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Apr 2020, Vol 8, Issue 2
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Original Article
Checklist for Determining Severity of Pain and Type and Dosage of Analgesics Administered to Women s Patient Undergoing Breast Surgeries
Davoud Aghamohamadi1, Mehdi Khanbabayi Gol2
1Department of Anesthesiology, Faculty of Medicine, Imam Reza Medical, Tabriz University of Medical Sciences. Tabriz, Iran
2Responsible for the Nursing Research Committee of Imam Reza Hospital, Nursing & Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran

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Keywords : Breast cancer, Checklist, Reliability, Pain control, Validity
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Objectives: Control of acute pains requires proper diagnosis and prescription of appropriate drugs. Hence, it is quite necessary to develop a systematic checklist containing all factors affecting acute postoperative pain or any acute pain associated with breast cancer in order to determine the type and dosage of analgesics administered to patients. The aim of the present study was  design  the  psychometric, and pilot execution of a checklist for determining the severity of pain and type and dosage of analgesics administered to patients undergoing breast surgeries.

Materials and Methods: The present research was a methodological study conducted in Tabriz from 2018 to 2019. The participants consisted of 340 patients who were selected based on the inclusion and exclusion criteria. The study was carried out in four stages including interviews with patients and elicitation of experts’ views and opinions, checklist validity assessment, finalization of items, and questionnaire reliability assessment. The data were statistically analyzed using the inter-cluster correlation test and the Kuder–Richardson Formula 20 (KR-20) in SPSS-19.

Results: In the first stage, a 100-item checklist in 4 sub scales (severe pain, relatively severe pain, moderate pain, and mild pain) was designed. Then, 66 items were eliminated due to low Content Validity Ratio(CVR) and Content Validity Index(CVI). The final checklist contained 34 items with an S-CVI/Ave of 0.941, inter-cluster correlation test(P=0.001)and internal consistency of 0.921.

Conclusions: The final checklist entitled “Pain Diagnosis and Drug Prescription for Breast Cancer Patients” was an appropriate tool for precise determination of the severity of pain and type and dosage of postoperative analgesics.

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