Evaluation of the Revised Faces Pain Scale, Verbal Descriptor Scale, Numeric Rating Scale, and Iowa Pain Thermometer in Older Minority Adults

2006 ◽  
Vol 7 (3) ◽  
pp. 117-125 ◽  
Author(s):  
Laurie Jowers Ware ◽  
Cynthia D. Epps ◽  
Keela Herr ◽  
Abbot Packard
2021 ◽  
pp. rapm-2020-102238
Author(s):  
Jonathan M Hagedorn ◽  
Timothy R Deer ◽  
Nicholas C Canzanello ◽  
Stephen M Covington ◽  
Darrell R Schroeder ◽  
...  

IntroductionSpinal cord stimulation is frequently used for the treatment of intractable chronic pain conditions. Trialing of the spinal cord stimulator device is recommended to assess the patient’s response to neurostimulation before permanent implantation. The trial response is often assessed by Numeric Rating Scale changes and patient-reported percentage pain improvement. Using number rating scale changes between prespinal and postspinal cord stimulation trial, a calculated percentage pain improvement can be obtained. The aim of this study was to assess the difference between calculated and patient-reported percentage improvement in pain scale during spinal cord stimulation trials.MethodsThis study was a retrospective single center review of all spinal cord stimulation trials from January 1 2017 to July 1 2019. A total of 174 patients were included. The paired t-test was used to compare numeric pain scores obtained prestimulation versus poststimulation. The mean difference between methods (patient-reported minus calculated) was compared with zero using the 1-sample t-test. Lin’s concordance correlation coefficient was computed with a 95% CI, calculated using Fisher z-transformation; and a bootstrapping approach was used to compare the concordance correlation coefficient between groups. In all cases, two-tailed tests were used with p<0.05 considered statistically significant.ResultsBased on prestimulation and poststimulation numeric rating scale scores, the mean±SD calculated percentage improvement in pain scale was 54±28. The mean±SD patient-reported percentage improvement in pain scale was 59±25. The overall 95% limits of agreement for the two methods are −30% to +41%. The overall concordance correlation coefficient was 0.76 (95% CI 0.69 to 0.81).ConclusionAlthough the two methods are highly correlated, there is substantial lack of agreement between patient-reported and calculated percentage improvement in pain scale, suggesting that these measures should not be used interchangeably for spinal cord stimulator trial outcome assessment. This emphasizes the need for improved metrics to better measure patient response to neuromodulation therapies. Additionally, patient-reported percentage improvement in pain was found to be higher than calculated percentage improvement in pain, potentially highlighting the multidimensional experience of pain and the unpredictability of solely using Numeric Rating Scale scores to assess patient outcomes.


2019 ◽  
Vol 2 (1) ◽  
pp. 1-14
Author(s):  
Astrid Astrid ◽  
Memed Sena Setiawan

Apendicitis adalah peradangan dari apendiks vermiformis yang menyebabkan usus berhenti mengeluarkan sisa makanan yang tidak diserap oleh tubuh sehingga dilakukan Apendictomy dimana terjadi nyeri akut pada level severe. Tujuan penelitian ini untuk mengetahui pengaruh teknik relaksasi Guided Imagery Music terhadap intensitas nyeri post operasi apendicitis di ruang rawat inap bedah RSPAD Gatot Soebroto Ditkesad Jakarta. Desain penelitian menggunakan purposive sampling dengan rancangan random assignment pre test-post test with control group. Jumlah sampel adalah 36 orang (18 orang kelompok kontrol dan 18 orang kelompok intervensi). Nyeri diukur dengan menggunakan Numeric Rating Scale (NRS) dan Faces Pain Scale Resived (FPSR). Uji statistik menggunakan uji T test independen. Hasil uji menunjukkan ada pengaruh teknik relaksasi Guided Imagery Music terhadap intensitas nyeri pada klien post operasi Apendicitis. Perbedaan rata-rata intensitas nyeri pada kelompok kontrol sebesar 1,55 dan pada kelompok intervensi sebesar 3,17. Variabel confounding telah dilakukan uji normalitas didapatkan hasil tidak ada hubungan usia, jenis kelamin, koping, individu pendukung, lingkungan, pengalaman nyeri sebelumnya terhadap intensitas nyeri, ini dikarenakan klien tidak mampu mengalihkan perhatian dari rasa nyeri yang hebat post operasi apendicitis, sehingga hasil statistik nya tidak perlu dilakukan transformasi. Teknik relaksasi Guided Imagery Music dapat digunakan sebagai intervensi mandiri keperawatan untuk mengurangi intensitas nyeri klien post operasi apendicitis. Kata Kunci: Guided Imagery Music, Klien Post Operasi Apendicitis, Intensitas Nyeri


