The Faces Pain Scale - Revised: toward a common metric in pediatric pain measurement

The Faces Pain Scale - Revised: toward a common metric in pediatric pain measurement
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DOI:
10.1016/s0304-3959(01)00314-1
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发表时间:
2001-08-01
期刊:
影响因子:
7.4
通讯作者:
Goodenough, B
Goodenough, B
中科院分区:
医学1区
文献类型:
--
作者:
Hicks, CL;von Baeyer, CL;Goodenough, B

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面部疼痛量表(FPS; Bieri et al., Pain 41(1990) 139)是一种用于评估儿童疼痛强度的自我报告测量方法。进行了三项研究以恢复原始规模并验证改编版本。在第一阶段,FPS从原来的7张脸修改为6张,同时保持其理想的心理测量属性,以使其与其他使用通用度量(0-5或0-10)的自评和观察量表评分兼容。使用Champion及其同事开发的计算机动画版FPS (Sydney动画面部表情量表),应用心理物理学方法识别四个种族,代表最小痛苦和最大痛苦的量表值之间的相等间隔。在第二阶段,孩子们使用新的六面脸疼痛量表-修订(FPS-R)来评估耳洞疼痛的强度。其效度与5-12岁儿童视觉模拟量表(visual analogue scale, VAS)呈正相关(r = 0.93, N = 76)。在第三阶段,4-12岁儿科住院患者的临床样本使用FPS-R和VAS或彩色模拟量表(CAS)来评估手术和非手术疼痛状况住院期间的疼痛。在该临床样本中,与VAS (r = 0.92, N = 45)和CAS (r = 0.84, N = 45)的强正相关进一步支持了FPS-R的有效性。所有年龄组的大多数儿童,包括最年幼的儿童,都能够以与其他措施一致的方式使用FPS-R。两种模拟量表的FPS-R平均值均无显著差异。FPS-R被证明适合用于评估4岁或5岁以后儿童急性疼痛的强度。它的优点是适合与最广泛使用的评分指标(0-10)一起使用,并且与线性区间尺度密切相关。(C) 2001国际疼痛研究协会。Elsevier Science B.V.版权所有。
The Faces Pain Scale (FPS; Bieri et al., Pain 41 (1990) 139) is a self-report measure used to assess the intensity of children's pain. Three studies were carried out to revive the original scale and validate the adapted version. In the first phase, the FPS was revised from its original seven faces to six, while maintaining its desirable psychometric properties, in order to make it compatible in scoring with other self-rating and observational scales which use a common metric (0-5 or 0-10). Using a computer-animated version of the FPS developed by Champion and colleagues (Sydney Animated Facial Expressions Scale), psychophysical methods were applied to identify four races representing equal intervals between the scale values representing least pain and most pain. In the second phase, children used the new six-face Faces Pain Scale - Revised (FPS-R) to rate the intensity of pain from ear piercing. Its validity is supported by a strong positive correlation (r = 0.93, N = 76) with a visual analogue scale (VAS) measure in children aged 5-12 years. In the third phase, a clinical sample of pediatric inpatients aged 4-12 years used the FPS-R and a VAS or the colored analogue scale (CAS) to rate pain during hospitalization for surgical and non-surgical painful conditions. The validity of the: FPS-R was further supported by strong positive correlations: with the VAS (r = 0.92, N = 45) and the CAS (r = 0.84, N = 45) in this clinical sample. Most children in all age groups including the youngest were able to use the FPS-R in a manner that was consistent with the other measures. There were no significant differences between the means on the FPS-R and either of the analogue scales. The FPS-R is shown to be appropriate for use in assessment of the intensity of children's acute pain from age 4 or 5 onward. It has the advantage of being suitable for use with the most widely used metric for scoring (0-10), and conforms closely to a linear interval scale. (C) 2001 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights: reserved.