Validation of the tablet-based Turkish-PAINReportIt® for lung cancer patients after thoracotomy in Turkey
Applied Nursing Research, vol.70, 2023 (SCI-Expanded, SSCI, Scopus)
- Publication Type: Article / Article
- Volume: 70
- Publication Date: 2023
- Doi Number: 10.1016/j.apnr.2023.151673
- Journal Name: Applied Nursing Research
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, CINAHL, EMBASE, MEDLINE
- Keywords: McGill pain questionnaire pain, Tablet-based pain assessment, Thoracotomy pain, Turkish-PAINReportIt®
- Isparta University of Applied Sciences Affiliated: No
Abstract
Background: Digital pain assessment is advantageous and timely for healthcare priorities in Turkey. However, a multi-dimensional, tablet-based pain assessment tool is not available in the Turkish language. Purpose: To validate the Turkish-PAINReportIt® as a multi-dimensional measure of post-thoracotomy pain. Methods: In the first of a two-phased study, 32 Turkish patients (mean age 47.8 ± 15.6 years, 72 % male) participated in individual cognitive interviews as they completed the tablet-based Turkish-PAINReportIt® once during the first four days post-thoracotomy, and 8 clinicians participated in a focus group discussion of implementation barriers. In the second phase, 80 Turkish patients (mean age 59.0 ± 12.7 years, 80 % male) completed the Turkish-PAINReportIt® preoperatively, on postoperative days 1–4, and at the two-week post-operative follow-up visit. Results: Patients generally interpreted accurately the Turkish-PAINReportIt® instructions and items. We eliminated some items unnecessary for daily assessment based on focus-group suggestions. In the second study phase, pain scores (intensity, quality, pattern) were low pre-thoracotomy for lung cancer and high postoperatively high on day 1, decreasing on days 2, 3 and 4, and back down to pre-surgical levels at 2-weeks. Over time, pain intensity decreased from post-operative day 1 to post-operative day 4 (p < .001) and from post-operative day 1 to post-operative week 2 (p < .001). Conclusions: The formative research supported proof of concept and informed the longitudinal study. Findings showed strong validity of the Turkish-PAINReportIt® to detect reduced pain over time as healing occurs after thoracotomy.