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ISSN: 2165-7386

Journal of Palliative Care & Medicine
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Research Article

Measuring the Pain of Mucositis using Oucher and DEGR

Richard Hain1*, Meriel Jenney2, Ben Carter3 and Ruth Davies4

1LATCH Senior Lecturer/Honorary Consultant in Paediatric Palliative Medicine Cardiff University School of Medicine, Cardiff, UK

2Consultant Paediatric Oncologist, Children’s Hospital, Cardiff, UK

3Lecturer in Medical Statistics, University of Birmingham, Birmingham, UK

4Senior Lecturer in Paediatric Nursing, Swansea University, Swansea, UK

Corresponding Author:
Richard Hain
MD, Senior Lecturer/Honorary Consultant in Paediatric Palliative Medicine
Department of Child Health
Cardiff School of Medicine, UK
Tel: +44 29 2074 3373
Fax: +44 29 2074 4283
E-mail: [email protected]

Received date: May 15, 2015, Accepted date: June 30, 2015, Published date: July 03, 2015

Citation: Hain R, Jenney M, Carter B, Davies R (2015) Measuring the Pain of Mucositis using Oucher and DEGR. J Palliat Care Med 5:222. doi: 10.4172/2165-7386.1000222

Copyright: © 2015 Hain R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Aim: To measure pain in mucositis using two pain scales of contrasting design (DEGR and Oucher), and to compare the two scores.

Patients and methods: Children receiving treatment for pain related to cancer therapy on a regional specialist oncology ward were eligible for the study. Children’s pain was scored in parallel using DEGR administered by the ward nurses and Oucher administered by a research nurse.

Results: Thirty families participated in the study. Pain score data were incomplete for nine. 143 DEGR scores and 92 Oucher scores were obtained. Scores from either scale were discarded if too remote (i.e. >4 hours apart) from their paired score from the other. Forty-six complete sets of paired data were obtained from 21 subjects. Mucositis pain persisted for several days. Oucher scores were significantly and inversely influenced by time while DEGR scores were not, such that scores diverged after three days.

Conclusions: Pain persisted despite intensive treatment. Behaviour patterns associated with persistent pain seemed to become apparent during acute episodes of mucositis. Our data suggest DEGR was more sensitive to persistent pain than the Oucher but patient numbers were small.

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