Comparison of two pain scales: Behavioral pain scale and critical-care pain observation tool during invasive and noninvasive procedures in intensive care unit-admitted patients

Background: Critically ill patients admitted to intensive care units (ICUs) frequently experience pain, but the severity of pain in this group of patients is underestimated by the treatment team due to barriers to verbal communication. The aim of the present study was comparing the severity of pain...

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Main Authors: Shiva Gomarverdi, Ladan Sedighie, Mohamad Ali Seifrabiei, Mahshid Nikooseresht
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Iranian Journal of Nursing and Midwifery Research
Subjects:
Online Access:http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2019;volume=24;issue=2;spage=151;epage=155;aulast=Gomarverdi
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author Shiva Gomarverdi
Ladan Sedighie
Mohamad Ali Seifrabiei
Mahshid Nikooseresht
author_facet Shiva Gomarverdi
Ladan Sedighie
Mohamad Ali Seifrabiei
Mahshid Nikooseresht
author_sort Shiva Gomarverdi
collection DOAJ
description Background: Critically ill patients admitted to intensive care units (ICUs) frequently experience pain, but the severity of pain in this group of patients is underestimated by the treatment team due to barriers to verbal communication. The aim of the present study was comparing the severity of pain measured by two scales: behavioral pain scale (BPS) and critical-care pain observation tool (CPOT) in ICU-admitted patients during routine daily procedures. Materials and Methods: Ninety patients were enrolled in the study. The severity of pain was measured during resting, invasive (suctioning) and noninvasive (mouthwash and body position change) procedures, and respiratory physiotherapy with two scales: BPS and CPOT. Wilcoxon and Friedman statistical tests were used to compare the score of pain in different situations, and Spearman correlation coefficient was also used to measure the correlation of pain score measured by two scales. Results: Patients experienced no pain during resting, mild pain during changing position, and respiratory physiotherapy, mild-to-moderate pain during mouthwash and moderate pain during secretion suctioning. Wilcoxon test used for pairwise comparisons between pain score in different situations showed a significant difference in both scales (p < 0.05). There were positive and strong correlations (r > 0.80, p < 0.05) between the pain score measured by BPS and CPOT from ICU-admitted patients in all procedures. Conclusions: Critically ill patients in ICU experience a different range of pain in routine daily care. BPS and CPOT scales could be used successfully for monitoring of pain in this group of patients.
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spelling doaj.art-39d058e6f1ce47cc995baab5e87511c32022-12-22T02:16:30ZengWolters Kluwer Medknow PublicationsIranian Journal of Nursing and Midwifery Research1735-90662019-01-0124215115510.4103/ijnmr.IJNMR_47_18Comparison of two pain scales: Behavioral pain scale and critical-care pain observation tool during invasive and noninvasive procedures in intensive care unit-admitted patientsShiva GomarverdiLadan SedighieMohamad Ali SeifrabieiMahshid NikoosereshtBackground: Critically ill patients admitted to intensive care units (ICUs) frequently experience pain, but the severity of pain in this group of patients is underestimated by the treatment team due to barriers to verbal communication. The aim of the present study was comparing the severity of pain measured by two scales: behavioral pain scale (BPS) and critical-care pain observation tool (CPOT) in ICU-admitted patients during routine daily procedures. Materials and Methods: Ninety patients were enrolled in the study. The severity of pain was measured during resting, invasive (suctioning) and noninvasive (mouthwash and body position change) procedures, and respiratory physiotherapy with two scales: BPS and CPOT. Wilcoxon and Friedman statistical tests were used to compare the score of pain in different situations, and Spearman correlation coefficient was also used to measure the correlation of pain score measured by two scales. Results: Patients experienced no pain during resting, mild pain during changing position, and respiratory physiotherapy, mild-to-moderate pain during mouthwash and moderate pain during secretion suctioning. Wilcoxon test used for pairwise comparisons between pain score in different situations showed a significant difference in both scales (p < 0.05). There were positive and strong correlations (r > 0.80, p < 0.05) between the pain score measured by BPS and CPOT from ICU-admitted patients in all procedures. Conclusions: Critically ill patients in ICU experience a different range of pain in routine daily care. BPS and CPOT scales could be used successfully for monitoring of pain in this group of patients.http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2019;volume=24;issue=2;spage=151;epage=155;aulast=GomarverdiBehavioral pain scalecritical-care pain observation toolintensive care unitpain
spellingShingle Shiva Gomarverdi
Ladan Sedighie
Mohamad Ali Seifrabiei
Mahshid Nikooseresht
Comparison of two pain scales: Behavioral pain scale and critical-care pain observation tool during invasive and noninvasive procedures in intensive care unit-admitted patients
Iranian Journal of Nursing and Midwifery Research
Behavioral pain scale
critical-care pain observation tool
intensive care unit
pain
title Comparison of two pain scales: Behavioral pain scale and critical-care pain observation tool during invasive and noninvasive procedures in intensive care unit-admitted patients
title_full Comparison of two pain scales: Behavioral pain scale and critical-care pain observation tool during invasive and noninvasive procedures in intensive care unit-admitted patients
title_fullStr Comparison of two pain scales: Behavioral pain scale and critical-care pain observation tool during invasive and noninvasive procedures in intensive care unit-admitted patients
title_full_unstemmed Comparison of two pain scales: Behavioral pain scale and critical-care pain observation tool during invasive and noninvasive procedures in intensive care unit-admitted patients
title_short Comparison of two pain scales: Behavioral pain scale and critical-care pain observation tool during invasive and noninvasive procedures in intensive care unit-admitted patients
title_sort comparison of two pain scales behavioral pain scale and critical care pain observation tool during invasive and noninvasive procedures in intensive care unit admitted patients
topic Behavioral pain scale
critical-care pain observation tool
intensive care unit
pain
url http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2019;volume=24;issue=2;spage=151;epage=155;aulast=Gomarverdi
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AT mohamadaliseifrabiei comparisonoftwopainscalesbehavioralpainscaleandcriticalcarepainobservationtoolduringinvasiveandnoninvasiveproceduresinintensivecareunitadmittedpatients
AT mahshidnikooseresht comparisonoftwopainscalesbehavioralpainscaleandcriticalcarepainobservationtoolduringinvasiveandnoninvasiveproceduresinintensivecareunitadmittedpatients