Cent Eur J Nurs Midw 2017, 8(1):572-579 | DOI: 10.15452/CEJNM.2017.08.0004

A COMPARISON OF THREE SELF-REPORT PAIN SCALES IN CZECH PATIENTS WITH STROKE

Petra Mandysová1,2,*, Adriana Nedvědová1, Edvard Ehler2,1
1 Faculty of Health Studies, University of Pardubice, Czech Republic
2 Department of Neurology, Pardubice Hospital, Hospitals of the Pardubice Region, Czech Republic

Aim: The first aim was to determine the performance of three self-report pain scales, the combined Visual Analogue Scale / Numerical Rating Scale (VAS/NRS), NRS, and Faces Pain Scale - Revised (FPS-R), in a study on pain in Czech patients with stroke. The second aim was to compare the patients' overall pain scale preference rankings and preference rankings by gender, the location of the brain damage, and cognitive functioning.

Design: The design was cross-sectional.

Methods: Eighty hospitalized patients with stroke evaluated their pain using the mentioned scales and subsequently expressed their preference rankings of the scales. The data were described and analysed using descriptive and inferential statistics.

Results: Nineteen (24%) patients reported pain using at least one scale. Overall, pain intensity scores varied by 0-1 point in 75 (93.8%) patients, and the highest Spearman correlation was 0.997 (p < 0.001) between the VAS/NRS and the NRS. Overall, the NRS had the highest preference ranking (it ranked first or second in 75% of the cases).

Conclusion: Correlations across all three scales were moderate to high; therefore, they appear equivalent. The scales can be recommended for clinical use in patients with stroke, provided they are able to collaborate.

Keywords: stroke, pain scale, Faces Pain Scale - Revised, Numerical Rating Scale, Visual Analogue Scale

Received: December 14, 2016; Accepted: February 6, 2017; Published: March 30, 2017  Show citation

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Mandysová P, Nedvědová A, Ehler E. A COMPARISON OF THREE SELF-REPORT PAIN SCALES IN CZECH PATIENTS WITH STROKE. Central European Journal of Nursing and Midwifery. 2017;8(1):572-579. doi: 10.15452/CEJNM.2017.08.0004.
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    References

