Development and Validation of a Pictorial Nausea Rating Scale for Children
Development and Validation of a Pictorial Nausea Rating Scale for Children
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DOI：
10.1542/peds.2010-1410
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发表时间：
2011-06-01
期刊：
影响因子：
8
通讯作者：
Wyatt, Matthew M.
中科院分区：
文献类型：
--
作者：
Baxter, Amy L.;Watcha, Mehernoor F.;Wyatt, Matthew M.
目的：缺乏广泛使用、经过验证的措施限制了儿科恶心管理。本研究的目的是创建并验证一个图画量表，在分数之间定期递增水平，描述恶心强度的增加。方法：分 3 个阶段开发 0 至 10 级、6 个面孔的图画恶心量表（巴克斯特干呕脸 [BARF] 量表）。 BARF 量表在急诊科呕吐患者和接受日间手术的健康患者中得到了验证。向患者提供恶心和疼痛的视觉模拟量表、修订版的图画面部疼痛量表和 BARF 量表。接受阿片类镇痛药或止吐药的患者在治疗前和治疗后 30 分钟评估疼痛和恶心情况。计算 Spearman 的 rho 相关系数。 Wilcoxon 配对等级检验比较了止吐治疗前后的疼痛和恶心评分。 结果：30 名肿瘤患者和 15 名护士参与了量表的制定，127 名年龄 7 至 18 岁的患者（52 名急诊科患者；75 名日间手术患者）参与了验证。第一对 BARF 和恶心评分视觉模拟量表的 Spearman rho 相关系数为 0.93。需要止吐药物的患者的恶心视觉模拟量表和 BARF 评分 (P = .20) 显着较高，并且在治疗后显着下降，而仅接受止吐药物的患者的治疗后疼痛评分 (P = .47) 则没有。 结论：我们描述了图画量表的开发，并提供了儿童恶心严重程度自我报告评估的结构有效性的初步证据。该量表具有收敛效度和判别效度，并且能够检测治疗后的变化。儿科 2011；127：e1542-e1549
OBJECTIVE: The lack of a widely used, validated measure limits pediatric nausea management. The goal of this study was to create and validate a pictorial scale with regular incremental levels between scores depicting increasing nausea intensity.METHODS: A pictorial nausea scale of 0 to 10 with 6 faces (the Baxter Retching Faces [BARF] scale) was developed in 3 stages. The BARF scale was validated in emergency department patients with vomiting and in healthy patients undergoing day surgery procedures. Patients were presented with visual analog scales for nausea and pain, the pictorial Faces Pain Scale-Revised, and the BARF scale. Patients receiving opioid analgesics or antiemetic agents had their pain and nausea assessed before and 30 minutes after therapy. Spearman's rho correlation coefficients were calculated. A Wilcoxon matched-pair rank test compared pain and nausea scores before and after antiemetic therapy.RESULTS: Thirty oncology patients and 15 nurses participated in the development of the scale, and 127 patients (52, emergency department; 75, day surgery) ages 7 to 18 years participated in the validation. The Spearman rho correlation coefficient of the first paired BARF and visual analog scale for nausea scores was 0.93. Visual analog scales for nausea and BARF scores (P = .20) were significantly higher in patients requiring antiemetic agents and decreased significantly after treatment, while posttreatment pain scores (P = .47) for patients receiving only antiemetic agents did not.CONCLUSIONS: We describe the development of a pictorial scale with beginning evidence of construct validity for a self-report assessment of the severity of pediatric nausea. The scale had convergent and discriminant validity, along with an ability to detect change after treatment. Pediatrics 2011;127:e1542-e1549