Validation of the Spanish Version of the Pain Assessment in Advanced Dementia Scale (PAINAD-Sp) in Hospitalized Patients with Neurologic Disorders and Oncologic Patients Unable to Self-Report Their Pain
Por:
Munoz-Narbona, L, Cabrera-Jaime, S, Lluch-Canut, T, de la Ossa, NP, Ballano, JA, Arnau, NZ, Sanchez, RM, Vidal, EG and Roldan-Merino, J
Publicada:
1 ago 2019
Ahead of Print:
10 nov 2018
Categoría:
Advanced and specialized nursing
Resumen:
Background: Pain has a significant impact on hospitalized patients and is a quality indicator for nursing care. The Pain Assessment in Advanced Dementia (PAINAD) scale measures pain in people with communication disorders and advanced dementia, but it has not been validated in any other population.
Aims: The aim of this study was to validate the Spanish version (PAINAD-Sp) in hospitalized patients with neurologic disorders and in end-of-life cancer patients with difficulty self-reporting.
Design: The study had two phases: (1) analysis of the content by a committee of experts and (2) a cross-sectional study.
Settings: We collected phase 2 data from January 2017 to December 2017 in four hospitals in Barcelona: Hospital Germans Trias i Pujol, Institut Catala d'Oncologia, Hospital Vall d'Hebron, and Hospital de Bellvitge.
Participants/Subjects: We included all adults who had either a neurological disorder affecting language or an oncological disease with an end-of-life prognosis and difficulty self-reporting pain. We excluded patients with a diagnosis of dementia.
Methods: The cross-sectional study included 325 patients who were simultaneously evaluated by two observers both at rest and in movement. We analyzed psychometric properties in terms of construct validity, reliability, and sensitivity to change.
Results: We obtained Cronbach alpha > .70 in both situations and an inter-rater reliability of 0.80. Confirmatory factor analysis indicated that the model adjusted adequately to a unidimensional structure. In terms of sensitivity to change, the mean difference was greater in movement than at rest (difference in means was 1.15).
Conclusions: The PAINAD-Sp_Hosp scale had good psychometric qualities in terms of validity and reliability in neurology and oncology patients unable to self-report pain. (C) 2018 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
Filiaciones:
:
Inst Hlth Sci Res Germans Trias & Pujol IGTP, Dept Neurosci, Ctra Canyet S-N, Badalona 08916, Barcelona, Spain
:
Hlth Inst Carlos III, RETICS Res Grp Redes Temat Invest Cooperat Salud, Madrid, Spain
ICO, Badalona, Barcelona, Spain
IDIBELL, Inst Biomed Res, GRIN Grp, Barcelona, Spain
Univ Barcelona, Escuela Univ Enfermeria, Campus Ciencies Salut Bellvitge, Barcelona, Spain
Lluch-Canut, T:
Univ Barcelona, Fac Med & Hlth Sci, Sch Nursing, Barcelona, Spain
Res Grp GEIMAC, Grp Consolidat 2014 1139, Grp Estudios Invarianza Instrumentos Medida & Ana, Barcelona, Spain
:
Hosp Badalona Germans Trias & Pujol, Dept Neurosci, Stroke Unit, Badalona, Barcelona, Spain
:
Hosp Badalona Germans Trias & Pujol, Dept Neurosci, Stroke Unit, Badalona, Barcelona, Spain
Arnau, NZ:
ICO, Badalona, Barcelona, Spain
Sanchez, RM:
Hosp Valle De Hebron, Dept Neurosci, Stroke Unit, Barcelona, Spain
Vidal, EG:
Hosp Univ Bellvitge, Dept Neurosci, Stroke Unit, Barcelona, Spain
Roldan-Merino, J:
Res Grp GEIMAC, Grp Consolidat 2014 1139, Grp Estudios Invarianza Instrumentos Medida & Ana, Barcelona, Spain
Univ Barcelona, Sch Nursing, St Joan de Deu Fundacio Privada, Barcelona, Spain
Res Grp GIESS Grp Invest Enfermeria Educ & Soc, Barcelona, Spain
Res Grp GIRISAME Int Researchers Grp Mental Hlth, Madrid, Spain
Res Grp REICESMA Red Espanola Invest Enfermeria C, Madrid, Spain
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