    1. Benaim C, Froger J, Cazottes C, Gueben D, Porte M, Desnuelle C, Pelissier JY. Use of the Faces Pain Scale by left and right hemispheric stroke patients. Pain. 2007;128(1- 2):52-58. Go to original source... Go to PubMed...
    2. Choi-Kwon S, Choi SH, Suh M, Choi S, Cho KH, Nah HW, Song H, Kim JS. Musculoskeletal and central pain at 1 year post-stroke: associated factors and impact on quality of life. Acta Neurologica Scandinavica. 2016 Jun 6. doi: 10.1111/ane.12617. [Epub ahead of print]. Go to original source... Go to PubMed...
    3. Chuang LL, Wu CY, Lin KC, Hsieh CJ. Relative and absolute reliability of a vertical numerical pain rating scale supplemented with a faces pain scale after stroke. Physical Therapy. 2014;94(1):129-138. Go to original source... Go to PubMed...
    4. Dogan SK, Ay S, Oztuna D, Aytur YK, Evcik D. The utility of the Faces Pain Scale in the assessment of shoulder pain in Turkish stroke patients: its relation with quality of life and psychologic status. International Journal of Rehabilitation Research. 2010;33(4):363-367. Go to original source... Go to PubMed...
    5. Ehler E, Vaňásková E, Štětkářová I. Standard komplexní léčby spasticity po cévní mozkové příhodě. Česká a slovenská neurologie a neurochirurgie. 2009;72/105(2):179-181. (in Czech)
    6. Gregory J. The complexity of pain assessment in older people. Nursing Older People. 2015;27(8):16-21. Hakl M, Hřib R. Farmakoterapie léčby onkologické bolesti. Interní medicína. 2007;9(6):299-300. (in Czech) Go to original source... Go to PubMed...
    7. Harrison RA, Field TS. Post stroke pain: identification, assessment, and therapy. Cerebrovascular Diseases. 2015;39(3-4):190-201. Go to original source... Go to PubMed...
    8. Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A, Hanks GW, Loge JH, Fainsinger R, Aass N, Kaasa S; European Palliative Care Research Collaborative (EPCRC). Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. Journal of Pain and Symptom Management. 2011;41(6):1073-1093. Go to original source... Go to PubMed...
    9. International Association for the Study of Pain. Face Pain Scale - Revised home. Washington, D.C.: International Association for the Study of Pain; 2014 [cited 2015 Jun 16]. Available from: http://www.iasppain.org/Education/Content.aspx?ItemNumber=1519&navItemNumber=577Kraska-Miller M. Nonparametric statistics for social and behavioral sciences. Boca Raton, FL: CRC Press Taylor & Francis Group; 2014.
    10. Li L, Herr K, Chen P. Postoperative pain assessment with three intensity scales in Chinese elders. Journal of Nursing Scholarship. 2009;41(3):241-249. Go to original source... Go to PubMed...
    11. Mandysová P, Kadlečková Z. The performance of three pain intensity scales and their preferences among Czech women with acute postoperative pain. Central European Journal of Nursing and Midwifery. 2015;6(3):298-305. Go to original source...
    12. McCarten JR, Anderson P, Kuskowski MA, McPherson SE, Borson S. Screening for cognitive impairment in an elderly veteran population: acceptability and results using different versions of the Mini-Cog. Journal of the American Geriatrics Society. 2011;59(2):309-313. Go to original source... Go to PubMed...
    13. Miró J, Huguet A, Nieto R, Paredes S, Baos J. Evaluation of reliability, validity, and preference for a pain intensity scale for use with the elderly. Journal of Pain. 2005;6(11):727- 735. Go to original source... Go to PubMed...
    14. Nesbitt J, Moxham S, Ramadurai G, Williams L. Improving pain assessment and management in stroke patients. BMJ Quality Improvement Reports. 2015;4(1):u203375.w3105. Go to original source... Go to PubMed...
    15. Paolucci S, Iosa M, Toni D, Barbanti P, Bovi P, Cavallini A, Candeloro E, Mancini A, Mancuso M, Monaco S, Pieroni A, Recchia S, Sessa M, Strambo D, Tinazzi M, Cruccu G, Truini A; Neuropathic pain special interest group of the Italian Neurological Society. Prevalence and time course of poststroke pain: a multicenter prospective hospital-based study. Pain Medicine. 2016;17(5):924-930. Go to original source...
    16. Price DD, Patel R, Robinson ME, Staud R. Characteristics of electronic visual analogue and numerical scales for ratings of experimental pain in health subjects and fibromyalgia patients. Pain. 2008;140(1):158-166. Go to original source... Go to PubMed...
    17. Raffaeli W, Minella CE, Magnani F, Sarti D. Populationbased study of central post-stroke pain in Rimini district, Italy. Journal of Pain Research. 2013;6:705-711. Go to original source...
    18. Rokyta R, Kršiak M, Kozák J. Bolest. 2. vyd. Praha: Tigis; 2012. (in Czech)
    19. Scherder EJ, Plooij B. Assessment and management of pain, with particular emphasis on central neuropathic pain, in moderate to severe dementia. Drugs and Aging. 2012;29(9):701-706. Go to original source... Go to PubMed...
    20. Smith JH, Bottemiller KL, Flemming KD, Michael Cutrer F, Strand EA. Inability to self-report pain after a stroke: a population-based study. Pain. 2013;154(8):1281-1286. Go to original source... Go to PubMed...
    21. Tang WK, Liang H, Mok V, Ungvari GS, Wong KS. Is pain associated with suicidality in stroke? Archives of Physical Medicine and Rehabilitation. 2013;94(5):863-866. Go to original source... Go to PubMed...
    22. Taylor LJ, Harris J, Epps CD, Herr K. Psychometric evaluation of selected pain intensity scales for use with cognitively impaired and cognitively intact older adults. Rehabilitation Nursing. 2005;30(2):55-61. Go to original source... Go to PubMed...
    23. Ware LJ, Herr KA, Booker SS, Dotson K, Key J, Poindexter N, Pyles G, Siler B, Packard A. Psychometric evaluation of the Revised Iowa Pain Thermometer (IPT-R) in a aample of diverse cognitively intact and impaired older adults: a pilot study. Pain Management Nursing. 2015;16(4):475-482. Go to original source... Go to PubMed...

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