Assessment instruments used for self-report of pain in
hospitalized stroke patients with communication problems: a
scoping review

J 2022

Assessment instruments used for self-report of pain in hospitalized stroke patients with communication problems: a scoping review

MANDYSOVA, Petra, Jitka KLUGAROVÁ, Iryna MATEJKOVA, J. Carolien DE VRIES NEELTJE, Miloslav KLUGAR et. al.

Basic information

Original name

Assessment instruments used for self-report of pain in hospitalized stroke patients with communication problems: a scoping review

Authors

MANDYSOVA, Petra (203 Czech Republic, guarantor), Jitka KLUGAROVÁ (203 Czech Republic, belonging to the institution), Iryna MATEJKOVA (203 Czech Republic), J. Carolien DE VRIES NEELTJE and Miloslav KLUGAR (203 Czech Republic, belonging to the institution)

Edition

JBI Evidence Synthesis, PHILADELPHIA, Wolters Kluwer Health, 2022, 2689-8381

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30230 Other clinical medicine subjects

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.700

RIV identification code

RIV/00216224:14110/22:00127141

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.11124/JBIES-21-00047

UT WoS

000844302000004

Keywords in English

assessment instruments; communication; pain; self-report; stroke

Abstract

V originále

Objective: The objective of this scoping review was to identify assessment instruments used for the self-report of pain by hospitalized patients who have had a stroke and who have communication problems. Introduction: Pain assessment in various patient groups has received considerable attention, and a variety of pain assessment instruments exists. Nevertheless, there is a lack of consensus regarding which pain assessment instruments are used for self-report of pain in stroke patients with communication problems. Inclusion criteria: This review included articles that focused on hospitalized adults who have had a stroke, have communication problems attributable to a stroke, and describe the use of an assessment instrument for the self-report of pain. The scoping review considered systematic reviews, quantitative and qualitative studies, and mixed method studies. Methods: Ten databases were searched from inception to August 2020, using Embase as the key information source (it yielded 424 papers). Hand-searching of the references of the included articles yielded an additional 12 papers. Papers written in any language were considered. A data extraction table was created to record relevant information in line with the goals and results of each article, the sample studied, and the pain assessment instrument used. Results: Ten papers were included in the review, most of which were descriptive studies. Most papers were from the United Kingdom and the United States. The most common communication problem in stroke patients was aphasia. The participants received care in various hospital settings (eg, rehabilitation units, comprehensive stroke units, palliative care). Eleven assessment instruments were identified. In most cases, the assessment instruments focused on assessing pain presence and pain intensity. The most frequently used unidimensional pain intensity instrument was the numerical rating scale. Four instruments were multidimensional, of which two assessed health-related quality of life, including pain. The most thorough pain assessment instrument was the ShoulderQ, which contains 10 verbal questions and three visual vertical graphic rating scales that focus on the assessment of stroke-related shoulder pain. Conclusions: A range of both unidimensional and multidimensional self-report pain instruments was identified; however, of all the possible communication problems, most studies focused solely on patients with mild to moderate aphasia. Therefore, further research is recommended, including studies that also enroll patients with various stroke-related communication problems other than aphasia. In addition, the instruments should be translated for research in non-Western countries. Finally, apart from descriptive studies, experimental research with a robust randomized controlled trial design is needed to examine the effect of pain-inducing procedures on the perceived pain in patients with stroke-related communication problems.

Citovat

MANDYSOVA, Petra, Jitka KLUGAROVÁ, Iryna MATEJKOVA, J. Carolien DE VRIES NEELTJE and Miloslav KLUGAR. Assessment instruments used for self-report of pain in hospitalized stroke patients with communication problems: a scoping review. JBI Evidence Synthesis. PHILADELPHIA: Wolters Kluwer Health, 2022, vol. 20, No 6, p. 1511-1536. ISSN 2689-8381. Available from: https://dx.doi.org/10.11124/JBIES-21-00047.

