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Validité et utilité clinique d'une grille d'observation (PACSLAC-F) pour évaluer la douleur chez des aînés atteints de démence vivant en milieu de soins de longue durée*

Published online by Cambridge University Press:  31 March 2010

Michèle Aubin ,
René Verreault ,
Maryse Savoie ,
Sylvie LeMay ,
Thomas Hadjistavropoulos ,
Lise Fillion ,
Marie Beaulieu ,
Chantal Viens ,
Rénald Bergeron  and
Lucie Vézina
...Show all authors
Michèle Aubin*
Affiliation:
Unité de recherche en gériatrie et équipe de recherche en soins palliatifs, Université Laval Université Laval, Département de médecine familiale
René Verreault
Affiliation:
Unité de recherche en gériatrie et équipe de recherche en soins palliatifs, Université Laval
Maryse Savoie
Affiliation:
Anciens Combattants Canada, Hôpital Sainte-Anne, Sainte-Anne-de-Bellevue
Sylvie LeMay
Affiliation:
Faculté des sciences infirmières, Université de Montréal
Thomas Hadjistavropoulos
Affiliation:
Centre on Aging and Health, et Département de Psychologie, Université de Régina
Lise Fillion
Affiliation:
Faculté des sciences infirmières, Université Laval
Marie Beaulieu
Affiliation:
Département de service social, Université de Sherbrooke
Chantal Viens
Affiliation:
Faculté des sciences infirmières, Université Laval
Rénald Bergeron
Affiliation:
Université Laval, Département de médecine familiale
Lucie Vézina
Affiliation:
Unité de médecine familiale, Hôpital Laval, Québec
Lucie Misson
Affiliation:
Unité de médecine familiale, Hôpital Laval, Québec
Shannon Fuchs-Lacelle
Affiliation:
Centre on Aging and Health, et Département de Psychologie, Université de Régina
*
Requests for offprints should be sent to:/Les demandes de tirés-à-part doivent être adressées à: Dr Michèle Aubin, MD, MSc, CCMF, FCMF, Unité de médecine familiale, Hôpital Laval, 2725, chemin Sainte-Foy, Québec G1V 4G5, (michele.aubin@mfa.ulaval.ca)
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Abstract

This study presents the validation of the French Canadian version (PACLSAC-F) of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC). Unlike the published validation of the English version of the PACSLAC, which was validated retrospectively, the French version was validated prospectively. The PACSLAC-F was completed by nurses working in long-term care facilities after observing 86 seniors, with severe cognitive impairment, in calm, painful or distressing but non-painful situations. The test-retest and inter-observer reliability, the internal consistency, and the discriminent validity were found to be satisfactory. To evaluate the convergent validity with the DOLOPLUS-2 and the clinical relevance of the PACSLAC, it was also completed by nurses during their work shift, with 26 additional patients, for three days per week during a period of four weeks. These results encourage us to test the PACSLAC in a comprehensive program of pain management targeting this population.

Résumé

Cette étude présente la validation de la version canadienne-française (PACSLAC-F) du Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC). Celle-ci a été réalisée prospectivement, contrairement à la validation publiée de la version anglaise effectuée rétrospectivement. Le PACSLAC-F a été complété par des infirmières de centres de soins de longue durée, auprès de 86 aînés, avec atteinte cognitive grave, lors de situations de douleur, de calme et de détresse, pour vérifier ses fiabilités intra et interobservateurs, sa consistance interne, et sa validité discriminante. Puis, il a été complété auprès de 26 autres patients, par les infirmières, pendant leur quart de travail, à raison de trois jours par semaine, pendant quatre semaines, afin de vérifier sa validité de convergence avec le DOLOPLUS-2 et son utilité clinique. Toutes les mesures de fiabilité et de validité étaient satisfaisantes. Ces résultats permettent d'envisager de tester le PACSLAC dans un programme global de soulagement de la douleur chez cette population.

Keywords

vieillissementdouleurvalidation d'instruments de mesuredémenceaînésPACSLACagingpainvalidation of measurement instrumentsdementiaseniorsPACSLAC
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 27 , Issue 1 , Spring/Printemps 2008 , pp. 45 - 55
Copyright
Copyright © Canadian Association on Gerontology 2008

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Footnotes

*

Cette étude a été subventionnée par les Instituts de recherche en santé du Canada. Dr Verreault est soutenu par la Chaire de gériatrie de l'Université Laval et Dr Aubin, par la Chaire de soins palliatifs de l'Université Laval. Nous désirons remercier toutes les infirmières qui ont participé à la validation du PACSLAC-F.

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