2019 ◽  
Vol 7 (1) ◽  
pp. 52
Author(s):  
Natya Ayu Paluwih ◽  
Riama Marlyn Sihombing ◽  
Kinanthi Lebdawicaksaputri

Post-operative pain is acute and subjective therefore the perceived pain intensity will be different. In one of the western Indonesia Hospitals in measuring the pain threshold using 2 tools namely Numeric Rating Scale and Wong Baker Face. Measurement of the pain intensity can be done with NRS and VAS scale. The objective of this research was to identify the difference of pain scale using the NRS and VAS scale in post-operative patients. The research method was descriptive quantitative using comparative approach. The study was conducted on 1 November 2017 – 12 December 2017.The population of the study are the post-operative patients at the In-Patient wards in a private hospital in Western Part of Indonesia. The samples were obtained using purposive sampling with n = 41. Research instrument consists of observation sheet using NRS and VAS scale. The results showed most respondents during the first eight hours using NRS scale had mild pain (80.5%); first 16 hours had light pain (63.4%); and had mild pain in the first 24 hours (85.4%). Using VAS scale, most of the respondents on the first eight hours has mild pain (87.8%); first 16 hours has mild pain (68.3%); and has mild pain in the first 24 hours (87.8%). The conclusion of this study is there is no difference in pain scale of post-operative patients using VAS scale and NRS scale. So, hospitals can also use the VAS scale to assess pain scale in post-operative patients.


2019 ◽  
Vol 7 (2) ◽  
pp. 92-99
Author(s):  
Yudhanarko Yudhanarko ◽  
Suwarman Suwarman ◽  
Ricky Aditya

Nyeri didefinisikan sebagai pengalaman sensorik dan emosional yang tidak menyenangkan terkait dengan kerusakan jaringan aktual atau potensial. Manajemen nyeri pada luka bakar merupakan bagian yang tidak terpisahkan dari terapi luka bakar. Nyeri pada luka bakar merupakan nyeri akut, penanganan yang tidak baik akan menyebabkan komplikasi, salah satunya nyeri kronik. Rumah Sakit Umum Pusat (RSUP) Dr. Hasan Sadikin Bandung telah membuat Standar Prosedur Operasional (SPO) manajemen nyeri yang berguna untuk meningkatkan kepatuhan dalam pelaksanaan manajemen nyeri. Penelitian ini bertujuan mengevaluasi kesesuaian teknik pengkajian, tindak lanjut dan evaluasi ulang nyeri pada pasien luka bakar dengan SPO manajemen nyeri. Penelitian menggunakan metode deskriptif observasional retrospektif terhadap 99 rekam medis pasien luka bakar yang memenuhi kriteria inklusi di RSUP Dr. Hasan Sadikin Bandung pada tahun 2018. Hasil penelitian didapatkankan bahwa pengkajian nyeri yang dilakukan sesuai dengan SPO menggunakan numeric rating scale atau Wong Baker faces pain scale ditemukan pada 99 pasien (100%). Tindak lanjut hasil pengkajian nyeri luka bakar yang dilakukan sesuai dengan SPO sebanyak 71 pasien (72%). Evaluasi ulang setelah tindak lanjut pengkajian nyeri yang sesuai SPO pada 93 pasien (94%). Simpulan, pengkajian nyeri di RSUP Dr. Hasan Sadikin Bandung sudah sesuai dengan SPO manajemen nyeri, namun tindak lanjut dan evaluasi ulang pada nyeri luka bakar belum sesuai dengan SPO manajemen nyeri.Evaluation of Compliance to Standard Operating Procedures for Pain Management in Patients with Burns in Dr. Hasan Sadikin General Hospital BandungPain is defined as an unpleasant sensory and emotional experience related to actual or potential tissue damage. Pain management for burns is an integral part of burn therapy. Pain in burns is an acute pain and poor management will lead to health complications including chronic pain. Dr. Hasan Sadikin General Hospital Bandung has made a standard operating procedure (SOP) for pain management to improve compliance to pain management standard. This study aimed to evaluate the compliance to the standards in assessment techniques, follow-up, and re-evaluation of pain in patients with burn according to the applicable pain management SOP. This was a retrospective descriptive observational study on 99 medical records of burn patients who met the inclusion criteria in Dr. Hasan Sadikin General Hospital Bandung in 2018. The results of the study revealed that the pain assessment for these patient was carried out according to the SOP which refers to the use of a numeric rating scale or Wong Baker face pain scale in 99 patients (100%). In the follow-up, 71 were performed according to the SOP (72%) while the re-evaluation was performed in compliance with the SOP in 93 patients (94%). In conclusion, pain assessment in Dr. Hasan Sadikin General Hospital Bandung is performed in accordance with SOP on pain management but not all patients receive follow-up and re-evaluation of burn pain in accordance with the SOP on pain management. 


