scholarly journals A comparison of pain registration by Visual Analog Scale and Numeric Rating Scale – a cross-sectional study of primary triage registration

2020 ◽  
Author(s):  
Jofrid Kollltveit ◽  
Malin Osaland ◽  
Marianne Reimers ◽  
Magnus Berle
Keyword(s):  
Emergency Department ◽  
Visual Analog Scale ◽  
Rating Scale ◽  
Emergency Admission ◽  
Numeric Rating Scale ◽  
University Hospital ◽  
Analog Scale ◽  
Cross Sectional ◽  
Significant Difference ◽  
Numeric Rating

BackgroundPain is a subjective sensation; self-reporting is important for quantifying pain intensity. There are several different validated tools for this, such as Visual Analog Scale and Numeric Rating Scale. In the clinic, these terms are often used as equivalent. The objective of this study was to examine correlation and agreement between the pain registration tools in triage in an emergency department.Materials and MethodsThe study was performed in the Department of Emergency Medicine at Haukeland University Hospital in the period June-August 2019. We registered the pain score with two tools in 200 unselected patients in emergency admission with pain. In addition, we registrered gender, age, triage and general department affiliation.ResultsWe found a strong correlation between the pain registration tools by Spearmans correlation test (rho=0,930, p<0,001). There were no significant difference between the pain registration tools within the subgroups. Bland-Altman analysis show agreement between the two pain registration tools.ConclusionsIn an Emergency Department triage is it acceptable to use Visual Analog Scale and Numeric Rating Scale as equivalent, as long as the correct terminology is used.

Efektifitas Spiritual Hipnoterapi terhadap Penurunan Nyeri Dismenore pada Mahasiswi Kebidanan

2020 ◽  
Vol 7 (2) ◽  
pp. 264-269
Author(s):  
Iva Gamar Dian Pratiwi ◽  
Laylatul Hasanah
Keyword(s):  
Visual Analog Scale ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Rank Test ◽  
Analog Scale ◽  
Cross Sectional ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test ◽  
Numeric Rating

Dismenore atau nyeri haid yaitu ketidaknyamanan yang sering dialami remaja khususnya perempuan. Dismenore pada remaja terjadi 60% - 90% dan mengganggu aktivitas sehari hari. (Lestari H. Metusala, J.&Suryanto, 2010). Dari hasil penelitian, di Indonesia angka kejadian dismenore sebesar 64,25%, diantaranya 54,89% dismenore primer, 9,36% dismenore sekunder (Ningsih 2011). Wanita membutuhkan obat untuk mengurangi rasa nyeri baik dengan farmakologi maupun non farmakologi. Pengobatan yang di butuhkan wanita yaitu pengobatan yang tidak bersifat invasive dan yang cocok dengan pasien nyeri yang memerlukan penanganan holistik untuk mengintervensi psikis serta mencegah terjadinya konsumsi obat-obatan analgetik yang tidak rasional, pengobatan tersebut yaitu hipnoterapi.( Lucas N.N&Sugianto,2017). Penelitian ini bertujuan untuk menganalisa efektifitas spiritual hipnoterapi terhadap penurunan disminore. Jenis Penelitian  ini adalah penelitian kuantitatif pra experimental dengan pendekatan cross sectional. Rancangan penelitian yang digunakan adalah one group pretest posttest, jumlah sampel 30 responden. Tekhnik sampling yang digunakan purposive sampling yang sesuai kriteria inklusi. Penelitian ini dilakukan bulan April sampai Oktober 2019. Intrumen yang digunakan adalah kuesioner penilaian nyeri Visual Analog Scale (VAS) dengan skala Numeric Rating Scale (NRS). Hasil analisa data dengan Wilcoxon signed rank test didapatkan hasil p = 0,000<0,005 maka dapat disimpulkan bahwa spiritual hipnoterapi efektif dalam menurunkan nyeri dismenore pada mahasiswi Kebidanan. Dysmenorrhea or menstrual pain is discomfort that is often experienced by adolescents, especially women. Dysmenorrhea in adolescents occurs 60% - 90% and interferes with daily activities. (Lestari H. Metusala, J. & Suryanto, 2010). From the results of the study, in Indonesia the incidence of dysmenorrhea was 64.25%, including 54.89% of primary dysmenorrhea and 9.36% of secondary dysmenorrhea (Ningsih 2011). Women need drugs to reduce the pain, both with pharmacology and non-pharmacology, one of which is hypnotherapy. This study aims to analyze the spiritual effectiveness of hypnotherapy against decreasing dysminorrhea. This type of research is a pre-quantitative quantitative research with cross sectional approach. The research design used was one group pretest posttest, with a sample of 30 respondents. The sampling technique used is purposive sampling that matches the inclusion criteria. This research was conducted from April to October 2019. The instrument used was the Visual Analog Scale (VAS) pain assessment questionnaire with the Numeric Rating Scale (NRS). The results of data analysis with the Wilcoxon signed rank test showed p = 0,000 <0.005, so it can be concluded that there is a meaningful effectiveness of spiritual hypnotherapy for the reduction of dysmenorrhea pain in Midwifery students.

