Comparative evaluations of single‐item pain‐intensity measures in cancer patients: Numeric rating scale vs. verbal rating scale

2020 ◽  
Vol 29 (15-16) ◽  
pp. 2945-2952 ◽  
Author(s):  
Hee‐Ju Kim ◽  
Sun‐Ok Jung
2021 ◽  
Vol 5 (2) ◽  
pp. 66
Author(s):  
Lia Masliha Masliha

Kanker payudara memberikan masalah ketidaknyamanan klien, dimana klien akan mengalami nyeri sedang atau continue sehingga dapat menurunkan kualitas dan produktifitas hidupnya. Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui pengaruh pijat klasik terhadap intensitas nyeri pada klien perempuan dengan kanker payudara yang menjalani kemoterapi. Metode: Desain penelitian kuantitatif dengan metode quasi-experimental dengan pendekatan one-group pretest dan posttest without control. Penelitian ini melibatkan sampel sebanyak 26 orang. Intervensi yang dilakukan berupa masase klasik, pada bagian area punggung bagian atas, bahu, kedua tangan sampai punggung tangan.  Masase klasik ini dilakukan 10-15 menit. Instrumen menggunakan Numeric Rating Scale. Analisis data menggunakan uji statistik paired T test dengan tingkat signifikansi 0,05 dan tingkat kepercayaan 95%. Hasil: Didapatkan sebagian besar responden mengalami nyeri berat (73,1%). Setelah diberikan intervensi, responden mengalami penurunan intesitas nyeri sedang (88,5%). Hasil analisis menunjukkan ada hubungan yang signifikan pemberian masase klasik dengan penurunan intesitas nyeri (p-value 0,000). Diskusi: Pemberian masase klasik merangsang pengeluaran hormon endorfin yaitu hormon yang merupakan penekan atau penghilang rasa nyeri alami sehingga menurunkan intensitas nyeri. Kesimpulan: perlunya menciptakan rasa aman dan nyaman bagi pasien kanker payudara selama menjalani kemoterapi, salah satunya dengan pemberian masase klasik. Bagi pihak rumah sakit dapat membuat kebijakan dimana pada pasien kanker payudara sebelum mendapatkan obat penghilang nyeri dilakukan tindakan masase klasik untuk mengurangi efek samping zat kimia jika obat penghilang nyeri tersebut diminum terus menerus.Kata Kunci: kanker payudara, masase klasik, nyeri. Reducing Pain Intensity with Classical Massage in Women with Breast Cancer Receiving Chemotherapy ABSTRACTBreast cancer makes clients uncomfortable, due to which they will experience moderate or continuous pain. As a result, quality and productivity of their life decline. Objective: This research aims to reveal the effect of classical massage on pain intensity in female clients with breast cancer receiving chemotherapy. Methods: It employed a quantitative research design using a quasi-experimental method with a one-group pretest and posttest without control approach. It involved a sample of 26 people. The intervention was given in the form of classical massage on the upper back area, shoulders, both hands to the back of the hand. The classic massage was performed for 10-15 minutes. The instrument used a Numeric Rating Scale. Data were analyzed using statistical paired T test with a significance level of 0.05 and a 95% confidence level. Results: Most of the respondents experienced severe pain (73.1%). After the intervention was given, pain intensity decreased to a moderate pain (88.5%). The results of the analysis indicated that there was a significant correlation between classical massage and a decrease in pain intensity (p-value 0.000). Discussion: Giving classical massage stimulates the release of endorphins, hormones for natural pain suppressants or pain relievers, which then reduce pain intensity. Conclusion: It is necessary to create a sense of security and comfort for breast cancer patients during chemotherapy, one of which is by giving classical massage. The hospital can make a policy that breast cancer patients should receive classical massage before getting painkillers to reduce the side effects of chemicals if the painkillers are taken continuously.Keywords: breast cancer, classical massage, pain.


2009 ◽  
Vol 136 (5) ◽  
pp. A-670
Author(s):  
Gil Y. Melmed ◽  
Andrew Ippoliti ◽  
Eric A. Vasiliauskas ◽  
Dermot P. McGovern ◽  
Marla Dubinsky ◽  
...  

2019 ◽  
Vol 7 (1) ◽  
pp. 52
Author(s):  
Natya Ayu Paluwih ◽  
Riama Marlyn Sihombing ◽  
Kinanthi Lebdawicaksaputri

Post-operative pain is acute and subjective therefore the perceived pain intensity will be different. In one of the western Indonesia Hospitals in measuring the pain threshold using 2 tools namely Numeric Rating Scale and Wong Baker Face. Measurement of the pain intensity can be done with NRS and VAS scale. The objective of this research was to identify the difference of pain scale using the NRS and VAS scale in post-operative patients. The research method was descriptive quantitative using comparative approach. The study was conducted on 1 November 2017 – 12 December 2017.The population of the study are the post-operative patients at the In-Patient wards in a private hospital in Western Part of Indonesia. The samples were obtained using purposive sampling with n = 41. Research instrument consists of observation sheet using NRS and VAS scale. The results showed most respondents during the first eight hours using NRS scale had mild pain (80.5%); first 16 hours had light pain (63.4%); and had mild pain in the first 24 hours (85.4%). Using VAS scale, most of the respondents on the first eight hours has mild pain (87.8%); first 16 hours has mild pain (68.3%); and has mild pain in the first 24 hours (87.8%). The conclusion of this study is there is no difference in pain scale of post-operative patients using VAS scale and NRS scale. So, hospitals can also use the VAS scale to assess pain scale in post-operative patients.


