Predictors of pain during nasopharyngeal swab among Covid-19 suspected cases in Central Malacca, Malaysia

Introduction: Nasopharyngeal swab (NPS) is the screening tool for Coronavirus Disease 2019 (COVID-19). It is a painful procedure that leads people to refuse it. Since there was no pain evaluation conducted, this study is to examine the pain prevalence and its predictors during NPS among COVID-19 sus...

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Main Authors: Ismail, Fatin, Zulkefli, Nor Afiah Mohd, Radzali, Mohd Hafiz Idlan
Format: Article
Language:English
Published: Universiti Putra Malaysia 2024
Online Access:http://psasir.upm.edu.my/id/eprint/116379/
http://psasir.upm.edu.my/id/eprint/116379/1/116379.pdf
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author Ismail, Fatin
Zulkefli, Nor Afiah Mohd
Radzali, Mohd Hafiz Idlan
author_facet Ismail, Fatin
Zulkefli, Nor Afiah Mohd
Radzali, Mohd Hafiz Idlan
author_sort Ismail, Fatin
building UPM Institutional Repository
collection Online Access
description Introduction: Nasopharyngeal swab (NPS) is the screening tool for Coronavirus Disease 2019 (COVID-19). It is a painful procedure that leads people to refuse it. Since there was no pain evaluation conducted, this study is to examine the pain prevalence and its predictors during NPS among COVID-19 suspected cases at Central Malacca drive-through screening centre. Materials and methods: A cross-sectional study was conducted among 365 screened respondents, selected through simple random sampling in May 2021. The pain category was divided into clinically significant pain (CSP) and Non-CSP using the Ministry of Health Pain Scale. Independent variables were the sociodemographic factors, frequency of NPS, operators' experience score and swab tip type. Data was collected using validated, self-administered Google form questionnaire, blasted via WhatsApp and the analysis was done using IBM SPSS software version 26. Results: The response rate was 86.4% with 53.5% reported having CSP. Binary Logistic Regression revealed frequent NPS procedures (OR= 1.18, 95% CI 1.01-1.38, p=0.040) and the nylon-flocked swab tip (OR= 2.08, 95% CI 1.24-3.49, p=0.006) have higher odds of CSP. Operator with more experience score is less likely to cause CSP to respondents (OR = 0.94, 95% CI 0.89-0.99, p <0.048). The predictors of CSP during NPS among COVID-19 suspected cases are of higher frequency of NPS and nylon-flocked swab tip. Increase operators' experience score is the protective factor for CSP. Conclusion: The painless saliva self-testing modality screening for COVID-19 is highly recommended.
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spelling upm-1163792025-03-27T06:09:04Z http://psasir.upm.edu.my/id/eprint/116379/ Predictors of pain during nasopharyngeal swab among Covid-19 suspected cases in Central Malacca, Malaysia Ismail, Fatin Zulkefli, Nor Afiah Mohd Radzali, Mohd Hafiz Idlan Introduction: Nasopharyngeal swab (NPS) is the screening tool for Coronavirus Disease 2019 (COVID-19). It is a painful procedure that leads people to refuse it. Since there was no pain evaluation conducted, this study is to examine the pain prevalence and its predictors during NPS among COVID-19 suspected cases at Central Malacca drive-through screening centre. Materials and methods: A cross-sectional study was conducted among 365 screened respondents, selected through simple random sampling in May 2021. The pain category was divided into clinically significant pain (CSP) and Non-CSP using the Ministry of Health Pain Scale. Independent variables were the sociodemographic factors, frequency of NPS, operators' experience score and swab tip type. Data was collected using validated, self-administered Google form questionnaire, blasted via WhatsApp and the analysis was done using IBM SPSS software version 26. Results: The response rate was 86.4% with 53.5% reported having CSP. Binary Logistic Regression revealed frequent NPS procedures (OR= 1.18, 95% CI 1.01-1.38, p=0.040) and the nylon-flocked swab tip (OR= 2.08, 95% CI 1.24-3.49, p=0.006) have higher odds of CSP. Operator with more experience score is less likely to cause CSP to respondents (OR = 0.94, 95% CI 0.89-0.99, p <0.048). The predictors of CSP during NPS among COVID-19 suspected cases are of higher frequency of NPS and nylon-flocked swab tip. Increase operators' experience score is the protective factor for CSP. Conclusion: The painless saliva self-testing modality screening for COVID-19 is highly recommended. Universiti Putra Malaysia 2024 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/116379/1/116379.pdf Ismail, Fatin and Zulkefli, Nor Afiah Mohd and Radzali, Mohd Hafiz Idlan (2024) Predictors of pain during nasopharyngeal swab among Covid-19 suspected cases in Central Malacca, Malaysia. Malaysian Journal of Medicine and Health Sciences, 20 (4). pp. 32-41. ISSN 1675-8544; eISSN: 2636-9346 https://medic.upm.edu.my/upload/dokumen/202407310909364_1185.pdf 10.47836/mjmhs.20.4.5
spellingShingle Ismail, Fatin
Zulkefli, Nor Afiah Mohd
Radzali, Mohd Hafiz Idlan
Predictors of pain during nasopharyngeal swab among Covid-19 suspected cases in Central Malacca, Malaysia
title Predictors of pain during nasopharyngeal swab among Covid-19 suspected cases in Central Malacca, Malaysia
title_full Predictors of pain during nasopharyngeal swab among Covid-19 suspected cases in Central Malacca, Malaysia
title_fullStr Predictors of pain during nasopharyngeal swab among Covid-19 suspected cases in Central Malacca, Malaysia
title_full_unstemmed Predictors of pain during nasopharyngeal swab among Covid-19 suspected cases in Central Malacca, Malaysia
title_short Predictors of pain during nasopharyngeal swab among Covid-19 suspected cases in Central Malacca, Malaysia
title_sort predictors of pain during nasopharyngeal swab among covid-19 suspected cases in central malacca, malaysia
url http://psasir.upm.edu.my/id/eprint/116379/
http://psasir.upm.edu.my/id/eprint/116379/
http://psasir.upm.edu.my/id/eprint/116379/
http://psasir.upm.edu.my/id/eprint/116379/1/116379.pdf