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Artıklar T, Erden S. The Effect of Breathing and Coughing Exercises and Oxygen Therapy on Shoulder Pain and Analgesic Consumption After Laparoscopic Cholecystectomy: A Randomized Controlled Study. J Perianesth Nurs 2024; 39:540-546. [PMID: 38069969 DOI: 10.1016/j.jopan.2023.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 09/18/2023] [Accepted: 10/13/2023] [Indexed: 01/12/2024]
Abstract
PURPOSE The aim of this study was to determine the effect of breathing and coughing exercises and oxygen therapy on shoulder pain and analgesic consumption after laparoscopic cholecystectomy. DESIGN A randomized controlled intervention study. METHODS The sample included 105 patients who underwent elective laparoscopic cholecystectomy at the general surgery clinic of a tertiary center. Breathing and coughing exercises were applied to groups 1 and 2 of the intervention group, from the fourth hour after surgery. In addition, 2 liters per minute O2 treatment was applied to group 2 during the first hour after surgery, while the control group did not recieve the interventions. FINDINGS After surgery, a statistically significant difference was found in favor of the intervention groups in pain levels at the 12th hour (P < .05). There was a negative and statistically significant difference between pain levels and SpO2 values in all groups (P < .05). Non-opioids were consumed in lower amounts in the intervention groups (P > .05), while opioids were consumed only in the control group. CONCLUSIONS Breathing and coughing exercises and oxygen therapy after laparoscopic cholecystectomy reduced shoulder pain and the amount of analgesic consumption.
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Affiliation(s)
- Tülay Artıklar
- Cukurova University, Balcalı Hospital Health Practice Center, Chest Diseases Clinic Balcalı Campus, Adana, Turkey
| | - Sevilay Erden
- Çukurova University, Faculty of Health Sciences, Department of Surgical Diseases Nursing, Adana, Turkey.
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Wang S, Yao S, Wei J, Shang L, Xu C, Ma J. Psychometric Properties of the Brief Pain Inventory Among Patients With Osteoarthritis Undergoing Total Knee Arthroplasty Surgery. J Arthroplasty 2024; 39:672-676. [PMID: 37648099 DOI: 10.1016/j.arth.2023.08.072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 08/07/2023] [Accepted: 08/22/2023] [Indexed: 09/01/2023] Open
Abstract
BACKGROUND Knee osteoarthritis (OA) is characterized by pain and functional restrictions, necessitating precise and reliable pain evaluation for effective disease surveillance and postoperative treatment appraisal. METHODS This investigation recruited 110 participants who were slated to receive unilateral total knee arthroplasty (TKA) and administered 3 self-reported questionnaires: the Brief Pain Inventory (BPI), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and 5-level EuroQoL Group's 5-dimension questionnaire (EQ-5D-5L), at baseline and 1 year after surgery. Using standard statistical methods and indicators, the BPI was subjected to a battery of psychometric evaluations, including assessments of reliability, validity, and responsiveness. RESULTS At baseline, there were no significant ceiling or floor effects observed. Additionally, the internal consistency reliability (Cronbach's alpha) of the BPI was above 0.8, suggesting that the questionnaire items are adequately related to one another. The study found moderate to very strong correlations between the pain and physical function domains of the BPI and Western Ontario and McMaster Universities Osteoarthritis Index, as well as a strong correlation between the functional interference dimension of the BPI and the EQ-5D, supporting the construct validity of the BPI. Also, the BPI was found to be responsive to changes in pain over time, with a responsiveness index ranging from 2.55 to 3.19. CONCLUSION The BPI assessment tool demonstrated good reliability, validity, and responsiveness in knee osteoarthritis patients who have undergone TKA and can be a useful measurement tool in clinical research to evaluate the effectiveness of pain management strategies and surgical interventions.
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Affiliation(s)
- Shunxing Wang
- Department of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China; Xi'an Medical University, Xi 'an, China
| | - Shuxin Yao
- Department of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China
| | - Jie Wei
- State Key Laboratory of Cancer Biology, Department of Pathology, The First Affiliated Hospital of Air Force Military Medical University, Xi'an, China
| | - Lei Shang
- Department of Health Statistics, Faculty of Preventive Medicine, the Air Force Military Medical University, Xi'an, China
| | - Chao Xu
- Department of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China
| | - Jianbing Ma
- Department of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, China
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Docherty C, Shaw M, Henderson P, Quasim T, MacTavish P, Devine H, O'Brien P, Strachan L, Lucie P, Hogg L, Sim M, McPeake J. Evaluating pain in survivors of critical illness: the correlation between the EQ-5D-5L and the Brief Pain Inventory. BMJ Open Respir Res 2023; 10:10/1/e001426. [PMID: 36653059 PMCID: PMC9853256 DOI: 10.1136/bmjresp-2022-001426] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 12/14/2022] [Indexed: 01/19/2023] Open
Abstract
INTRODUCTION Pain is a common and debilitating symptom in survivors of critical illness. The 'Core Outcome Set for Survivors of Acute Respiratory Failure' proposes that the pain and discomfort question of the EuroQol 5 Dimension 5 Level (EQ-5D-5L) could be used to assess pain in this group, however, it was recognised that further research is required to evaluate how this single question compares to other more detailed pain tools. This study aims to evaluate the relationship between the pain and discomfort question of the EQ-5D-5L and the Brief Pain Inventory (BPI) in survivors of critical illness. METHODS This study retrospectively analysed paired EQ-5D-5L and BPI data extracted from a prospective, multicentre study evaluating the impact of a critical care recovery programme. 172 patients who received a complex recovery intervention and 108 patients who did not receive this intervention were included. Data were available for the intervention cohort at multiple time points, namely, baseline, 3 months and 12 months. While, data were available for the usual care cohort at a single time point (12 months). We assessed the correlation between the pain and discomfort question of the EQ-5D-5L and two separate components of the BPI: severity of pain and pain interference. RESULTS Correlation coefficients comparing the pain and discomfort question of the EQ-5D-5L and the BPI pain severity score ranged between 0.73 (95% CI 0.63 to 0.80) and 0.80 (95% CI 0.72 to 0.86). Correlation coefficients comparing the pain and discomfort question of the EQ-5D-5L and the BPI pain interference score ranged between 0.71 (95% CI 0.62 to 0.79) and 0.83 (95% CI 0.76 to 0.88) across the various time points. CONCLUSIONS The pain and discomfort question of the EQ-5D-5L correlates moderately well with a more detailed pain tool and may help to streamline assessments in survivorship studies. More in-depth tools may be of use where pain is the primary study outcome or a patient-reported concern.
