PERBANDINGAN INTERPRETASI SKALA NYERI ANTARA  NRS-VAS-WBFS OLEH PASIEN PASCA OPERASI ELEKTIF ORTHOPEDI DI RSUD Dr. SOETOMO

Ginong Pratitdya; Nancy M. Rehatta; Dedi Susila

doi:10.33366/jc.v8i3.1802

PERBANDINGAN INTERPRETASI SKALA NYERI ANTARA NRS-VAS-WBFS OLEH PASIEN PASCA OPERASI ELEKTIF ORTHOPEDI DI RSUD Dr. SOETOMO

Ginong Pratitdya, Nancy M. Rehatta, Dedi Susila

Abstract

Health management is still a challenge in health services. An instrument that can cure pain is easy, easy, with accurate interpretation and can be used by every party involved in pain management. The purpose of this study was to analyze the Numeric Rating Scale (NRS), Visual Analogue Scale (VAS), and Wong Baker Faces Scale (WBFS), which can be interpreted well by postoperative care patients. The research method used was an observational analytic study with a cross-sectional study design that analyzed the scale application (NRS, VAS, WBFS) in patients after elective orthopedic surgery at RSUD Dr. Soetomo Surabaya. This study analyzed primary data of postoperative patients which contained socio-demographic characteristics, type of anesthesia given, pain scores and patient interpretation of pain scales through special instruments. The results showed that 102 research subjects were needed. The pain scale interpretation instrument was declared valid and reliable (Cronbach Alpha> 0.60). Mean pain scores from the VAS scale (4.29), NRS (4.82) and WBFS (4.81). No significant difference was obtained NRS scale and WBFS scale (Sig> 0.05). Mean interpretation of pain scale from the VAS scale (13.62), NRS (17.14) and WBFS (21.33). There was a significant difference in the pain score of the VAS scale against the NRS scale, also the WBFS scale (Sig <0.05). There were significant differences between pre and post operations, in clinical parameters of systolic blood pressure, diastolic blood pressure, pulse, and respiratory rate (Sig. <0.05). The conclusion from this study is that NRS, WBFS or VAS all work well in measuring pain. WBFS has the best scale interpretation value.

Keywords

Interpretation; pain; NRS; VAS; WBFS

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References

Alghadir, A. H., Anwer, S., Iqbal, A., & Iqbal, Z. A. (2018). Test–retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. Journal of Pain Research, 11, 851.

Ali, N., & Lewis, M. (2015). Understanding pain: an introduction for patients and caregivers. Rowman & Littlefield.

Alice, N. (2012). A cross sectional study of use of different pain assessment tools in Chinese cancer patients. Journal of Pain Management, 5(1), ,83–91.

Angeline, M., Allan, C., Ana, H., & Kenneth, T. (2015). Comparison of the different pain assessment scales used in adult patients seen at the Philippine General Hospital rheumatology out-patient clinic. Philippine Journal of Internal Medicine, 53(4), 1–5.

Avery, V. R. (2010). Comparing the visual analog scale and verbally administered numeric rating scale in traumatic versus non-traumatic pain in a community hospital emergency center.

Brennan, T. J. (2011). Pathophysiology of postoperative pain. Pain, 152(3 Suppl), S33.

Chiang, H.-L., Huang, Y.-C., Lin, H.-S., Chan, M.-H., & Chia, Y.-Y. (2019). Hypertension and Postoperative Pain: A Prospective Observational Study. Pain Research and Management, 2019.

Evans, M. R. (2012). Pathophysiology of Pain and Pain Assessment Module 1 Pain Management: Pathophysiology of Pain and Pain Assessment American Academy of Orthopaedic Surgeons. American Medical Association, 7, 1–12.

Fitzgerald, S., Tripp, H., & Halksworth-Smith, G. (2017). Assessment and management of acute pain in older people: barriers and facilitators to nursing practice. Australian Journal of Advanced Nursing, The, 35(1), 48.

Gallagher, E. J., Bijur, P. E., Latimer, C., & Silver, W. (2002). Reliability and validity of a visual analog scale for acute abdominal pain in the ED. The American Journal of Emergency Medicine, 20(4), 287–290.

Glowacki, D. (2015). Effective pain management and improvements in patients’ outcomes and satisfaction. Critical Care Nurse, 35(3), 33–41.

Hjermstad, M. J., Fayers, P. M., Haugen, D. F., Caraceni, A., Hanks, G. W., Loge, J. H., … (EPCRC, E. P. C. R. C. (2011). 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, 41(6), 1073–1093.

Jafari, H., Courtois, I., Van den Bergh, O., Vlaeyen, J. W. S., & Van Diest, I. (2017). Pain and respiration: a systematic review. Pain, 158(6), 995–1006.

Kjeldsen, H. B., Klausen, T. W., & Rosenberg, J. (2016). Preferred presentation of the visual analog scale for measurement of postoperative pain. Pain Practice, 16(8), 980–984.

Kusuma Sari, T. (2016). Introduction of a neonatal pain and agitation protocol at neonatal intensive care unit. Dr Soetomo Hospital. Introd a neonatal pain Agit Protoc neonatal intensive care unit drSoetomo Hosp.

Magbagbeola, J. A. (2001). Pain assessment in Nigerians--visual analogue scale and verbal rating scale compared. West African Journal of Medicine, 20(3), 219–222.

Merskey, H., & Bogduk, N. (1994). IASP Task Force on Taxonomy. Classification of chronic pain. Seattle: IASP press.

Naghibi, K., Saryazdi, H., Kashefi, P., & Rohani, F. (2013). The comparison of spinal anesthesia with general anesthesia on the postoperative pain scores and analgesic requirements after elective lower abdominal surgery: A randomized, double-blinded study. Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences, 18(7), 543.

Schroeder, D. L., Hoffman, L. A., Fioravanti, M., Medley, D. P., Zullo, T. G., & Tuite, P. K. (2016). Enhancing nurses’ pain assessment to improve patient satisfaction. Orthopaedic Nursing, 35(2), 108–117.

Taylor, L. J., & Herr, K. (2003). Pain intensity assessment: a comparison of selected pain intensity scales for use in cognitively intact and cognitively impaired African American older adults. Pain Management Nursing, 4(2), 87–95.

Thong, I. S. K., Jensen, M. P., Miró, J., & Tan, G. (2018). The validity of pain intensity measures: what do the NRS, VAS, VRS, and FPS-R measure? Scandinavian Journal of Pain, 18(1), 99–107.

Treede, R.-D. (2018). The International Association for the Study of Pain definition of pain: as valid in 2018 as in 1979, but in need of regularly updated footnotes. Pain Reports, 3(2).

Von Korff, M., Jensen, M. P., & Karoly, P. (2000). Assessing global pain severity by self-report in clinical and health services research. Spine, 25(24), 3140–3151.

Wall&Melzack’s. (n.d.). TEXTBOOKOFPAIN. (I. M. StephenB.McMahon, Ed.). Philadelphia: Elsevier Saunders, Inc.

Wels D. (2015). Management of postoperative pain. Anaesth Suppl ManagPostoper pain Manag [Internet].

DOI: https://doi.org/10.33366/jc.v8i3.1802

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