Cross-validation of a composite pain scale for preschool children within 24 hours of surgery
Cross-validation of a composite pain scale for preschool children within 24 hours of surgery
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DOI：
10.1093/bja/87.3.400
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发表时间：
2001-09-01
影响因子：
9.8
通讯作者：
Muntraporn, N
中科院分区：
文献类型：
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作者：
Suraseranivongse, S;Santawat, U;Muntraporn, N
本研究旨在交叉验证疼痛量表CHEOPS的复合测量（东安大略儿童医院疼痛量表），OPS（客观疼痛量表，通过观察身体语言或姿势取代血压测量，简化为家长使用），TPPPS（幼儿学龄前术后疼痛量表）和FLACC（脸，腿，活动，哭泣，安慰）在167名1-5.5岁的泰国儿童。翻译疼痛量表，并测试内容，结构和并行效度，包括评分者间和评分者内的可靠性。对小于或等于3岁和>3岁年龄组的即刻疼痛和持续疼痛的区分效度也进行了研究。在手术前后，在麻醉后监护室（PACU）给予镇痛之前，以及在病房中，对儿童的行为进行录像。然后，四名观察员从重新排列的录像带中对疼痛行为进行评级。治疗疼痛的决定是基于常规实践，并由一名不了解评级程序的研究人员做出的。所有工具都具有可接受的内容效度和良好的评分者间和评分者内信度（组内相关性分别>0.9和>0.8）。结构效度由区分术前无疼痛组和术后镇痛前疼痛程度高的组的能力决定（P
This study was designed to cross-validate a composite measure of the pain scales CHEOPS (Children's Hospital of Eastern Ontario Pain Scale), OPS (Objective Pain Scale, simplified for parent use by replacing blood pressure measurement with observation of body language or posture), TPPPS (Toddler Preschool Postoperative Pain Scale) and FLACC (Face, Legs, Activity, Cry, Consolability) in 167 Thai children aged 1-5.5 yr. The pain scales were translated and tested for content, construct and concurrent validity, including inter-rater and intra-rater reliabilities. Discriminative validity in immediate and persistent pain for the age groups less than or equal to3 and >3 yr were also studied. The children's behaviour was videotaped before and after surgery, before analgesia had been given in the post-anaesthesia care unit (PACU), and on the ward. Four observers then rated pain behaviour from rearranged videotapes. The decision to treat pain was based on routine practice and was made by a researcher unaware of the rating procedure. All tools had acceptable content validity and excellent inter-rater and intra-rater reliabilities (intraclass correlation >0.9 and >0.8 respectively). Construct validity was determined by the ability to differentiate the group with no pain before surgery and a high pain level after surgery, before analgesia (P