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Affiliation(s)
- Christie Docherty
- Academic Unit of Anaesthesia, Peri-operative Medicine and Critical Care, University of Glasgow School of Medicine Dentistry and Nursing, Glasgow, UK .,Intensive Care Unit, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Martin Shaw
- Academic Unit of Anaesthesia, Peri-operative Medicine and Critical Care, University of Glasgow School of Medicine Dentistry and Nursing, Glasgow, UK,Clinical Physics, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Philip Henderson
- Academic Unit of Anaesthesia, Peri-operative Medicine and Critical Care, University of Glasgow School of Medicine Dentistry and Nursing, Glasgow, UK
| | - Tara Quasim
- Academic Unit of Anaesthesia, Peri-operative Medicine and Critical Care, University of Glasgow School of Medicine Dentistry and Nursing, Glasgow, UK,Intensive Care Unit, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Pamela MacTavish
- Intensive Care Unit, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Helen Devine
- Intensive Care Unit, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Peter O'Brien
- Intensive Care Unit, University Hospital Crosshouse, NHS Ayrshire and Arran, Kilmarnock, UK
| | - Laura Strachan
- Intensive Care Unit, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Phil Lucie
- Intensive Care Unit, University Hospital Wishaw, NHS Lanarkshire, Wishaw, UK
| | - Lucy Hogg
- Intensive Care Unit, Victoria Hospital, NHS Fife, Kirkcaldy, UK
| | - Malcolm Sim
- Academic Unit of Anaesthesia, Peri-operative Medicine and Critical Care, University of Glasgow School of Medicine Dentistry and Nursing, Glasgow, UK,Intensive Care Unit, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Joanne McPeake
- University of Cambridge School of Clinical Medicine, Cambridge, UK
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Abebe AB, Ayele TA, Miller J. Evaluating the validity of the Amharic Brief Pain Inventory among people with chronic primary musculoskeletal pain in Ethiopia. BMC Musculoskelet Disord 2022; 23:875. [PMID: 36131337 PMCID: PMC9490988 DOI: 10.1186/s12891-022-05833-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 09/15/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Brief Pain Inventory (BPI) is a multidimensional pain assessment tool used to evaluate pain severity and pain interference. The BPI has been translated and validity estimated across multiple languages and patient populations for clinical and research settings. This study aimed to assess the reliability and validity of Amharic BPI test scores among patients with chronic primary musculoskeletal pain living in Ethiopia. METHODS This study had two parts: cognitive interviews and psychometric testing. An expert committee reviewed the Amharic BPI, and fifteen participants participated in the cognitive interviews. The results from the cognitive interviews were evaluated, and the committee approved recommendations for the tool prior to psychometric testing. Two hundred and sixty-nine patients were recruited from three sites for the psychometric testing. The results were summarised using descriptive statistics. Cronbach's alpha was calculated to estimate the internal consistency. To assess test-retest reliability, the intraclass coefficient was examined, and a Bland-Altman plot was created. Construct validity was determined using confirmatory factor analysis by testing BPI's previously suggested two or three-factor dimensionalities. Convergent validity was assessed by estimating the correlation between the Amharic BPI and SF-36 subscales. RESULTS The Amharic BPI scores showed a good internal consistency using a 2-factor model with α = 0.89 for pain severity and α = 0.91 for pain interference. Good internal consistency was also observed in the 3-factor model, with α = 0.89 for pain severity, α = 0.84 for activity interference, and α = 0.86 for affective interference items. The test-retest reliability testing resulted in an ICC = 0.82 for pain severity and ICC = 0.90 for the pain interference. The severity scale had the highest correlation with bodily pain subscale of the SF-36 at r = - 0.44, and the interference scale with Physical functioning scale of SF-36 at r = - 0.63. Confirmatory factor analysis support rating Amharic BPI using a two-factor approach. CONCLUSIONS Our findings showed that Amharic BPI scores demonstrate internal consistency, test-retest reliability, and construct validity among patients with chronic primary musculoskeletal pain in Ethiopia. Accordingly, the tool can be used in clinical practice or research in similar settings.
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Affiliation(s)
- Abey Bekele Abebe
- School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada. .,Department of Physiotherapy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
| | - Tadesse Awoke Ayele
- Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Jordan Miller
- School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada
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Reliabilität, Validität und Veränderungssensitivität multidimensionaler Schmerz-Messinstrumente für postoperative, erwachsene Patientinnen und Patienten: eine systematische Übersichtsarbeit der Gütekriterien. PHYSIOSCIENCE 2021. [DOI: 10.1055/a-1392-8532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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