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KMID : 1221920200130010044
Journal of Korean Critical Care Nursing
2020 Volume.13 No. 1 p.44 ~ p.62
A Systematic Review on Pain Assessment Tools for Intensive Care Unit Patients
Kim Eun-Jeong

Hong Ji-Won
Kang Ji-Yeon
Kim Na-Geong
Kim Na-Ri
Maeng Su-Youn
Park Hye-Ryeon
Ban Min-Kyung
Yang Gun-Young
Lee Kyung-Suk
Jang Eun-Hye
Abstract
Purpose : The purpose of this study was to systematically review the measurement tools that are used to assess the pain of intensive care unit (ICU) patients.

Method : In this systematic review, the studies published between 2009 and 2018 were selected based on the PRISMA flow chart. Data sources included MEDLINE, EMBASE, CINAHL, and Cochran. We assessed the quality of pain assessment tools reported in individual studies using Terwee et al.¡¯s the Quality Criteria for Measurement Properties.

Results : We reviewed 67 studies and 12 pain assessment tools that included two self-reported, seven observational, and three multifaced tools with observations and physiological indicators. The most frequently used tool was the Critical Care Pain Observation Tool. The Multidimensional Observational Pain Assessment Tool was rated the highest quality. Nine of the ten tools that included observations reported content validity, four reported construct validity and nine reported correlation coefficient.

Conclusion : It was found that observational tools are appropriate for assessing pain in ICU patients with limited communication skills. To increase the validity and reliability of pain assessment in ICU patients, further research on the physiological indicators of pain is needed.
KEYWORD
Intensive care units, Pain, Pain measurement, Systematic review
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