Reliability of Visual Analog Scale and Numeric Rating Scale for the Assessment of Disease Activity in Systemic Lupus Erythematosus

2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Claudia Elera-Fitzcarrald ◽  
Karen Vega ◽  
Rocío V. Gamboa-Cárdenas ◽  
Katiuska Zúñiga ◽  
Francisco Zevallos ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Disease Activity ◽  
Visual Analog Scale ◽  
Lupus Erythematosus ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Systemic Lupus ◽  
Analog Scale ◽  
Numeric Rating ◽  
Assessment Of Disease Activity

scholarly journals Efektifitas Hypnotherapi Terhadap Penurunan Nyeri Dismenorea Pada Siswi SMA PGRI I Lubuklinggau

2018 ◽  
Vol 2 (1) ◽  
pp. 10 ◽  
Author(s):  
Nadi Aprilyadi ◽  
H. Jhon Feri ◽  
Indah Dewi Ridawati
Keyword(s):  
High School ◽  
Visual Analog Scale ◽  
Rating Scale ◽  
Univariate Analysis ◽  
Numeric Rating Scale ◽  
T Test ◽  
P Value ◽  
Analog Scale ◽  
Post Test ◽  
Numeric Rating

AbstrakDismenorea sering terjadi pada remaja. Di Indonesia prevalensi dismenore pada usia remaja sebesar 64,25% yang terdiri dari 54,89% dismenore primer dan 9,36% dismenore sekunder (Santoso, 2008). Secara farmakologi, penatalaksanaan adalah dengan pemberian obat-obat analgetik seperti golongan obat Nonsteroidal Antiinflammatory Drugs (NSAID) dapat meredakan nyeri. Salah satu pengobatan non farmakologi adalah dengan hipnoterapi yang merupakan aplikasi hipnosis dalam menyembuhkan masalah mental dan fisik (psikosomatis) seperti halnya nyeri, kecemasan, dll. Tujuan penelitian ini adalah untuk mengetahui pengaruh hipnoterapi terhadap nyeri dismenore pada siswi SMA PGRI I Lubuk Linggau. Penelitian ini merupakan penelitian pra eksperimen, dengan rancangan kuasi eksperimen one group pre and post test without control. Teknik sampel yang digunakan pada penelitian ini adalah Total Sampling sebanyak 17 responden. Instrumen yang digunakan dalam penelitian ini menggunakan quesioner penilaian nyeri Visual Analog Scale (VAS) dengan skala Numeric Rating Scale (NRS). Analisa univariat mayoritas siswi yang mengalami penurunan intensitas nyeri dismenore berusia 16- 17 tahun dan 100% responden mengalami penurunan intensitas nyeri dismenore setelah mendapatkan hipnoterapi, analisis bivariat dengan uji t-test didapatkan pengaruh yang signifikan Hipnoterapi terhadap penurunan intensitas nyeri dismenore (ƥ value 0,000). Hipnoterapi disarankan untuk digunakan dalam penerapan asuhan keperawatan nyeri khususnya guna mengurangi intensitas nyeri dismenore. Kata Kunci : Hipnoterapi, Dismenore Abstract The Effectiveness Of Hypnotherapy On Disease Of Diseases Of Dismenore In Female StudentSenior High School PGRI I Lubuklinggau.Dysmenorrhoea often occurs in adolescents. In Indonesia the prevalence of dysmenorrhea in adolescence is 64,25% consisting of 54,89% primary dysmenorrhea and 9,36% secondary dysmenorrhea (Santoso, 2008). Pharmacologically management is by administering analgesic drugs such as the Nonsteroidal Anti Inflammatory Drugs (NSAID) group to relieve pain. One of the non-pharmacological treatments is hypnotherapy which is the application of hypnosis in curing mental and physical problems (psychosomatic) as well as pain, anxiety, etc.The purpose of this study was to determine the effect of hypnotherapy on dysmenorrhea pain in high school students PGRI I LubukLinggau. This is a pre experimental study, with a quasi-experimental one group pre and post test without control design. The sample technique used in this study is Total Sampling of 17 respondents. The instrument used in this study used Visual Analog Scale (VAS) visual pain assessment quesioner with Numeric Rating Scale scale (NRS). Univariate analysis of the majority of students who experienced decreased intensity of dysmenorrhea pain aged 16-17 years and 100% of respondents experienced decreased intensity of dysmenorrhea pain after obtaining hypothotherapy, bivariate analysis with t-test test showed significant effect Hypnotherapy to decrease intensity of dysmenorrhea pain (ƥ value 0,000) .Hypnotherapy is recommended for use in the application of pain nursing care especially to reduce the intensity of dysmenorrhea pain. Keywords: Hypnotherapy, Dysmenorrhea

