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The Swedish version of the PACU-Behavioural Pain Rating Scale: a reliable method of assessing postoperative pain?

Persson, K and Östman, Margareta LU (2004) In Scandinavian Journal of Caring Sciences 18(3). p.304-309
Abstract
One of the obstacles to effective pain management in the Post-Anaesthesia Care Unit (PACU) is the lack of systematic and comprehensive methods for assessing and treating postoperative pain. Nurses' intuitive knowledge of pain were verbalized and divided into four categories of pain behaviours in the PACU-Behavioural Pain Rating Scale. The aim of the present study was to test the reliability of the Swedish version by performing test-retest and interrater reliability in clinical conditions. Materials for this study were gathered through patient observations. The results showed poor agreement in the item restless, fair agreements in both items tense muscles and frowning and grimacing, while patients' sounds showed moderate agreement.... (More)
One of the obstacles to effective pain management in the Post-Anaesthesia Care Unit (PACU) is the lack of systematic and comprehensive methods for assessing and treating postoperative pain. Nurses' intuitive knowledge of pain were verbalized and divided into four categories of pain behaviours in the PACU-Behavioural Pain Rating Scale. The aim of the present study was to test the reliability of the Swedish version by performing test-retest and interrater reliability in clinical conditions. Materials for this study were gathered through patient observations. The results showed poor agreement in the item restless, fair agreements in both items tense muscles and frowning and grimacing, while patients' sounds showed moderate agreement. Interrater reliability showed moderate agreement in the item restless, very good agreement in tense muscles and patient sounds, and good agreement in frowning and grimacing. A refined classification of the separate categories and a careful review of the category of behaviours is suggested. A more detailed manual for the categories needs to be developed to establish more acceptable reliability. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
postoperative, reliability of results, nursing, adult, pain management
in
Scandinavian Journal of Caring Sciences
volume
18
issue
3
pages
304 - 309
publisher
Wiley-Blackwell
external identifiers
  • wos:000224296200010
  • pmid:15355525
  • scopus:16544384854
ISSN
1471-6712
DOI
10.1111/j.1471-6712.2004.00286.x
language
English
LU publication?
yes
id
cb5badc0-85ac-469b-ac4b-606a4377313e (old id 898116)
date added to LUP
2008-01-18 11:04:38
date last changed
2017-01-01 06:37:14
@article{cb5badc0-85ac-469b-ac4b-606a4377313e,
  abstract     = {One of the obstacles to effective pain management in the Post-Anaesthesia Care Unit (PACU) is the lack of systematic and comprehensive methods for assessing and treating postoperative pain. Nurses' intuitive knowledge of pain were verbalized and divided into four categories of pain behaviours in the PACU-Behavioural Pain Rating Scale. The aim of the present study was to test the reliability of the Swedish version by performing test-retest and interrater reliability in clinical conditions. Materials for this study were gathered through patient observations. The results showed poor agreement in the item restless, fair agreements in both items tense muscles and frowning and grimacing, while patients' sounds showed moderate agreement. Interrater reliability showed moderate agreement in the item restless, very good agreement in tense muscles and patient sounds, and good agreement in frowning and grimacing. A refined classification of the separate categories and a careful review of the category of behaviours is suggested. A more detailed manual for the categories needs to be developed to establish more acceptable reliability.},
  author       = {Persson, K and Östman, Margareta},
  issn         = {1471-6712},
  keyword      = {postoperative,reliability of results,nursing,adult,pain management},
  language     = {eng},
  number       = {3},
  pages        = {304--309},
  publisher    = {Wiley-Blackwell},
  series       = {Scandinavian Journal of Caring Sciences},
  title        = {The Swedish version of the PACU-Behavioural Pain Rating Scale: a reliable method of assessing postoperative pain?},
  url          = {http://dx.doi.org/10.1111/j.1471-6712.2004.00286.x},
  volume       = {18},
  year         = {2004},
}