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首页> 外文期刊>The Journal of cardiovascular nursing >Validation of the Critical-Care Pain Observation Tool and Vital Signs in Relation to the Sensory and Affective Components of Pain During Mediastinal Tube Removal in Postoperative Cardiac Surgery Intensive Care Unit Adults
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Validation of the Critical-Care Pain Observation Tool and Vital Signs in Relation to the Sensory and Affective Components of Pain During Mediastinal Tube Removal in Postoperative Cardiac Surgery Intensive Care Unit Adults

机译：重症监护疼痛观察工具和生命体征与术后心脏外科重症监护室成人纵隔导管切除过程中疼痛的感觉和情感成分的关系的验证

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Background: The Critical-Care Pain Observation Tool (CPOT) is a behavioral scale recommended in clinical practice guidelines for the assessment of pain in nonverbal intensive care unit (ICU) adults. Although the CPOT has been validated in various ICU patient groups, its association with the affective component of pain has not yet been explored, and in most studies, turning was the used nociceptive procedure. Aim: In this study, we aim to validate the use of the CPOT and vital signs in association with the sensory and affective components of pain during mediastinal tube removal (MTR) in postoperative cardiac surgery ICU adults. Methods: A sample of 125 patients participated in this prospective repeated-measures, within-subject study. A total of 6 assessments of the main study variables (CPOT scores and patients' self-reports of pain intensity and unpleasantness) were completed by trained research assistants while patients were in the ICU. Assessments were done before, during, and 15 minutes after the nonnociceptive procedure (ie, noninvasive blood pressure taking [NIBP]) and nociceptive procedure (ie, MTR). Results: Discriminant validation of the scale use was supported as higher CPOT scores were obtained during MTR (mean [SD], 2.74 [1.61]) compared with NIBP (mean [SD], 0.50 [0.747]) (t(124) = 14.33, P < .001). Similarly, higher values were recorded for mean arterial pressure and heart and respiratory rates during MTR compared with NIBP (P < .01). During MTR, CPOT scores correlated significantly with self-report of pain intensity (r = 0.419, P < .01) and unpleasantness (r = 0.313, P < .01), supporting criterion and convergent validation. Conversely, vital signs did not correlate with either self-report. Conclusions: Study findings confirmed the validity of the CPOT for the assessment of the sensory and affective components of pain in the postcardiac surgery ICU adults. Vital signs were not specific to pain and should be used only as cues to begin further assessment of pain using validated instruments for this purpose.
机译：背景：重症监护疼痛观察工具（CPOT）是临床实践指南中推荐的行为量表，用于评估非言语重症监护病房（ICU）成人的疼痛。尽管CPOT已在各种ICU患者组中得到验证，但尚未探讨其与疼痛的情感成分的关系，并且在大多数研究中，翻车是常用的伤害性治疗方法。目的：在这项研究中，我们旨在验证CPOT和生命体征与术后心脏外科ICU成人纵隔管切除术（MTR）时疼痛的感觉和情感成分相关的使用。方法：125位患者的样本参与了这项前瞻性重复措施的受试者内部研究。当患者在ICU中时，由训练有素的研究助理完成了对主要研究变量（CPOT评分以及患者对疼痛强度和不适感的自我报告）的6项评估。在非伤害性手术（即无创血压测量[NIBP]）和伤害性手术（即MTR）之前，之中和之后15分钟进行评估。结果：支持量表使用的判别性验证得到支持，因为相比于NIBP（均值[SD]，0.50 [0.747]），MTR期间获得的CPOT得分更高（平均值[SD]，2.74 [1.61]）（t（124）= 14.33 ，P <.001）。同样，与NIBP相比，MTR期间记录的平均动脉压以及心脏和呼吸频率的值更高（P <.01）。在MTR期间，CPOT评分与自我报告的疼痛强度（r = 0.419，P <.01）和不适感（r = 0.313，P <.01）显着相关，支持标准和收敛性验证。相反，生命体征与任何自我报告均不相关。结论：研究结果证实了CPOT在评估明信片手术ICU成人疼痛的感觉和情感成分方面的有效性。生命体征并非特定于疼痛，应仅用作提示，以便使用经过验证的仪器对此疼痛进行进一步评估。

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