Validation of the tablet-based Turkish-PAINReportIt® for lung cancer patients after thoracotomy in Turkey.
Sevilay Erden, Seda Karacay Yikar, Sevgi Deniz Doğan and 7 others
PMID 36933901WHAT IT FOUND
Literate Turkish patients after thoracotomy could use a tablet to report pain location, intensity, quality and pattern.
Pain scores fell as expected over the first 4 days and by 2 weeks. The tool tracked expected pain recovery.
Key findings
01In 32 patients after thoracotomy, cognitive interviews showed the patients generally understood the Turkish tablet pain screens and could report pain location, intensity, quality and pattern.
02In 80 patients, pain intensity, quality and pattern scores were significantly lower on day 4 than on day 1, and pain intensity, quality, pattern and location scores were significantly lower at 2 weeks than on day 1.
03The surgeons and nurses in the focus group supported tablet use but said patients needed training before surgery and enough tablets.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in a Turkish thoracic surgery clinic, so it may not apply to other hospitals, languages or patient groups. Analgesic medications on postoperative days 1 to 4 and at the 2-week visit were not standardized or considered in the analyses. Women were under-represented in the sample. It included only patients with post-thoracotomy pain, so it does not show how the tool works for other pain conditions. It is not appropriate for individuals who lack sufficient written literacy skills. System errors interfered with data collection for 9 subjects and required replacement of 6 phase 1a participants and 3 phase 2 participants. The study was an initial proof-of-concept validation of assessment, not a test of whether the tool improves pain management.
Declared interests
Dr. Wilkie is co-founder and Chairman of eNursing llc, a company that does not currently own PAINReportIt. The other authors have no funding or conflicts of interest to disclose. The original PAIN Report It software was developed with National Institutes of Health support.
The easy way to misread this
Do not conclude that the tablet improves pain control or should be used for all Turkish patients after thoracotomy. It was an assessment tool validation, not a treatment trial, and it is not appropriate for patients who lack sufficient written literacy skills.