민감도와 특이도 검증
 Ⅳ. 고찰 및 결론
 REFERENCES

키워드

저자

• 김정순 [ Jung-Soon Kim | 부산대학교 간호대학 ]
• 강인순 [ In-Soon Kang | 부산대학교 간호대학 ] Corresponding author
• 박규현 [ Kyu-Hyun Park | 부산대학교 의학전문대학원 신경과학 교실 ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  보건의료산업학회지 [The Korean Journal of Health Service Management]

• 간기

  계간

• pISSN

  2093-5986

• 수록기간

  2007~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 517 DDC 613