Psychometric Analysis of Glasgow Coma Scale Modified by Palma and Cook among Patients Hospitalized in Intensive Care Unit by Untrained Evaluators

Authors

  • Azim Azizi - دانشگاه علوم پزشکی تبریز- دانشکده پرستاری، مامايي
  • Seyed Davoud Tadrissi دانشگاه علوم پزشکی بقيه‌الله (عج)- دانشکده پرستاری
  • Abbass Ebadi دانشگاه علوم پزشکی بقيه‌الله (عج)- دانشکده پرستاری
  • Nozhatosadat Taghavi دانشگاه علوم پزشکی شاهرود- دانشکده پرستاری، مامايي- عضو هيئت علمي
  • Fatemeh Mohammedi دانشگاه علوم پزشکی تبریز- دانشکده پرستاری، مامايي
  • Maryam Rauof دانشگاه علوم پزشکی تبریز- دانشکده پرستاری، مامايي
  • Narges Zare - دانشگاه علوم پزشکی تهران- بیمارستان شهید رجایی تهران
  • Vahid Shojaeimotlagh دانشگاه علوم پزشکی تبریز- دانشکده پرستاری، مامايي

DOI:

https://doi.org/10.22100/jkh.v8i1.43

Keywords:

Glasgow coma scale modified by palma and cook, Sedation, Reliability, Validity, Intensive care unit.

Abstract

Introduction: Under sedation and over sedation cause several problems for critical care patients. There are no truly validated instruments for monitoring intensive care unit sedation. The purpose of this study was to determine the validity and reliability of glasgow coma scale modified by palma and cook in adult patients hospitalized in intensive care unit by untrained evaluators.

Methods: The study is analytical. After translating the English version of (GCSC) into persian through international Quality of life assessment method, eight surveyors (principle investigator (PI), six nurses and one resident anesthesiologist), 70 patients hospitalized in critical care unit were selected through purposeful sampling. PI and all investigators evaluated the patients independently and recorded a GCSC score. In addition, the PI marked a 10cm Visual Analog Scale and recorded Richmond sedation agitation score in order to determine of validity GCSC. Evaluators had not received training about glasgow coma scale modified by palma and cook.

Results: Interclass correlation coefficient between inter-rater in untrained group for Glasgow coma scale modified by palma and cook  showed 0.898 and the weighted kappa score for interrater agreement was 0.894with, P>0.001. Also positive and significant (P<0.001) correlations between GCSC score with visual analog scale (r=0.91), with Richmond sedation agitation scale (r=0.897) and with Glasgow Coma (r= 0.897) were observed.

Conclusions: Validity and reliability of Glasgow coma scale modified by palma and cook for assessing the level of sedation in adult patients hospitalized in intensive care can be approved even by untrained evaluators. 

References

Carrasco G. Instruments for monitoring intensive care unit sedation. Critical Care. 2000;4(4):217.

Ryder-Lewis M. Reliability study of the sedation-agitation scale in an intensive care unit. 2004.

McGaffigan PA. Advancing sedation assessment to promote patient comfort. Critical care nurse. 2002:29.

Jacobi J, Fraser GL, Coursin DB, Riker RR, Fontaine D, Wittbrodt ET, et al. Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult. Critical care medicine. 2002;30(1):119-41.

Aaronson N, Acquadro C, Alonso J, Apolone G, Bucquet D, Bullinger M, et al. International quality of life assessment (IQOLA) project. Quality of life research. 1992;1(5):349-51.

Fowler SB, Hertzog J, Wagner BKJ. Pharmacological interventions for agitation in head-injured patients in the acute care setting. Journal of Neuroscience Nursing. 1995;27(2):119.

Cook S, Palma O. Propofol as a sole agent for prolonged infusion in intensive care. J Drug Dev. 1989;4(Suppl 2):65-7.

White SK, Hollett JK, Kress JP, Zellinger M. A renaissance in critical care nursing technological advances and sedation strategies. Critical Care Nurse. 2001;21(5; SUPP):1-14.

Ely EW, Truman B, Shintani A, Thomason JWW, Wheeler AP, Gordon S, et al. Monitoring sedation status over time in ICU patients. JAMA: the journal of the American Medical Association. 2003;289(22):2983-91.

De Jonghe B, Cook D, Appere-De-Vecchi C, Guyatt G, Meade M, Outin H. Using and understanding sedation scoring systems: a systematic review. Intensive care medicine. 2000;26 (3):275-85.

Azizi A, Tadrissi S, Ebadi A, Asad Zandi M, Babatabar Darzi H, Madani S, et al. Validity and reliability of Glasgow sedation level determination scale modified by Palma & Cook (GCSC) in adult patients hospitalized in critical care unit. IRANIAN JOURNAL OF CRITICAL CARE NURSING (IJCCN). 2009.

Ware JE, Keller SD, Gandek B, Brazier JE, Sullivan M. Evaluating translations of health status questionnaires: Methods from the IQOLA Project. International journal of technology assessment in health care. 1995;11(03):525-51.

Apolone G, Mosconi P. The Italian SF-36 Health Survey: translation, validation and norming. Journal of clinical epidemiology. 1998;51(11):1025-36.

Ware JE, Gandek B. Overview of the SF-36 health survey and the international quality of life assessment (IQOLA) project. Journal of clinical epidemiology. 1998;51(11):903-12.

Saraipur S. translation of knee Injury and osteoarthritis outcome score (KOOS) questionnaire to Persian language and adapt it to Iranian culture tavanbakhshi. 2007;8:1-2. Persian.

Tadrisi SD, Madani SJ, Farmand F, Ebadi A. Richmond agitation-sedation scale validity and reliability in intensive care unit adult patient; persian. Iranian Journaj of Critical Care Nursing (IJCCN). 2009.

Gandek B, Ware JE. Methods for validating and norming translations of health status questionnaires: the IQOLA project approach. Journal of clinical epidemiology. 1998;51(11):953-9.

Egerod I. Uncertain terms of sedation in ICU. How nurses and physicians manage and describe sedation for mechanically ventilated patients. Journal of clinical nursing. 2002;11(6):831-40.

Consales G, Chelazzi C, Rinaldi S, De Gaudio A. Bispectral Index compared to Ramsay score for sedation monitoring in intensive care units. Minerva anestesiologica. 2006;72(5):329.

Published

2013-01-22

Issue

Section

Original Article(s)

How to Cite

Psychometric Analysis of Glasgow Coma Scale Modified by Palma and Cook among Patients Hospitalized in Intensive Care Unit by Untrained Evaluators. (2013). Knowledge and Health in Basic Medical Sciences, 8(1), 35-40. https://doi.org/10.22100/jkh.v8i1.43

Most read articles by the same author(s)

<< < 34 35 36 37 38 39 40 41 42 43 > >>