Eun-Mi Kwak; Heeyoung Oh

doi:10.4040/jkan.2012.42.1.76

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Original Article
Validation of a Korean Translated Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients: Eun-Mi Kwak, Heeyoung Oh; Journal of Korean Academy of Nursing 2012;42(1):76-84.
DOI: https://doi.org/10.4040/jkan.2012.42.1.76
Published online: February 29, 2012

¹Nurse, Eulji University Hospital, Deajeon, Korea.

²Professor, College of Nursing, Eulji University, Deajeon, Korea.

Address reprint requests to: Oh, Heeyoung. College of Nursing, Eulji University, 143-5 Yongdu-dong, Jung-gu, Daejeon 301-832, Korea. Tel: +82-42-259-1713, Fax: +82-42-259-1709, hoh123@eulji.ac.kr

• Received: April 13, 2011 • Accepted: February 5, 2012

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this methodological study was to examine the reliability and validity of a translated Korean version of the Critical Care Pain Observation Tool (CPOT) developed for assessment of pain in critically ill nonverbal patients.
Methods
A cross-sectional study design was used. Data were collected from a convenience sample of 202 critically ill patients admitted to a university hospital. Upon establishment of content and translation equivalence between the English and Korean version of CPOT, psychometric properties were evaluated.
Results
The interrater reliability was found to be acceptable with the weighted kappa coefficients of .81-.88. Significant high correlations between the CPOT and the Checklist of Nonverbal Pain Indicators were found indicating good concurrent validity (r=.72-.83, p<.001). Data showed the area under the ROC curve of 0.86 with a cut-off point of 1, which resulted in 76.9% sensitivity and 88.6% specificity. The mean score of CPOT during suctioning was significantly different from that of before (t=-14.16, p<.001) or 20 minutes after suctioning (t=16.31, p<.001).
Conclusion
Results of this study suggest that the CPOT can be used as a reliable and valid measure to assess pain in critically ill nonverbal patients.
Keywords: Pain; Pain measurement; Psychometrics; Critical care

This article is based on a part of the first author's master's thesis from the Eulji University.

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Figure 1

ROC curve of CPOT at pre-exposure to suctioning in intensive care unit patients. (N=61)

Table 1

General and Health related Characteristics of Participants (N=202)

Table 2

Interrater Reliability of Critical Care Pain Observation Tool (N=91)

Table 3

Concurrent Validity of Critical Care Pain Observation Tool (N=202)

CPOT=Critical care pain observation tool; CNPI=Checklist of nonverbal pain indicators.

Table 4

Discriminant Validity: Comparison of CPOT Scores Measured before, During, and after Suctioning (N=202)

Figure & Data

REFERENCES

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Validation of a Korean Translated Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients

J Korean Acad Nurs. 2012;42(1):76-84. Published online February 29, 2012

DOI: https://doi.org/10.4040/jkan.2012.42.1.76

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Validation of a Korean Translated Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients

Figure 1 ROC curve of CPOT at pre-exposure to suctioning in intensive care unit patients. (N=61)

Figure 1

Validation of a Korean Translated Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients

Table 1

General and Health related Characteristics of Participants (N=202)

Table 2

Interrater Reliability of Critical Care Pain Observation Tool (N=91)

Table 3

Concurrent Validity of Critical Care Pain Observation Tool (N=202)

CPOT=Critical care pain observation tool; CNPI=Checklist of nonverbal pain indicators.

Table 4

Discriminant Validity: Comparison of CPOT Scores Measured before, During, and after Suctioning (N=202)

Table 1 General and Health related Characteristics of Participants (N=202)

Table 2 Interrater Reliability of Critical Care Pain Observation Tool (N=91)

Table 3 Concurrent Validity of Critical Care Pain Observation Tool (N=202)

CPOT=Critical care pain observation tool; CNPI=Checklist of nonverbal pain indicators.

Table 4 Discriminant Validity: Comparison of CPOT Scores Measured before, During, and after Suctioning (N=202)