scholarly journals Combination of Acetaminophen/Codeine Analgesics Does Not Avoid Bleaching-Induced Tooth Sensitivity: A Randomized, Triple-Blind Two-Center Clinical Trial

2018 ◽  
Vol 43 (2) ◽  
pp. E53-E63 ◽  
Author(s):  
FM Coppla ◽  
M Rezende ◽  
E de Paula ◽  
PV Farago ◽  
AD Loguercio ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Visual Analog Scale ◽  
Repeated Measures ◽  
Rating Scale ◽  
Absolute Risk ◽  
Numeric Rating Scale ◽  
Fisher Exact Test ◽  
Analog Scale ◽  
Tooth Sensitivity ◽  
Numeric Rating

SUMMARY Bleaching-induced tooth sensitivity (TS) is highly prevalent. Objective: This study aimed to determine if the combination of opioids and nonopioids analgesics (Tylex) may provide a better analgesic effect. Method: A triple-blind, parallel, randomized two-center clinical trial was conducted with 105 healthy patients who received either a placebo or a combination of acetaminophen/codeine. The first dose of Tylex 30 mg (acetaminophen 500 mg/codeine 30 mg) or placebo was administered one hour before the in-office bleaching (35% hydrogen peroxide), and extra doses were administered every six hours for 48 hours. The TS was recorded using a visual analog scale of 0 to 10 and a numeric rating scale of 0 to 4 in different periods: during bleaching, one hour up to 24 hours, and 24 hours up to 48 hours postbleaching. The color was measured before and one month after dental bleaching with a visual shade guide (Vita Classical), Vita Bleachedguide 3D-MASTER, and the spectrophotometer Vita Easyshade. The absolute risk of TS was evaluated using the Fisher exact test. Data of TS intensity with numeric rating scale of the two groups were compared with the Mann-Whitney U-test and the Friedman test, while data from the visual analog scale were evaluated by two-way repeated measures analysis of variance and the Tukey test for pairwise comparison. The color changes between groups were compared using the Student t-test (α=0.05). Results: No significant differences between the groups were observed in the risk and intensity of TS. The overall absolute risk of TS was approximately 96%. No significant differences between groups were observed in terms of color change (p&gt;0.05) for any scale. Conclusion: The use of an acetaminophen/codeine combination prior to in-office bleaching does not reduce the risk and intensity of bleaching-induced TS.