2015 ◽  
Vol 85 (6) ◽  
pp. 1015-1020 ◽  
Author(s):  
Alberto Baldini ◽  
Alessandro Nota ◽  
Claudia Santariello ◽  
Valentina Assi ◽  
Fabiana Ballanti ◽  
...  

ABSTRACT Objective:  To investigate the influence of two different activation protocols on the timing and intensity of pain during rapid maxillary expansion (RME). Materials and Methods:  A total of 112 prepubertal patients (54 males and 58 females, mean age 11.00 ± 1.80 years) with constricted maxillary arches underwent RME with two different activation protocols (group 1: one activation/day; group 2: two activations/day). Patients were provided with a numeric rating scale (NRS) and the Faces Pain Scale (FPS) to correctly assess their daily pain. Results:  Subjects treated with RME at two activations/day reported statistically significantly greater amounts of pain than subjects treated with RME at one activation/day. Differences related to gender and skeletal maturity were found. Conclusion:  The choice of activation protocol influences the perceived pain during RME, and less daily expansion is correlated to less pain. Pain reported during RME could be influenced by skeletal maturity and gender of the subjects under treatment.


2021 ◽  
Vol 1 ◽  
pp. 791-798
Author(s):  
Much Ilham Bintara Indah ◽  
Windha Widyastuti

AbstractBack pain is a problem commonly experienced by pregnant women in the third trimester. One of the effective ways to reduce that pain is pregnancy exercise. This scientific writing aims to describe the implementation of pregnancy exercise to pregnant women who experience back pain based on a literature review. The review was done to three articles from similar journal, which were published during 2018 – 2020. The Numeric Rating Scale (NRS) was used as the instrument. From 39 pregnant women who participated, 97.4% of them were 20-35 years old and 69.2% were fulltime housewives. The result showed that average value of the pain scale before the intervention was 5.42, and after the intervention was 2.70. The conclution of this literature review was that the implementation of pregnancy exercise was effective in reducing the intensity of back pain in pregnancy. Hence, health workers are supposed to encourage pregnant women to do pregnancy exercise, especially in the third trimester.Keywords: Keywords: Pregnancy; Back Pain, Pregnancy Exercise AbstrakKetidaknyamanan nyeri punggung umum dialami oleh ibu hamil Trimester III. Salah satu tindakan untuk menurunkan nyeri punggung yang efektif adalah senam hamil. Karya Tulis Ilmiah ini bertujuan untuk menggambarkan penerapan senam hamil pada ibu hamil yang mengalami nyeri punggung berdasarkan literature review. Subyek literature review yang digunakan yaitu 3 jurnal dengan laman jurnal yang yang sama, terbit tahun (2018-2020). Instrumen pada ketiga artikel ini menggunakan NRS (Numeric Rating Scale). Hasil analisa karakteristik responden dari 3 jurnal menunjukkan dari jumlah responden 39 ibu hamil. Sebagian umur responden adalah 20-35 tahun (97,4%), mayoritas status pekerjaan adalah IRT (69,2%). Nilai rata-rata skala nyeri sebelum intervensi 5,42, setelah intervensi 2,70. Kesimpulkan dari literature review adalah senam hamil efektif dalam menurunkan intensitas nyeri punggung pada kehamilan. Saran bagi pelayan kesehatan hendaknya menigkatkan penerapan senam hamil kepada seluruh ibu hamil terutama trimester III.Kata kunci: Kehamilan, Nyeri Punggung, Senam Hamil


2020 ◽  
Vol 13 (2) ◽  
pp. 104
Author(s):  
Andi Adriana Amal ◽  
Hasnah Hasnah ◽  
Nur Rezki Hadiyanti Z

