Yıl: 2018 Cilt: 55 Sayı: 3 Sayfa Aralığı: 271 - 275 Metin Dili: İngilizce DOI: 10.29399/npa.22997 İndeks Tarihi: 27-09-2019

The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale

Öz:
Introduction: This study was conducted to test the reliability and validityof the Turkish version of the “Pain Assessment In Advanced Dementia(PAINAD) Scale”.Methods: One hundred and six older adults with advanced dementia(AD) were recruited in the study. Detailed medical history anddemographic data of the participants were recorded. Initially, the Turkishversion of PAINAD (PAINAD-TR), which was prepared by means of“back-translation”, was applied. Along with this scale, Mini Mental StateExamination, Clinical Dementia Rating scale, and Visual Analog Scalewere also used.Results: The Cronbach’s α coefficient was 0.82 and 0.85 for the test andre-test, respectively. For the test-retest reliability of the PAINAD-TR scale,values of the intraclass correlation coefficient (ICC) and 95% confidenceinterval (CI) were 0.812 and 0.763-0.850 respectively. According to theresults of a factor analysis carried out on the scale, a 2-domain structurewas proved.Conclusion: The PAINAD-TR scale can be used for the assessment andmanagement of pain in non-communicative older adults with AD.
Anahtar Kelime:

Konular: Nörolojik Bilimler Psikiyatri

İleri Demansta Ağrı Ölçeğinin (PAINAD) Türkçe Versiyonu

Öz:
Amaç: Bu çalışma “İleri Demansta Ağrı Değerlendirme Ölçeği [Pain Assessment In Advanced Dementia (PAINAD) Scale]’nin türkçe geçerlilik ve güvenirliliğini test etmek amacıyla yapılmıştır. Yöntem: Yüz altı ileri demans (İD)’lı yaşlı birey çalışmaya dahil edildi. Olguların detaylı tıbbı hikayeleri ve demografik bilgileri kaydedildi. İlk olarak, “back-translation” sonucu elde edilen PAINAD’ın türkçe versiyonu (PAINAD-TR) kullanıldı. Bu skala ile birlikte, Mini mental durum testi, klinik demans derecelendirme ölçeği ve visual analog skalası kullanıldı. Ölçümler birbirinden bağımsız iki farklı kişi tarafından 2 haftalık aralarla tekrarlandı. Bulgular: Cronbach’s α katsayısı sırasıyla, test için 0,82 tekrar-test için 0,85 olarak bulunmuştur. PAINAD-TR skalasının test-tekrar test güvenilirliği için sınıf içi korelasyon katsayısı değeri 0.812, %95 güven aralığı değeri ise 0.763-0.850 idi. Ölçek üzerinde yapılan bi faktör analizinin sonuçlarına göre, 2 alanlı bir yapı kanıtlandı. Sonuç: PAINAD-TR ölçeği iletişimi olmayan İD’li yaşlı erişkinlerde ağrı değerlendirmesi ve yönetimi için kullanılabilir.
Anahtar Kelime:

