Asriyanto Luthfi Fauzy, Chayati Nur
Master of Nursing Program, Postgraduate Program, Universitas Muhammadiyah Yogyakarta, Indonesia.
School of Nursing, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Indonesia.
Int J Nurs Sci. 2024 Jan 1;11(1):113-119. doi: 10.1016/j.ijnss.2023.12.013. eCollection 2024 Jan.
The Critical-care Pain Observation Tool (CPOT) is one of the most accurate methods for assessing pain in ICU patients with critical illness and/or a decreased level of consciousness (LOC). This study aimed to determine the validity and reliability of the Indonesian version of the CPOT.
The English version of CPOT was translated into the Indonesian version following five steps: initial translation, synthesis of instrument translation results, back translation, validation of the instrument by an expert committee, and testing of the Indonesian instrument. Between September and December 2022, a total of 52 ICU patients from four hospitals in Indonesia were evaluated for pain at rest, during body-turning procedure, and 15 minutes after the procedure using the CPOT. The researcher used the verbal Faces Pain Thermometer (FPT) instrument as a gold standard to assess the CPOT's criteria validity. Validity assessments included content and criterion validity. Reliability was evaluated using Cronbach's α coefficient and interrater reliability.
Higher CPOT scores were found during the body-turning procedure than at rest and after the procedure. The instrument's item-content validity index (I-CVI) ranged from 0.75 to 1.00, and the overall instrument's average scale-level content validity index (S-CVI/Ave) was 0.93. The statistical analysis revealed a positive correlation () between the CPOT and the patient's FPT scores (0.877-0.983, < 0.01). The significant agreement amongst raters () revealed the inter-rater reliability of the CPOT (0.739-0.834, < 0.01).
The Indonesian version of the CPOT has been proven valid and reliable in assessing pain in patients with critical illness and/or decreased LOC.
重症监护疼痛观察工具（CPOT）是评估患有危重病和/或意识水平（LOC）下降的ICU患者疼痛的最准确方法之一。本研究旨在确定印尼语版CPOT的有效性和可靠性。
CPOT英语版按照五个步骤翻译成印尼语版：初始翻译、工具翻译结果的综合、回译、由专家委员会对工具进行验证以及对印尼语工具进行测试。在2022年9月至12月期间，使用CPOT对印度尼西亚四家医院的52名ICU患者在休息时、翻身过程中以及翻身过程后15分钟的疼痛情况进行了评估。研究人员使用言语面部疼痛温度计（FPT）工具作为评估CPOT标准效度的金标准。效度评估包括内容效度和标准效度。使用克朗巴哈α系数和评分者间信度评估信度。
在翻身过程中发现的CPOT评分高于休息时和翻身过程后。该工具的条目内容效度指数（I-CVI）范围为0.75至1.00，整个工具的平均量表水平内容效度指数（S-CVI/Ave）为0.93。统计分析显示CPOT与患者FPT评分之间呈正相关（0.877 - 0.983，< 0.01）。评分者之间的显著一致性（）显示了CPOT的评分者间信度（0.739 - 0.834，< 0.01）。
已证明印尼语版CPOT在评估患有危重病和/或LOC下降的患者的疼痛方面是有效且可靠的。