@article{2231677,
   author = {Mandysova, Petra and Klugarová, Jitka and Matejkova, Iryna and de Vries Neeltje, J. Carolien and Klugar, Miloslav},
   article_location = {PHILADELPHIA},
   article_number = {6},
   doi = {http://dx.doi.org/10.11124/JBIES-21-00047},
   keywords = {assessment instruments; communication; pain; self-report; stroke},
   language = {eng},
   issn = {2689-8381},
   journal = {JBI Evidence Synthesis},
   title = {Assessment instruments used for self-report of pain in hospitalized stroke patients with communication problems: a scoping review},
   url = {https://journals.lww.com/jbisrir/Abstract/2022/06000/Assessment_instruments_used_for_self_report_of.4.aspx},
   volume = {20},
   year = {2022}
}

TY  - JOUR
ID  - 2231677
AU  - Mandysova, Petra - Klugarová, Jitka - Matejkova, Iryna - de Vries Neeltje, J. Carolien - Klugar, Miloslav
PY  - 2022
TI  - Assessment instruments used for self-report of pain in hospitalized stroke patients with communication problems: a scoping review
JF  - JBI Evidence Synthesis
VL  - 20
IS  - 6
SP  - 1511-1536
EP  - 1511-1536
PB  - Wolters Kluwer Health
SN  - 26898381
KW  - assessment instruments
KW  - communication
KW  - pain
KW  - self-report
KW  - stroke
UR  - https://journals.lww.com/jbisrir/Abstract/2022/06000/Assessment_instruments_used_for_self_report_of.4.aspx
N2  - Objective: The objective of this scoping review was to identify assessment instruments used for the self-report of pain by hospitalized patients who have had a stroke and who have communication problems. Introduction: Pain assessment in various patient groups has received considerable attention, and a variety of pain assessment instruments exists. Nevertheless, there is a lack of consensus regarding which pain assessment instruments are used for self-report of pain in stroke patients with communication problems. Inclusion criteria: This review included articles that focused on hospitalized adults who have had a stroke, have communication problems attributable to a stroke, and describe the use of an assessment instrument for the self-report of pain. The scoping review considered systematic reviews, quantitative and qualitative studies, and mixed method studies. Methods: Ten databases were searched from inception to August 2020, using Embase as the key information source (it yielded 424 papers). Hand-searching of the references of the included articles yielded an additional 12 papers. Papers written in any language were considered. A data extraction table was created to record relevant information in line with the goals and results of each article, the sample studied, and the pain assessment instrument used. Results: Ten papers were included in the review, most of which were descriptive studies. Most papers were from the United Kingdom and the United States. The most common communication problem in stroke patients was aphasia. The participants received care in various hospital settings (eg, rehabilitation units, comprehensive stroke units, palliative care). Eleven assessment instruments were identified. In most cases, the assessment instruments focused on assessing pain presence and pain intensity. The most frequently used unidimensional pain intensity instrument was the numerical rating scale. Four instruments were multidimensional, of which two assessed health-related quality of life, including pain. The most thorough pain assessment instrument was the ShoulderQ, which contains 10 verbal questions and three visual vertical graphic rating scales that focus on the assessment of stroke-related shoulder pain. Conclusions: A range of both unidimensional and multidimensional self-report pain instruments was identified; however, of all the possible communication problems, most studies focused solely on patients with mild to moderate aphasia. Therefore, further research is recommended, including studies that also enroll patients with various stroke-related communication problems other than aphasia. In addition, the instruments should be translated for research in non-Western countries. Finally, apart from descriptive studies, experimental research with a robust randomized controlled trial design is needed to examine the effect of pain-inducing procedures on the perceived pain in patients with stroke-related communication problems.
ER  -

MANDYSOVA, Petra, Jitka KLUGAROVÁ, Iryna MATEJKOVA, J. Carolien DE VRIES NEELTJE and Miloslav KLUGAR. Assessment instruments used for self-report of pain in hospitalized stroke patients with communication problems: a scoping review. \textit{JBI Evidence Synthesis}. PHILADELPHIA: Wolters Kluwer Health, 2022, vol.~20, No~6, p.~1511-1536. ISSN~2689-8381. Available from: https://dx.doi.org/10.11124/JBIES-21-00047.

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