치매노인의 통증사정에 대한 자가보고 도구 검정 연구Validity, Reliability and Efficiency of Pain Self-Report Scale in Elderly with Dementia
- Authors
- 류언나; 박경숙
- Issue Date
- 2011
- Publisher
- 한국성인간호학회
- Keywords
- 통증; 통증측정; 치매; Pain; Pain measurement; Dementia
- Citation
- 성인간호학회지, v.23, no.2, pp 111 - 122
- Pages
- 12
- Journal Title
- 성인간호학회지
- Volume
- 23
- Number
- 2
- Start Page
- 111
- End Page
- 122
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/34001
- ISSN
- 1225-4886
- Abstract
- The aim on this study was to establish the validity, reliability and efficiency of a Pain Self-Report Scale for elderly with dementia and compare these results with an observational pain rating scale. Methods: Study subjects were 136 elderly with dementia who were residents in a nursing home, geriatric hospital, or day care center. The subject's pain was measured by five self-report scales and observational scale. DS-DAT (discomfort scale-dementia of the Alzheimer's type) was used for pain behavior observational measure. Cognitive state was assessed using the MMSE (Mini-Mental State Examination). Results: Observational rating correlated moderately with self-report (r=.225~.585, p <.05) and tended to underestimate pain intensity. Test-retest reliability was high for all five self-report scales, and the correlation between these scales was very strong (r=.735~.856, p <.05).
Comprehension rate of VDS (verbal descriptor scale) was 88.3%, and NRS (numeric rating scale) 69.9%, FPS (face pain scale) 66.9%, HVAS (horizontal visual analog scale) and VVAS (vertical visual analog scale) 65.4%.
Conclusion: Nurses should not apply observational scales routinely in demented patients as many of these are capable of reporting their own pain. Self-report, the highest standard of pain measurement can be reliably performed in a large proportion of demented elderly.
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