Academic literature on the topic 'APS-POQ-R'

The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) is the most commonly used instrument to assess the quality of pain management in many countries but the validity and reliability of this instrument has not been verified in Indonesia. This is a descriptive, cross-sectional psychometric study to test the validity and reliability of Indonesia version of APS-POQ-R instrument to evaluate postoperative pain management quality. The APS-POQ-R was translated into Bahasa Indonesia according to international guidelines. The translation result was tested in 102 patients who underwent elective surgery at Cipto Mangunkusumo Hospital from March to April 2017. Coefficient Aiken V formula was used for content validity test while factor analysis and corrected item total correlation were used for construction validity test. Reliability was tested using internal consistency (Chronbach α). Aiken V formula showed the Indonesian version of APS-POQ-R was valid with score of 0.8–1 (scale V was ≥0.5). Factor analysis generated five main factors out of 18 instrument questions: activity and sleep disturbances, impact of pain to emotion, side effects, pain management perception, and pain scale. Construction validity test with corrected item total correlation showed all questions has good correlation, which ranged between 0.244–0.799 (correlation ≥0.3). Correlation between each factors of the Indonesian version of APS-POQ-R ranged 0.319–0.407. Internal consistency test showed the Indonesian version of APS-POQ-R was reliable with score of 0.663 (α > 0.5). The Indonesian version of APS-POQ-R is valid and reliable to measure postoperative pain management quality.

BackgroundIn general, the quality of pain care in emergency departments (ED) is poor, despite up to 80% of all ED patients presenting with pain. This may be due to the lack of well-validated patient-reported outcome measures (PROMs) of pain care in the ED setting. The American Pain Society-Patient Outcome Questionnaire-Revised Edition (APS-POQ-R), with slight modification for ED patients, is a potentially useful PROM for the adult ED, however it is yet to be completely validated.MethodsAdult patients, who had presented with moderate to severe acute pain, were recruited at two large inner-city EDs in Australia. A modified version of the APS-POQ-R was administered at the completion of their ED care. Responses were randomly split into three groups and underwent multiple rounds of exploratory and confirmatory factor analysis with testing for construct, convergent, divergent validity and internal consistency.ResultsA total of 646 ED patients (55.6% female), with a median age of 48.3 years, and moderate to severe pain on arrival, completed the ED-modified APS-POQ-R. Psychometric evaluation resulted in a reduced nine-question tool, which measures three constructs (pain relief and satisfaction (α=0.891), affective distress (α=0.823) and pain interference (α=0.908)) and demonstrated construct, convergent, divergent validity, and internal consistency.ConclusionsThis new tool, which we refer to as the American Pain Society-Patient Outcome Questionnaire-Revised for the ED (APS-POQ-RED), should form the basis for reporting patient-reported outcomes of ED pain care in future quality improvement and research.

Abstract Background and aims This paper forms part of a study evaluating the effect of patient-controlled oral analgesia for patients admitted to hospital with acute abdominal pain. Pain is a subjective experience, and a multifaceted evaluation tool concerning patient-reported outcome measures is needed to monitor, evaluate, and guide health care professionals in the quality of pain management. The Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) is a validated multifaceted evaluation tool for measuring patient-reported pain experiences to evaluate different pain management interventions. The aim of this study was to evaluate the psychometric properties of a modified Danish version of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R-D) used during and after hospitalization for patients with acute abdominal pain. Methods The APS-POQ-R was translated into Danish and two slightly different questionnaires were formed. Questionnaire one had 39 items and the six subscales pain severity (pain), perception of care (satisfaction), pain interference with function (activity) and emotions (emotion), side effects of treatment (safety), and patient-related barriers to pain management. The questionnaire focused on time during hospital stay and was to be completed at discharge. Questionnaire two included 25 items and the five subscales pain, satisfaction, activity, emotion, and safety and focused on time at home and was to be completed daily 1 week after discharge. The questionnaires were tested on 156 patients with acute abdominal pain. Internal consistency reliability and construct validity was examined. Results In both questionnaires, the results of correlations and tests for internal consistency reliability showed a Cronbach’s alpha of >0.7 for the pain, activity, and emotion subscales, but the value was ≥0.69 for the satisfaction subscale. In questionnaire one, Cronbach’s alpha was ≤0.64 for the safety subscale, but this was 0.73 when the item “itching” was deleted. In questionnaire two, Cronbach’s alpha was ≤0.51 for the safety subscale. For the patient-barrier subscale in questionnaire one, Cronbach’s alpha was ≤0.62 for any combination of the items in the subscale. The results of the construct validity and factor analysis showed a five-factor structure in questionnaire one and a three-factor structure in questionnaire two. In questionnaire one, items from the pain, activity, emotion, and safety subscales, except for the items “least pain” and “itching,” loaded on factor one. In questionnaire two, all items from the pain, activity, and emotion subscales loaded on factor one. Conclusions The modified APS-POQ-R-D demonstrated adequate psychometric properties for the five subscales pain severity (pain), perception of care (satisfaction), pain interference with function (activity) and emotions (emotion), side effects of treatment (safety), but not for the patient-barrier subscale for patients hospitalized with acute abdominal pain. Consequently, the APS-POQ-R-D may be used without the patient-barrier subscale. Implications The clinical implications of this study may help clinicians with investigating how acute patients manage pain during and after hospital admission.

