Validation of Self-Report Pain Scales in Children
Validation of Self-Report Pain Scales in Children
复制标题
DOI：
10.1542/peds.2013-1509
复制
发表时间：
2013-10-01
期刊：
影响因子：
8
通讯作者：
Dayan, Peter S.
中科院分区：
文献类型：
--
作者：
Tsze, Daniel S.;von Baeyer, Carl L.;Dayan, Peter S.
背景和目的：面部疼痛量表修订版（FPS-R）和颜色模拟量表（CAS）是儿童常用的自我报告疼痛量表，但在急诊室环境中的验证不足。我们的目标是确定的FPS-R和CAS的心理测量学特性（收敛效度，判别效度，响应度和可靠性），并确定是否程度的有效性不同的年龄，性别和ethnication.METHODS：我们进行了一项前瞻性的观察性研究，讲英语和西班牙语的儿童年龄在4至17岁。有疼痛症状的儿童在镇痛前和镇痛后30分钟在FPS-R和CAS上显示他们的疼痛严重程度。我们评估了聚合效度（Pearson相关，Bland-Altman方法），区分效度（比较疼痛儿童与无疼痛儿童的疼痛评分），反应性（比较镇痛前后的疼痛评分）和可靠性（Pearson相关性，重复性系数）。在分析的620例患者中，平均年龄为9.2 ± 3.8岁，291例（46.8%）儿童为女孩，341例（55%）为西班牙裔，313例（50.5%）为年轻组（
BACKGROUND AND OBJECTIVES: The Faces Pain Scale-Revised (FPS-R) and Color Analog Scale (CAS) are self-report pain scales commonly used in children but insufficiently validated in the emergency department setting. Our objectives were to determine the psychometric properties (convergent validity, discriminative validity, responsivity, and reliability) of the FPS-R and CAS, and to determine whether degree of validity varied based on age, sex, and ethnicity.METHODS: We conducted a prospective, observational study of English- and Spanish-speaking children ages 4 to 17 years. Children with painful conditions indicated their pain severity on the FPS-R and CAS before and 30 minutes after analgesia. We assessed convergent validity (Pearson correlations, Bland-Altman method), discriminative validity (comparing pain scores in children with pain against those without pain), responsivity (comparing pain scores pre- and postanalgesia), and reliability (Pearson correlations, repeatability coefficient).RESULTS: Of 620 patients analyzed, mean age was 9.2 +/- 3.8 years, 291 (46.8%) children were girls, 341(55%) were Hispanic, and 313(50.5%) were in the younger age group (