2017 ◽  
Vol 18 (3) ◽  
pp. 340-348 ◽  
Author(s):  
Joseph L. Goulet ◽  
Eugenia Buta ◽  
Harini Bathulapalli ◽  
Ralitza Gueorguieva ◽  
Cynthia A. Brandt

2021 ◽  
Vol 42 (4) ◽  
pp. 687-694
Author(s):  
Mi-jung Yoon ◽  
Na-yeon Kim ◽  
Hong-sik Choi ◽  
Seung-mo Kim ◽  
Kyung-soon Kim

Objectives: The aim of this case report is to present abdominal pain relief in a patient diagnosed with colorectal cancer with several organ metastases.Methods: The patient was treated with herbal medicine, acupuncture, and moxibustion. The effect of the treatment was measured by a numeric rating scale (NRS).Results: The NRS of the patient’s abdominal pain was reduced after Korean medicine treatment.Conclusions: This case report suggests that Korean medicine may be effective for treating abdominal pain in cancer patients. However, additional study is needed to confirm interactions between Korean medicine and the control of abdominal pain.


Author(s):  
Ibnu Putra ◽  
Yuneldi Anwar ◽  
Khairul Putra Surbakti

COMPARATIVE ANALGESIC EFFECTS OF AMITRIPTYLINE, GABAPENTIN, AND PREGABALIN IN DIABETIC NEUROPATHY AND TRIGEMINAL NEURALGIAABSTRACTIntroduction: The management of neuropathic pain is a challenge for clinicians because of its nonspecific and difficult clinical to treat characteristics. The e use of antidepressant drugs such as amitriptyline and anticonvulsants such as gabapentin and pregabalin has shown various efficacy overcoming neuropathic pain.Aim: To compare the analgesic  efficacy of amitriptyline, gabapentin, and pregabalin  in patients with diabetic neuropathy and trigeminal neuralgia.Methods: This is an experimental pre and post test study on patients with diabetic neuropathy and trigeminal neuralgia in neurology clinic Haji Adam Malik Hospital, Medan, from April 2015 to march 2017. in each disease, subjects were divided into three groups, each was treated either with oral amitriptyline 12.5mg, gabapentin 100mg, or pregabalin 75mg twice daily. The Numeric Rating Scale to assess pain intensity were examined before and after two weeks after treatment.Results: The number of diabetic neuropathy subjects was 75, while trigeminal neuralgia subjects was 30, each were divided into three groups treated either with amitriptyline, gabapentin, or pregabalin. There were no differences on pain intensity changes in diabetic neuropathy groups but significant differences were shown in trigeminal neuralgia groups.Discussion: Amitriptyline, gabapentin, and pregabalin effective to lower pain intensity in trigeminal neuralgia significantly compare to diabetic neuropathy.Keywords: Amitriptyline, diabetic neuropathy, gabaptentin, pregabalin, trigeminal neuralgiaABSTRAKPendahuluan: Pengelolaan nyeri neuropatik merupakan tantangan bagi klinisi karena karakteristik klinisnya yang nonspesifik dan tatalaksananya yang sulit. Penggunaan antidepresan seperti amitriptilin dan antikonvulsan seperti gabapentin dan pregabalin mempunyai efikasi yang berbeda-beda dalam mengatasi nyeri neuropatik.Tujuan: Mengetahui perbedaan efek analgesik dari amitriptilin, gabapentin, dan pregabalin pada penderita neuropati diabetik dan neuralgia trigeminal.Metode: Studi eksperimental pre dan post test terhadap pasien neuropati diabetik atau neuralgia trigeminal yang berobat ke Poliklinik Neurologi RSUP Haji Adam Malik, Medan, sejak bulan April 2015 hingga Maret 2017. Semua subjek dibagi menjadi tiga kelompok untuk setiap penyakit, yang masing-masing mendapatkan amitriptilin 12,5mg, gabapentin 100mg, dan pregabalin 75mg, dengan frekuensi pemberian obat dua kali sehari setiap kelompok. Pengukuran intensitas nyeri dengan menggunakan Numeric rating Scale dilakukan sebelum dan setelah dua minggu pengobatan.Hasil: Didapatkan subjek dengan neuropati diabetik sebanyak 75 orang dan neuralgia trigeminal 30 orang yang masing-masing dibagi menjadi 3 kelompok dengan terapi amitriptilin, gabapentin, dan pregabalin. Tidak terdapat perbedaan rerata perubahan intensitas nyeri yang bermakna pada kelompok neuropati diabetik, namun bermakna pada subjek neuralgia trigeminal.Diskusi: Amitriptilin, gabapentin, dan pregabalin memiliki efikasi dalam menurunkan intensitas nyeri pada neuralgia trigeminal secara bermakna dibandingkan pada neuropati diabetik.Kata kunci: Amitriptilin, gabapentin, neuralgia trigeminal, neuropati diabetik,pregabalin


2008 ◽  
Vol 33 (Sup 1) ◽  
pp. e157
Author(s):  
J. F.M. van Dijk ◽  
T. H. Kappen ◽  
A. J.M. van Wijck

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