Applicability, reproducibility, and reliability of the German version of the Glasgow composite measured pain scale - feline during implementation into a small animal clinic.

IF 0.4 4区农林科学 Q4 VETERINARY SCIENCES

Tieraerztliche Praxis Ausgabe Kleintiere Heimtiere Pub Date : 2024-02-01 Epub Date: 2024-02-27 DOI:10.1055/a-2229-3039

Alexandra Schütter, Ana Chorbadzhieva, Sabine Kästner

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引用次数: 0

Abstract

Objective: The aim of the study was to evaluate reproducibility and practicality of the German version of the Glasgow composite measured pain scale - feline, during its implementation into a German veterinary hospital.

Material and methods: The study comprised of 2 parts. Participation of veterinary professionals was voluntary. During part 1, 15 staff members (all rater=AR) with variable clinical experience (nurses, interns, junior clinician, senior clinicians), from 4 disciplines (anesthesia, internal medicine, surgery, neurology), and one main investigator (AC), pain scored 45 diseased cats and 10 healthy cats. Part 2 was an online survey, evaluating the practical experience of participants during part 1 and asking for suggestions to improve the scale and process of pain assessment. For part 1 normal distribution of data was tested by Shapiro-Wilk-Test and histograms. Intrarater and interrater reliability were evaluated by calculating the intraclass-correlation. Statistical analysis of part 2 used descriptive methods.

Results: The interrater reliability was moderate (ICC _AR : 0.59) and the intrarater reliability was good (ICC _AC : 0.88). The pain scores of cats with medical (AR: 3.06±2.33, AC 3.52±2.34) and surgical disease (AR: 3.78±2.38, AC: 4.02±2.72) showed no significant difference. All healthy cats were classified as "not painful" (AR: 0.77±0.67, AC: 1.09±0.83). Clinical experience of the rater did not significantly influence pain scores. The GCMPS-F was judged as easy to use and as helpful tool for cats with unclear pain conditions.

Conclusion: The GCMPS-F had a good acceptance and moderate interrater reliability.

Clinical relevance: Using the German version of the GCMPS-F, veterinary professionals from different disciplines and with different grades of specialisation can reliably assess pain levels in cats without prior extensive training.

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德文版格拉斯哥综合疼痛量表--猫科动物在小动物诊所实施过程中的适用性、再现性和可靠性德文版格拉斯哥综合疼痛量表--猫科动物在小动物诊所实施过程中的适用性、再现性和可靠性。

研究目的研究旨在评估德国兽医院在实施格拉斯哥猫科动物综合疼痛量表德文版过程中的可重复性和实用性：研究由两部分组成。兽医专业人员自愿参加。在第 1 部分中，来自 4 个学科（麻醉、内科、外科、神经科）的 15 名临床经验各异的工作人员（所有评分者=AR）（护士、实习生、初级临床医师、高级临床医师）和一名主要研究人员（AC）对 45 只患病猫和 10 只健康猫进行了疼痛评分。第 2 部分为在线调查，评估参与者在第 1 部分中的实践经验，并征求改进疼痛评估量表和流程的建议。第 1 部分的数据正态分布通过 Shapiro-Wilk 检验和直方图进行检验。通过计算类内相关性来评估研究者内部和研究者之间的可靠性。第二部分的统计分析采用了描述性方法：评分者之间的可靠性为中等（ICC AR：0.59），评分者内部的可靠性为良好（ICC AC：0.88）。内科病猫（AR：3.06±2.33，AC：3.52±2.34）和外科病猫（AR：3.78±2.38，AC：4.02±2.72）的疼痛评分无显著差异。所有健康猫都被归类为 "不痛"（AR：0.77±0.67，AC：1.09±0.83）。评分者的临床经验对疼痛评分没有明显影响。GCMPS-F 被认为易于使用，是对疼痛状况不明确的猫有帮助的工具：结论：GCMPS-F 具有良好的可接受性和适度的评分者间可靠性：临床相关性：使用德国版 GCMPS-F，来自不同学科和不同专业级别的兽医专业人员无需事先接受广泛培训，即可可靠地评估猫的疼痛程度。

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来源期刊

Tieraerztliche Praxis Ausgabe Kleintiere Heimtiere Veterinary-Small Animals

CiteScore

0.80

自引率

16.70%

发文量

108

期刊介绍： Die Tierärztliche Praxis wendet sich mit ihren beiden Reihen als einzige veterinärmedizinische Fachzeitschrift explizit an den Großtier- bzw. Kleintierpraktiker und garantiert damit eine zielgruppengenaue Ansprache. Für den Spezialisten bietet sie Original- oder Übersichtsartikel zu neuen Therapie- und Operationsverfahren oder den Einsatz moderner bildgebender Verfahren. Der weniger spezialisierte Tierarzt oder Berufseinsteiger findet auf seinen Berufsalltag zugeschnittene praxisbezogene Beiträge in der Fortbildungsrubrik „Aus Studium und Praxis“. Mit dem hervorgehobenen „Fazit für die Praxis“ am Ende jedes Artikels verschafft sich auch der eilige Leser einen raschen Überblick über die wichtigsten Inhalte dieser modern konzipierten Fachzeitschrift mit den vielen hochwertigen, überwiegend farbigen Abbildungen. In jedem Heft ermöglicht ein ATF-anerkannter Fortbildungsartikel den Erwerb einer ATF-Stunde (Akademie für tierärztliche Fortbildung).