Metody oceny natężenia bólu u dorosłych pacjentów oddziałów intensywnej terapii —polska wersja językowa narzędzia CPOT (Critical Care Pain Observation Tool) i BPS (Behavioral Pain Scale)

Abstract

Many patients treated in the intensive care unit (ICU) experience pain that is a source of suffering and leaves a longterm imprint (chronic pain, post-traumatic stress disorder). Nearly 30% of patients experience pain at rest, while the percentage increases to 50% during nursing procedures. Pain in ICU patients can be divided into four categories: continuous ICU treatment-related pain/discomfort, acute illness-related pain, intermittent procedural pain and pre-existing chronic pain present before ICU admission. As daily nursing procedures and interventions performed in the ICU may be a potential source of pain, it is crucial to use simple pain monitoring tools. The assessment of pain intensity in ICU patients remains an everyday challenge for clinicians, especially in sedated, intubated and mechanically ventilated patients. Regular assessment of pain intensity leads to improved outcome and better quality of life of patients in the ICU and after discharge from ICU. The gold standard in pain evaluation is patient self-reporting, which is not always possible. Current research shows that the two tools best validated for patients unable to self-report pain are the Behavioral Pain Scale (BPS) and the Critical Care Pain Observation Tool (CPOT). Although international guidelines recommend the use of validated tools for pain evaluation, they underline the need for translation into a given language. The authors of this publication obtained an official agreement from the authors of the two behavioral scales -CPOT and BPS -for translation into Polish. Validation of these tools in the Polish population will aid their wider use in pain assessment in ICUs in Poland.

Multicenter assessment of sedation and delirium practices in the intensive care units in Poland - is this common practice in Eastern Europe?

“…Identification of barriers potentially impairing adherence to international guidelines may be the first step in improvement. One of the identifiable problems may be the language barrier, therefore the clinical tools (RASS, CAM-ICU, CPOT and BPS) have recently been translated into Polish after official permission was obtained from the authors of these tools [ 9 , 11 ]. Looking at other Eastern European countries, it must be stressed that while the CAM-ICU is available in Czech, Serbian, Russian and Polish, there is work to be done for the other Eastern European countries for all the tools.…”

Validation of the behavioral pain scale to assess pain intensity in adult, intubated postcardiac surgery patients

“…[ 5 , 7 , 12 ] BPSs (CPOT and BPS) were originally available only in French or English, but translation into Polish was performed by the authors of this study. [ 10 ] A study validating the Polish version of CPOT has already been published and aids Polish-speaking healthcare professionals and patients worldwide. [ 13 ] Our present study concentrated on the validation of the POL-BPS along with other recent attempts to validate the BPS in different countries.…”

“…Payen). [ 10 , 11 ] The next steps were: bilingual medical and nonmedical translation, blind backtranslation, review by the expert panel reaching consensus, staff education prior to pretesting, scale pretesting, and preparation of the final version of the test. Afterwards the POL-BPS was published in Polish critical care press and is available for general use with free access.…”

“…Afterwards the POL-BPS was published in Polish critical care press and is available for general use with free access. [ 10 ] This led to a period of theoretical and practical training regarding the BPS and was the basis for a validation study.…”

Enhanced Recovery in Surgical Intensive Care: A Review

“…There are many tools for measuring the pain in critically ill patient (Critical Car e Pain Observation Tool or BPS —Behavioral Pain Scale) which can be used, or modified for local conditions ( 10 ).…”