Frequency, severity, and impact on daily life of delayed and intercycle chemotherapy-induced nausea, vomiting, and retching

2021 ◽  
pp. 030089162199043
Author(s):  
Silvia Gonella ◽  
Dino S. Di Massimo ◽  
Marinella Mistrangelo ◽  
Gianmauro Numico ◽  
Paola Berchialla ◽  
...  
Keyword(s):  
Rating Scale ◽  
Daily Life ◽  
Numeric Rating Scale ◽  
Cross Sectional Study ◽  
Common Side Effect ◽  
Cross Sectional ◽  
Chemotherapy Administration ◽  
Effect Of Treatment ◽  
Numeric Rating ◽  
Observation Period

Introduction: Chemotherapy-induced nausea, vomiting, and retching (CINVR) remains a common side effect of treatment. Most previous studies have focused on vomiting control; nausea and retching have been less explored. This study aimed at describing the incidence, severity, and impact on daily life (IDL) of CINVR in the acute (0–24 hours), delayed (>24–120 hours), and overall (0–120 hours) postchemotherapy periods and beyond 120 hours (until next chemotherapy administration); and the pharmacologic and nonpharmacologic strategies adopted by patients to relieve symptoms. Methods: This was a single-center, cross-sectional study of 60 patients undergoing chemotherapy. Participants reported the frequency, severity, and IDL of CINVR from the day of chemotherapy administration up to 120 hours thereafter and nausea and vomiting that occurred beyond 120 hours, as well as pharmacologic and nonpharmacologic remedies used. Results: Forty-seven (78.3%, 95% confidence interval [CI] 66.4–86.9), 37 (61.7%, 95% CI 49.0–72.9), and 35 (58.3%, 95% CI 45.7–69.9) patients reported no nausea (Numeric Rating Scale ⩽1), vomiting, or retching in the acute, delayed, and overall periods, respectively. Nausea was more frequent, more severe, and had a greater IDL than did vomiting and retching across the overall observation period; beyond 120 hours, 11 (18.3%, 95% CI 10.6–29.9) patients reported nausea and none reported vomiting, with a median IDL of 1/10 (interquartile range: 0.75–5.00; 95% CI 0–7.6). Metoclopramide (n = 57 administrations), dexamethasone (n = 28), eating small servings of food (n = 13), and aloe (n = 11) were the most commonly used rescue therapies. Conclusions: Future studies should set hard outcomes, such as the absence of any symptoms, as a primary end point, and these should be assessed across and beyond the 120-hour period.

Oral paracetamol versus zolmitriptan to treat acute migraine attack in the emergency department

2021 ◽  
Keyword(s):  
Emergency Department ◽  
Rating Scale ◽  
Rescue Therapy ◽  
Tertiary Care ◽  
Numeric Rating Scale ◽  
Controlled Study ◽  
Care Hospital ◽  
Acute Migraine ◽  
Pain Scores ◽  
Significant Difference

Background: Treatment provided in an emergency department is aimed at alleviating pain immediately with minimized adverse effects as well as warding off further migraine attacks. The primary aim of this article is to compare the effectiveness of oral paracetamol versus zolmitriptan in treating acute migraine attacks. Methods: This prospective, randomized, and controlled study was carried out at a tertiary care hospital visited by 95,000 patients annually. The study recruited 200 participants who were randomized into two groups. One group received 1000 mg paracetamol while the other group received 2.5 mg zolmitriptan orally. Baseline pain scores were recorded using the Visual Analogue Scale (VAS) and Numeric Rating Scale (NRS) at 15, 30 and at 60 min following administration of the study drugs. Patients requiring further treatment were provided fentanyl at a dosage of 1 µg/kg as a rescue therapy. Results: A significant decrease was evident in VAS and NRS scores following the administration of the study drugs in both groups (P < 0.001). The change in VAS pain scores after 15, 30 and 60 min was calculated as 17.0 ± 13.9, 41.2 ± 16.3 and 61.2 ± 17.5 mm, respectively, in the paracetamol group and 14.2 ± 11.7, 39.2 ± 17.9 and 59.2± 19.3 mm, respectively, in the zolmitriptan group, which did not indicate significant differences (P = 0.103, P = 0.425, P = 0.483, respectively). Likewise, NRS pain scores showed a downward trend in line with VAS pain scores and did not yield a significant difference (P = 0.422). No significant difference concerning rescue therapy was noted between the two groups (P = 0.596). Conclusion: Oral paracetamol and zolmitriptan prove to be similarly effective and have low incidence of acute side effects in treating acute migraine cases without aura.