Konular: Nörolojik Bilimler Psikiyatri
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Merskey H, Bogduk N, editors. Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms, 2nd ed. Seattle, USA: IASP Press; 1994.
  • Moncur CA. A postura do idoso. In: Guccione AA, editor. Fisioterapia geriátrica, 2nd ed. Rio de Janeiro: Guanabara Koogan; 2002. pp.251–263.
  • Valera GG, Carezzato NL, Vale FAC, Hortense P. Cultural adaptation of the scale Pain Assessment in Advanced Dementia - PAINAD to Brazil. Rev Esc Enferm USP 2014;48:462–468. [CrossRef]
  • Herr K. Pain assessment strategies in older patients. J Pain 2011;12(3 Suppl 1):S3–S13. [CrossRef]
  • McAuliffe L, Nay R, O’Donnell M, Fetherstonhaugh D. Pain assessment in older people with dementia: literature review. J Adv Nurs 2009;65:2–10. [CrossRef]
  • Horgas AL, Elliott AF. Pain assessment and management in persons with dementia. Nurs Clin North Am 2004;39:593–606. [CrossRef]
  • Hurley AC, Volicer BJ, Hanrahan PA, Houde S, Volicer L. Assessment of discomfort in advanced Alzheimer patients. Res Nurs Health 1992;15:369– 377.
  • Feldt KS. The checklist of nonverbal pain indicators (CNPI). Pain Manag Nurs 2000;1:13–21. [CrossRef]
  • Villanueva MR, Smith TL, Erickson JS, Lee AC, Singer CM. Pain assessment for the dementing elderly (PADE): reliability and validity of a new measure. J Am Med Dir Assoc 2003;4:1–8. [CrossRef]
  • Abbey J, Piller N, De Bellis A, Esterman A, Parker D, Giles L, Lowcay B. The Abbey pain scale: a 1-minute numerical indicator for people with end-stage dementia. Int J Palliat Nurs 2004;10:6–13. [CrossRef]
  • Fuchs-Lacelle S, Hadjistavropoulos T. Development and preliminary validation of the pain assessment checklist for seniors with limited ability to communicate (PACSLAC). Pain Manag Nurs 2004;5:37–49.
  • Snow AL, Weber JB, O’Malley KJ, Cody M, Beck C, Bruera E, Ashton C, Kunik ME. NOPPAIN: a nursing assistant-administered pain assessment instrument for use in dementia. Dement Geriatr Cogn Disord 2004;17:240–246. [CrossRef]
  • Warden V, Hurley AC, Volicer L. Development and psychometric evaluation of the Pain Assessment in Advanced Dementia (PAINAD) scale. J Am Med Dir Assoc 2003;4:9–15. [CrossRef]
  • Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs 1997;23:293–297.
  • Zwakhalen SM, Hamers JP, Berger MP. The psychometric quality and clinical usefulness of three pain assessment tools for elderly people with dementia. Pain 2006;126:210–220. [CrossRef]
  • Bjoro K, Bergen K, Herr K, FAAN RN. Tools for pain assessment in older adults with end-stage dementia. AAHPM Bull 2008;9:2–4.
  • Costardi D, Rozzini L, Costanzi C, Ghianda D, Franzoni S, Padovani A, Trabucchi M. The Italian version of the pain assessment in advanced dementia (PAINAD) scale. Arch Gerontol Geriatr 2007;44:175–180. [CrossRef]
  • Lin PC, Lin LC, Shyu YI, Hua MS. Chinese version of the Pain Assessment in Advanced Dementia Scale: initial psychometric evaluation. J Adv Nurs 2010;66:2360–2368. [CrossRef]
  • Pinto MC, Minson FP, Lopes AC, Laselva CR. Cultural adaptation and reproducibility validation of the Brazilian Portuguese version of the Pain Assessment in Advanced Dementia (PAINAD-Brazil) scale in non-verbal adult patients. Einstein (Sao Paulo) 2015;13:14–19. [CrossRef]
  • Sachdev PS, Mohan A, Taylor L, Jeste DV. DSM-5 and mental disorders in older individuals: an overview. Harv Rev Psychiatry 2015;23:320–328. [CrossRef]
  • Dixon JS, Saddington DG, Shiles CJ, Sreevalsan KP, Munro CA, Rosenberg PB. Clinical evaluation of brief cognitive assessment measures for patients with severe dementia. Int Psychogeriatr 2017;29:1169–1174. [CrossRef]
  • Morris JC. The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology 1993;43:2412–2414.
  • Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 2000;25:3186–3191.
  • Deyo RA, Diehr P, Patrick DL. Reproducibility and responsiveness of health status measures. Statistics and strategies for evaluation. Control Clin Trials 1991;12(4 Suppl):142S–158S.
  • Horgas AL, Elliott AF, Marsiske M. Pain assessment in persons with dementia: relationship between self report and behavioral observation. J Am Geriatr Soc 2009;57:126–132. [CrossRef]
  • Schuler MS, Becker S, Kaspar R, Nikolaus T, Kruse A, Basler HD. Psychometric properties of the German “Pain Assessment in Advanced Dementia Scale” (PAINAD G) in nursing home residents. J Am Med Dir Assoc 2007;8:388–395. [CrossRef]
APA büyükturan ö, naharci i, büyükturan b, KIRDI N, yetiş a (2018). The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale. , 271 - 275. 10.29399/npa.22997
Chicago büyükturan öznur,naharci ilkin,büyükturan buket,KIRDI Nuray,yetiş aysu The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale. (2018): 271 - 275. 10.29399/npa.22997
MLA büyükturan öznur,naharci ilkin,büyükturan buket,KIRDI Nuray,yetiş aysu The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale. , 2018, ss.271 - 275. 10.29399/npa.22997
AMA büyükturan ö,naharci i,büyükturan b,KIRDI N,yetiş a The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale. . 2018; 271 - 275. 10.29399/npa.22997
Vancouver büyükturan ö,naharci i,büyükturan b,KIRDI N,yetiş a The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale. . 2018; 271 - 275. 10.29399/npa.22997
IEEE büyükturan ö,naharci i,büyükturan b,KIRDI N,yetiş a "The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale." , ss.271 - 275, 2018. 10.29399/npa.22997
ISNAD büyükturan, öznur vd. "The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale". (2018), 271-275. https://doi.org/10.29399/npa.22997
APA büyükturan ö, naharci i, büyükturan b, KIRDI N, yetiş a (2018). The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale. Nöropsikiyatri Arşivi, 55(3), 271 - 275. 10.29399/npa.22997
Chicago büyükturan öznur,naharci ilkin,büyükturan buket,KIRDI Nuray,yetiş aysu The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale. Nöropsikiyatri Arşivi 55, no.3 (2018): 271 - 275. 10.29399/npa.22997
MLA büyükturan öznur,naharci ilkin,büyükturan buket,KIRDI Nuray,yetiş aysu The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale. Nöropsikiyatri Arşivi, vol.55, no.3, 2018, ss.271 - 275. 10.29399/npa.22997
AMA büyükturan ö,naharci i,büyükturan b,KIRDI N,yetiş a The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale. Nöropsikiyatri Arşivi. 2018; 55(3): 271 - 275. 10.29399/npa.22997
Vancouver büyükturan ö,naharci i,büyükturan b,KIRDI N,yetiş a The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale. Nöropsikiyatri Arşivi. 2018; 55(3): 271 - 275. 10.29399/npa.22997
IEEE büyükturan ö,naharci i,büyükturan b,KIRDI N,yetiş a "The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale." Nöropsikiyatri Arşivi, 55, ss.271 - 275, 2018. 10.29399/npa.22997
ISNAD büyükturan, öznur vd. "The Turkish Version of Pain Assessment in Advanced Dementia (PAINAD) Scale". Nöropsikiyatri Arşivi 55/3 (2018), 271-275. https://doi.org/10.29399/npa.22997