Department of Surgical Nursing, Faculty of Health Sciences, Cukurova University, Adana, Turkey.
Department of Obstetrics and Gynecologic Nursing, Faculty of Health Sciences, Cukurova University, Adana, Turkey.
Appl Nurs Res. 2023 Apr;70:151673. doi: 10.1016/j.apnr.2023.151673. Epub 2023 Feb 13.
Digital pain assessment is advantageous and timely for healthcare priorities in Turkey. However, a multi-dimensional, tablet-based pain assessment tool is not available in the Turkish language.
To validate the Turkish-PAINReportIt® as a multi-dimensional measure of post-thoracotomy pain.
In the first of a two-phased study, 32 Turkish patients (mean age 47.8 ± 15.6 years, 72 % male) participated in individual cognitive interviews as they completed the tablet-based Turkish-PAINReportIt® once during the first four days post-thoracotomy, and 8 clinicians participated in a focus group discussion of implementation barriers. In the second phase, 80 Turkish patients (mean age 59.0 ± 12.7 years, 80 % male) completed the Turkish-PAINReportIt® preoperatively, on postoperative days 1-4, and at the two-week post-operative follow-up visit.
Patients generally interpreted accurately the Turkish-PAINReportIt® instructions and items. We eliminated some items unnecessary for daily assessment based on focus-group suggestions. In the second study phase, pain scores (intensity, quality, pattern) were low pre-thoracotomy for lung cancer and high postoperatively high on day 1, decreasing on days 2, 3 and 4, and back down to pre-surgical levels at 2-weeks. Over time, pain intensity decreased from post-operative day 1 to post-operative day 4 (p < .001) and from post-operative day 1 to post-operative week 2 (p < .001).
The formative research supported proof of concept and informed the longitudinal study. Findings showed strong validity of the Turkish-PAINReportIt® to detect reduced pain over time as healing occurs after thoracotomy.
数字化疼痛评估对土耳其的医疗保健重点具有优势且及时。然而，土耳其语的多维、基于平板电脑的疼痛评估工具尚不存在。
验证土耳其语版 PAINReportIt®作为一种多维术后胸科手术后疼痛评估工具的有效性。
在两阶段研究的第一阶段，32 名土耳其患者（平均年龄 47.8 ± 15.6 岁，72%为男性）在术后的头四天内，每次单独使用平板电脑完成土耳其语版 PAINReportIt®，并接受一次认知访谈，8 名临床医生参与了实施障碍的焦点小组讨论。在第二阶段，80 名土耳其患者（平均年龄 59.0 ± 12.7 岁，80%为男性）在术前、术后第 1-4 天和术后两周的随访中完成了土耳其语版 PAINReportIt®。
患者普遍准确地理解了土耳其语版 PAINReportIt®的说明和项目。根据焦点小组的建议，我们删除了一些日常评估不必要的项目。在第二研究阶段，肺癌患者术前疼痛评分（强度、质量、模式）较低，术后第 1 天较高，第 2、3 和 4 天逐渐下降，术后 2 周时恢复到术前水平。随着时间的推移，疼痛强度从术后第 1 天到第 4 天（p<0.001）以及从术后第 1 天到术后第 2 周（p<0.001）逐渐下降。
形成性研究支持概念验证，并为纵向研究提供了信息。研究结果表明，土耳其语版 PAINReportIt®能够随着术后愈合过程中疼痛的减轻，有效地检测到时间上的疼痛减轻。