scholarly journals Hubungan Kejadian Dismenore dengan Asupan Fe (zat Besi) pada Remaja Putri

2019 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Nur Masruroh ◽  
Nur Aini Fitri
Keyword(s):  
Random Sampling ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
P Value ◽  
Stratified Random Sampling ◽  
Cross Sectional ◽  
Food Frequency ◽  
Numeric Rating

Dismenore merupakan nyeri selama menstruasi yang disebabkan oleh adanya kejang pada otot rahim. Terdapat beberapa faktor yang mempengaruhi terjadinya dismenore, diantaranya yaitu asupan nutrisi yang terdiri dari Fe (zat Besi). Tujuan penelitian ini adalah untuk mengetahui hubungan kejadian dismenorea dengan asupan Fe (zat Besi) pada remaja putri .  Jenis penelitian ini adalah analitik observasional dengan rancangan cross sectional. Jumlah sampel sebanyak 112 yang diambil menggunakan teknik propostionate stratified random sampling. Data kejadian dismenore diperoleh dari kuesioner numeric rating scale dan data asupan zat gizi diperoleh dari form semi quantitative food frequency questionaire. Hasil penelitian menunjukkan bahwa sebagian remaja putri memiliki asupan Fe (zat Besi) kurang (50%). Sedangkan kejadian dismenorea yang dialami hampir setengahnya termasuk dalam kategori nyeri ringan (45,5%). Hasil analisis menggunakan uji rank sprearman menunjukkan bahwa ada hubungan kejadian dismenorea dengan asupan Fe (zat Besi) dengan nilai p-value = 0,014. Berdasarkan hasil penelitian tersebut dapat disimpulkan bahwa semakin tinggi asupan Fe (zat Besi), maka semakin rendah kejadian dismenorea yang dirasakan. Diharapkan remaja putri dapat mencegah dan mengurangi nyeri dengan mengkonsumsi makanan sumber Fe (zat Besi).

scholarly journals Hubungan intensitas pemakaian gawai dengan neck pain pada usia 15-20 tahun

2019 ◽  
Vol 2 (2) ◽  
pp. 71-76
Author(s):  
Yuni Tri Yustianti ◽  
Pusparini Pusparini
Keyword(s):  
Neck Pain ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Chi Square ◽  
Cross Sectional ◽  
Numeric Rating

LATAR BELAKANG Dekade terakhir menunjukkan neck pain pada remaja semakin meningkat, bersamaan dengan meningkatnya penggunaan gawai (gadget). Seiring perkembangan zaman, gawai menjadi kebutuhan dan gaya hidup masyarakat luas. Pelajar menjadi pasar terbesar dalam penggunaan gawai sehubungan dengan kebutuhan belajar yang memerlukan akses Internet. Salah satu faktor penyebab neck pain pada pengguna gawai adalah intensitas penggunaan gawai yang mempengaruhi lamanya posisi fleksi pada otot leher. Tujuan penelitian ini adalah untuk mengetahui hubungan intensitas pemakaian gawai dengan neck pain pada usia 15-20 tahun. METODE Penelitian ini merupakan studi observasional dengan desain cross sectional yang mengikutsertakan 164 pelajar SMAN 28 Jakarta dan Fakultas Hukum Universitas Trisakti. Data dikumpulkan dengan cara pengisian kuesioner yang meliputi usia, jenis kelamin, intensitas pemakaian gawai dan keluhan neck pain. Penilaian neck pain menggunakan NRS (Numeric Rating Scale). Analisis data dilakukan dengan uji Chi-square dengan tingkat kemaknaan p<0.05. HASIL Subjek perempuan berjumlah 121 orang (73.8%). Paparan gawai dengan intensitas >56 jam/minggu dijumpai pada 109 subjek (66.5%). Keluhan neck pain dijumpai pada 138 subjek (84.1%). Uji Chi-square menunjukkan terdapat hubungan yang bermakna antara intensitas penggunaan gawai dengan neck pain pada usia 15-20 tahun dengan nilai p=0.004. KESIMPULAN Terdapat hubungan yang bermakna antara intensitas penggunaan gawai dengan neck pain pada usia 15-20 tahun.    

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