Background: Evaluation of patient satisfaction score and to assess quality of pain relief following intraperitoneal instillation of Ropivacaine with adjuncts Dexmedetomidine vs Ketamine using modified version of revised APS-POQ in patients undergoing laparoscopic cholecystectomy. Methods: Sixty patients undergoing laparoscopic cholecystectomy were randomised into three groups of 20 each and received Ropivacaine 0.2 % (group R), Ropivacaine 0.2 % with Dexmedetomidine 0.7µg/ kg (group RD) and Ropivacaine with Ketamine 0.5 mg/kg (group RK) in a total volume of 40 ml. Pain severity, subjective pain complaints, pain interference in physical activity, and patient's and caregiver's satisfaction were evaluated using a modified version of the revised APS-POQ at 24 hours postoperatively. Result: Mean pain scores for worst pain were observed to be least in Group RD, with mean values being 1.75±1.743, followed by 5.45±1.701 in Group R and mean value of 5.60±0.754 in Group RK. Mean patient satisfaction scores were found to be highest in Group RD (94.00±8.826), followed by Group R (80.00±15.218), and least in Group RK (78.50±12.258). This difference was observed to be statistically significant (p<0.05) in all groups. Primary care physicians caring for the RD group had higher satisfaction scores (9.40±0.883) compared to Group RK (7.85±1.226) and Group R (8.05±1.468) Conclusion: Quality of pain relief improved the best with Dexmedetomidine followed by Ketamine and least when Ropivacaine used alone for intraperitoneal instillation. The overall patients' satisfaction was found to be more with Ropivacaine with Dexmedetomidine when compared to Ropivacaine alone or with Ketamine

Assessment of postoperative cardiac pain management needs to be conducted to evaluate success in pain management after cardiac surgeries. Up to the present time, assessment of postoperative cardiac pain management has not been done in Indonesia. This study aims to determine the level of patient's satisfaction on pain management after having an open cardiac surgery at the first 24 hours post-extubation at Hasan Sadikin Hospital Bandung. A cross sectional study was conducted by using a questionnaire in the ICU of Hasan Sadikin Hospital Bandung from 18th June 2019 until 10th January 2020. The examination of patient satisfaction was carried out through the Indonesian-version of American Pain Society Patient Outcome Questionnaire Revised (APS-POQ-R). All 51 patients in that period agreed to participate in the study. The results showed that patients were satisfied (90.2%) and very satisfied (9,8%) with pain management in the first 24 hours after open cardiac surgery extubation at Hasan Sadikin Hospital. In summary, all patients were highly satisfied with pain management in the ICU of Dr. Hasan Sadikin General Hospital Bandung

Postoperative pain needs to be a concern for nurses because pain causes discomfort, one of the basic human needs. Untreated postoperative pain can affect quality of life and the recovery process. With a management approach, the nursing process can be integrated with the management process. Control and evaluation as part of the management process is important because at this stage the nursing manager can determine the quality of care provided. This case study aims to describe the use of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) in evaluating pain management. Patient was admitted with post-spinal decompression and posterior stabilization e.c tuberculosis spondylitis. Pain management includes observing pain, deep breathing relaxation techniques and praying/dzikir, providing education about the causes, triggers, and strategies to relieve pain, as well as providing collaborative measures of ketorolac analgesics. Evaluation of pain management with this questionnaire was carried by researcher out in the first 24 hours postoperative. After receiving pain management, an overview of the severity and reduction of patient pain, the impact of pain on activity, sleep, and negative emotions, the side effects of using ketorolac, the usefulness of information about pain management, the patient's ability to participate in pain treatment decisions, and use of non-pharmacological strategies. The APS-POQ-R can be used to evaluate of six aspects of patient pain management.

A B S T R A C TPain is an unpleasant sensory and emotional experience associated with actual orpotential tissue damage, or described in terms of such damage. APS-POQ-R (RevisedAmerican Pain Society Patient Outcome Questionnaire) is a measuring tool for assessingthe quality of postoperative pain management by exploring patient experiences andoutcomes. This research aims to assess the quality of postoperative pain managementat Mohammad Hoesin Hospital Palembang and to determine the factors that influenceit. The Cross-sectional observational analytic study was conducted toward 51respondents. Data was collected primarily by using questionnares and interview. Datawas analyzed by using chi-square. The study showed that the quality of postoperativepain management at RSUP Mohammad Hoesin General Hospital Palembang has goodquality with a total of 27 patients (52.9%). From statistical analysis there wassignificant relationship between the quality of post-operative pain management withage (p=0,037), gender (p=0,027), ethnicity (p=0,039), education level (p=0,039), andeconomic level (p=0,005). So it can be concluded that was a significant relationshipbetween the quality of post-operative pain management with age, gender, ethnicity,education level, and economic level.