The Validity of the Abbey Pain Scale for Assessing Pain in Stroke Patient


  • Arsyawina Arsyawina Poltekkes Kemenkes Kalimantan Timur
  • Parellangi Parellangi Poltekkes Kemenkes Kalimantan Timur
  • Hesti Prawita Widiastuti Poltekkes Kemenkes Kalimantan Timur
  • Hilda Hilda Poltekkes Kemenkes Kalimantan Timur



Abbey, Assessment, Pain, Predictor, Stroke


Background: Apasia and dementia are two of the post-symptoms of stroke disease that cause patients to experience verbal communication disorders, thus requiring nurses to be more sensitive in assessing pain that is felt.
Objective: The purpose of this research is to test the validity of the Abbey Pain Scale in assessing pain in stroke patients who are unable to express pain verbally.
Methods: This research is a quantitative study using analytic observational research methods. This study used a consecutive sampling technique with the calculation of sample size based on population proportions. Research on one subject was repeated three times at rest and during pain procedures using the Abbey Pain Scale. Data were analyzed using the Pearson and Spearman test.
Results: There was a significant correlation (p = 0.001) with a positive and strong correlation coefficient between the Abbey score and the pulse rate (correlation r = 0.699). Then there was a significant correlation (p < 0.001) with a positive and strong correlation coefficient between Abbey scores and mean arterial pressure (correlation r = 0.911). In addition, the Abbey Pain Scale score showed a significant change between the Abbey score at rest and during the pain procedure, both in the morning, afternoon and evening team nurses (p < 0.05).
Conclusion: The Abbey Pain Scale is a valid measurement tool in assessing pain in stroke patients.


Download data is not yet available.


Abbey, J., Piller, N., De Bellis, A., Esterman, A., Parker, D., Giles, L., & Lowcay, B. (2004). The Abbey Pain Scale: A 1-Minute Numerical Indicator for People with End-Stage Dementia. Int J Palliat Nurs, 10(1), 6–13.

Burhanuddin, M. (2012). FAKTOR RISIKO KEJADIAN STROKE PADA DEWASA AWAL ( 18 - 40 TAHUN) DI KOTA MAKASSAR TAHUN 2010 - 2012. Bagian Epidemiologi FKM UNHAS.

Collett, B., O’Mahoney, S., Schofield, P., Closs, S. J., & Potter, J. (2007). The assessment of pain in older people. Clinical Medicine, Journal of the Royal College of Physicians of London.

Darmapadmi, L. P. K. (2017). Analisis Determinan Lama Rawat Inap Pasien Stroke di Rumah Sakit Umum Daerah Klungkung. Stroke, 10–18.

Farida, I., & Amalia, N. (2009). Mengantisipasi Stroke. Yogyakarta: Buku Biru.

Fryer, C. E., Luker, J. A., Mcdonnell, M. N., & Hillier, S. L. (2013). Self-management programs for quality of life in people with stroke. Cochrane Database of Systematic Reviews.

Kehayia, E., Korner-Bitensky, N., Singer, F., Becker, R., Lamarche, M., Georges, P., & Retik, S. (1997). Differences in pain medication use in stroke patients with aphasia and without aphasia. Stroke.

Klein, D., Dumpe, M., Katz, E., & Bena, J. (2010). Pain Assessment in the Intensive Care Unit: Development and Psychometric Testing of the Nonverbal Pain Assessment Tool. Heart & Lung, 39(6), 521–528.

Maas, M. L. (2011). Asuhan Keperawatan Geriatrik: Diagnosis NANDA, Kriteria Hasil NOC, Intervensi NIC. Jakarta: Penerbit Kedokteran EGC.

Nesbitt, J., Moxham, S., ramadurai, gopinath, & Williams, L. (2015). Improving pain assessment and managment in stroke patients. BMJ Quality Improvement Reports.

Pasero, C., & McCaffery, M. (2005). No Self-Report Means No Pain-Intensity Rating. AJN, American Journal of Nursing.

Puntillo, K. A., Smith, D., Arai, S., & Stotts, N. (2008). Critical care nurses provide their perspectives of patients’ symptoms in intensive care units. Heart and Lung: Journal of Acute and Critical Care.

Smith, J. H., Bottemiller, K. L., Flemming, K. D., Michael Cutrer, F., & Strand, E. A. (2013). Inability to self-report pain after a stroke: A population-based study. Pain.

Suindrayasa, I. M. (2017). Kesesuaian Antara Penilaian Skala Nyeri Menggunakan Numeric Rating Scale Dengan Abbey Pain Scale Pada Pasien Bedah Di Ird Bedah Rsup Sanglah Denpasar I Made Suindrayasa. Artikel Ilmiah, 0–44.



How to Cite

Arsyawina, A., Parellangi, P., Widiastuti, H. P., & Hilda, H. (2021). The Validity of the Abbey Pain Scale for Assessing Pain in Stroke Patient. Journal Of Nursing Practice, 5(1), 162-167.