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Titre du document / Document title

Development of a pictorial scale of pain intensity for patients with communication impairments : initial validation in a general population

Auteur(s) / Author(s)

JACKSON Diana (1) ; HORN Sandra (2) ; KERSTEN Paula (2) ; TURNER-STOKES Lynne (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) King's College, London School of Medicine, ROYAUME-UNI
(2) University of Southampton, ROYAUME-UNI

Résumé / Abstract

This study evaluated a new six-point ordinal scale for measuring pain intensity. Seventy-two participants aged between 23 and 87 years rated the intensity of 'present pain' as well as remembered episodes of 'severe' and 'mild' pain on the scale of pain intensity (SPIN), a 10 cm visual analogue scale (VAS) and a O-10 numeric scale, in random order. Retesting followed an intervening assessment. Participants' comments on the scales were analysed thematically. Spearman's correlation between scales all exceeded 0.78 (p<0.001). Test-retest of the SPIN gave percentage agreements (weighted kappa) of present pain 69% (0.83), severe pain 94% (0.94) and mild pain 83% (0.85). Most participants preferred using an ordinal scale to the continuous VAS. Some found numbers easier to use whereas others found the SPIN more helpful. We conclude that the SPIN provides a valid measure of pain intensity in patients fully able to communicate their views and experiences. Investigation in patients with cognitive or communication impairments is now required.

Revue / Journal Title

Clinical medicine    ISSN  1470-2118 

Source / Source

2006, vol. 6, no6, pp. 580-585 [6 page(s) (article)] (27 ref.)

Langue / Language

Anglais

Editeur / Publisher

Royal College of Physicians, London, ROYAUME-UNI  (2001) (Revue)

Mots-clés anglais / English Keywords

Vascular disease

;

Nervous system diseases

;

Central nervous system disease

;

Cerebral disorder

;

Cerebrovascular disease

;

Cardiovascular disease

;

Medicine

;

Test validation

;

Communication

;

Patient

;

Human

;

Intensity

;

Pain

;

Evaluation scale

;

Stroke

;

Mots-clés français / French Keywords

Vaisseau sanguin pathologie

;

Système nerveux pathologie

;

Système nerveux central pathologie

;

Encéphale pathologie

;

Cérébrovasculaire pathologie

;

Appareil circulatoire pathologie

;

Médecine

;

Validation test

;

Communication

;

Malade

;

Homme

;

Intensité

;

Douleur

;

Echelle d'évaluation

;

Accident cérébrovasculaire

;

Mots-clés espagnols / Spanish Keywords

Vaso sanguíneo patología

;

Sistema nervioso patología

;

Sistema nervosio central patología

;

Encéfalo patología

;

Vaso sanguíneo encéfalo patología

;

Aparato circulatorio patología

;

Medicina

;

Validación prueba

;

Comunicación

;

Enfermo

;

Hombre

;

Intensidad

;

Dolor

;

Escala evaluación

;

Accidente cerebrovascular

;

Mots-clés d'auteur / Author Keywords

communication deficits

;

measurement

;

pain intensity

;

stroke

;

Localisation / Location

INIST-CNRS, Cote INIST : 13339, 35400015963128.0090

Nº notice refdoc (ud4) : 18416527



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