Dysmenorrhoea is experienced by most girls which causes them to be absent from school repeatedly so that proper management of dysmenorrhea is needed. This study aims to determine the effectiveness of murottal therapy and finger handheld relaxation in adolescents with dysmenorrhea. This research method is a quantitative research with a quasi experiment with control group, the study population is young women with dysmenorrhea and the sample consists of 36 girls with dysmenorrhea divided into 18 respondents in the murottal therapy group and 18 respondents in the finger handheld relaxation group. The dysmenorrhea pain scale was measured by the Numeric Rating Scale (NRS). The results showed that there were significant differences before and after the intervention, both murottal therapy and finger handheld relaxation with p value <0.0001. There was no significant difference in the murottal therapy and finger handheld relaxation groups with p value = 0.486. From the results of the study, it was concluded that murottal therapy and finger handheld relaxation were effective against dysmenorrhea in adolescents so that these two interventions could be used to treat dysmenorrhea in young womenABSTRAKDismenorea dialami sebagian besar remaja perempuan yang menyebabkan ketidakhadiran mereka di sekolah secara berulang sehingga dibutuhkan manajemen dismenore yang tepat. Penelitian ini bertujuan untuk mengetahui bagaimana efektivitas murottal theraphy dan fing er handheld relaxation pada remaja dengan dismenore. Metode penelitian ini adalah penelitian kuantitatif dengan quasi eksperiment with control group, populasi penelitian adalah remaja putri dengan dismenore dan sampel terdiri dari 36 remaja putri dengan dismenore yang dibagi menjadi 18 responden pada kelompok murottal theraphy dan 18 responden pada kelompok finger handheld relaxation. Skala nyeri dismenore diukur dengan Numeric Rating Scale (NRS). Hasil penelitian menunjukkan terdapat perbedaan yang bermakna sebelum dan setelah diberikan intervensi baik murottal therapy maupun finger handheld relaxation dengan nilai p <0.0001. Tidak ada perbedaan signifikan pada kelompok murottal therapy dan finger handheld relaxation dengan nilai p=0,486. Dari hasil penelitian disimpulkan bahwa murottal therapy maupun finger handheld relaxation efektif terhadap dismenore pada remaja sehingga kedua intervensi ini dapat digunakan dalam mengatasi dismenore pada remaja putri 


2020 ◽  
Vol 14 (1) ◽  
pp. 53
Author(s):  
Julaecha Julaecha ◽  
Safitri Safitri ◽  
Ajeng Galuh Wuryandari

Dysmenorrhea is a menstrual disorder caused by an imbalance of the hormone progesterone in the blood. The incidence of dysmenorrhea 45-95% among women of childbearing age, occurs in adolescents who lack sports. The impact of dysmenorrhea is the percentage of attendance at college and not participating in learning. One way to deal with pain is yoga. This study aims to analyze the effect of yoga on dysmenorrhea. The study design was a quasi-experimental one-group pre-post test design. The sample in this study was 33 female students. The sampling technique was purposive sampling. The instrument used to measure the scale of pain during menstruation uses the Numeric Rating Scale (NRS). The collected data tested for normality data, and the data is normal, then the statistical test is done using repeated Anova test. The analysis showed that there were differences in pain scale before and after months 1 and 2 interventions with mean (sb) pain scale (5.8 (1.6) vs. 4.0 (1.7) vs. 2.7 (1.3) and P <0.05). The study concludes that yoga affects the decrease in pain scale during dysmenorrhea.


2020 ◽  
Vol 6 (2) ◽  
pp. 164-170
Author(s):  
Dewi Nurlaela Sari ◽  
Aay Rumhaeni

ABSTRAK Sectio caesarea merupakan tindakan alternatif dalam proses persalinan untuk menyelamatkan ibu dan janin. Ibu Bersalin dengan operasi sectio caesarea dilakukan pembedahan pada dinding abdomen dan dinding rahim. Dampak yang paling sering muncul dirasakan oleh postpartum dengan post operasi sectio caesarea adalah  nyeri. Nyeri akan berdampak pada bounding attachment terganggu, mobilisasi terbatas, Activity Daily Living (ADL) terganggu serta berpengaruh  terhadap Inisiasi Menyusui Dini (IMD). Asuhan yang diberikan terbatas pada terapi farmakologi dibandingkan  non farmakologi. Foot massage adalah salah satu terapi non farmakologi yang dapat membantu menutup gerbang di posterior horns dari sumsum tulang belakang dan memblokir bagian dari nyeri ke sistem saraf pusat. Tujuan penelitian ini untuk mengetahui pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea di RS AMC. Penelitian ini merupakan penelitian pre eksperimen dengan pendekatan one group pre test post test design. Jumlah sampel yang digunakan berjumlah 27 orang dengan menggunakan teknik purposive sampling. Instrumen yang digunakan adalah Numeric Rating Scale (NRS) dan prosedur kerja foot massage. Responden dilakukan foot massage selama 20 menit selama 2 hari. Data di analisis dengan menggunakan uji wilcoxon. Hasil penelitian menunjukkan lebih dari setengah klien post operasi sectio caesarea berada di skala nyeri 6 sebelum dilakukan foot massage dan hampir setengah memiliki skala nyeri 3 sesudah dilakukan foot massage dan didapatkan nilai p value = 0.000, sehingga disimpulkan ada pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea. Diharapkan rumah sakit dapat menjadikan foot massage sebagai salah satu alternatif manajemen non farmakologi dalam penanganan nyeri.   Kata kunci: Foot Massage; Post Partum; Nyeri; Sectio Caesarea      


Sign in / Sign up

Export Citation Format

Share Document