• Pain Manag Nurs · Apr 2019

    Psychometric Properties of the Behavioral Pain Scale in Traumatic Brain Injury.

    • Caíque J N Ribeiro, Alanna G C Fontes Lima, Raphael A Santiago de Araújo, Nunes Mariangela da Silva MDS Postgraduate Program of Nursing, Federal University of Sergipe, Sergipe, Brazil., José A Barreto Alves, Daniele Vieira Dantas, and Maria do C de Oliveira Ribeiro.
    • Postgraduate Program of Health Sciences, Federal University of Sergipe, Sergipe, Brazil. Electronic address: caiquejordan_enf@yahoo.com.br.
    • Pain Manag Nurs. 2019 Apr 1; 20 (2): 152-157.

    BackgroundPain assessment of patients with traumatic brain injury is a challenge because they are unable to self-report their pain experience.AimsTo investigate the psychometric properties of validity, reliability, and responsiveness of the Brazilian version of the Behavioral Pain Scale (BPS-Br) in patients with traumatic brain injury.MethodsThis was an observational, cross-sectional, repeated-measure and analytical study. This study was developed at the medical and surgical ICUs in a high-complexity public hospital at Aracaju, Sergipe, Brazil. Thirty-seven adult patients with moderate or severe TBI were included. This study was completed with 444 independent observations, a pairwise comparison, and was performed simultaneously before, during, and after eye cleaning and endotracheal suctioning of 37 adult patients with moderate to severe traumatic brain injury.ResultsThe BPS-Br had good internal consistency (.7 ≤ α ≤ .9), good discriminant validity (p < .001), moderate to excellent reliability based on inter-rater agreement (intraclass correlation coefficient = 0.66-1.00; κ = 0.5-1.0), and high responsiveness (0.7-1.7). The upper limbs subscale had the highest score during the nociceptive procedure (1.8 ± 0.9). Deep sedation affected the increase of grading during painful procedures (p < .001).ConclusionsOur results suggest the BPS-Br is a useful tool for clinical practice to evaluate the pain experienced by patients with traumatic brain injury. Further studies of different samples are needed to evaluate the benefits of systematic pain assessment of critically ill patients.Copyright © 2019 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…