Development of the Japanese version of the State Behavioral Scale for critically ill children.
Development of the Japanese version of the State Behavioral Scale for critically ill children.
复制标题
制定日本版重症儿童国家行为量表。
作者：
Hoshino H;Sakuramoto H;Matsuishi Y;Shimojo N;Enomoto Y;Ohto T;Kido T;Ouchi A;Sumitani M;Kawano S;Inoue Y.
状态行为量表（SBS）的开发，以评估镇静状态，包括躁动，在儿科患者的机械通气。本研究的目的是确定回翻译的日语版本的SBS.MethodsTranslation的可靠性和有效性进行了回翻译的方法，然后在日本重症监护室的前瞻性研究。为了可靠性，护士/研究人员对SBS进行了沿着八个维度的评估（呼吸驱动、通气反应、咳嗽、刺激最佳反应、对护理提供者的注意力、护理耐受性、安慰性和安慰后的运动）。有效性，SBS分数进行了比较，里士满激动镇静量表和视觉模拟量表（VAS）。从59例危重儿科患者中评价了31例0周至8岁的患者。研究者和护士SBS评分显示出极佳的评定者间可靠性（加权κ = 0.96，95% CI 0.92-0.99）。研究者与护士的VAS评分之间有很强的相关性（ρ = 0.80，P < 0.001）。八个维度的加权Kappa系数范围为0.71（95%置信区间，0.55-0.88;可安慰性）至0.89（95%置信区间，0.80-0.98;刺激最佳反应）。在效度检验中，护士SBS和护士VAS评分与研究者SBS和研究者里士满躁动-镇静量表评分有显著相关性（ρ = 0.80，P <0.001）。结论本研究表明，我们的日本版SBS用于评价危重患儿的镇静效果是有效和可靠的。
AimsThe State Behavioral Scale (SBS) was developed to assess sedation states, including agitation, in pediatric patients on mechanical ventilation. The purpose of this study was to determine the reliability and validity of a back‐translated Japanese version of the SBS.MethodsTranslation was done by the back‐translation method followed by a prospective study in a Japanese intensive care unit. For reliability, a nurse/researcher pair evaluated SBS along eight dimensions (respiratory drive, response to ventilation, coughing, best response to stimulation, attentiveness to care provider, tolerance to care, consolability, and movement after consoled). For validity, SBS scores were compared to the Richmond Agitation–Sedation Scale and a visual analog scale (VAS).ResultsThe original author approved the back‐translated SBS. Thirty‐one patients aged 0 weeks to 8 years were evaluated from 59 total critical pediatric patient encounters. The researcher and nurse SBS scores demonstrated excellent inter‐rater reliability (weighted κ = 0.96, 95% CI 0.92–0.99). In addition, there was a very strong correlation between the researcher and nurse VAS scores (ρ = 0.80,P< 0.001). Weighted kappa coefficients for the eight dimensions ranged from 0.71 (95% confidence interval, 0.55–0.88; consolability) to 0.89 (95% confidence interval, 0.80–0.98; best response to stimulation). In validity testing, nurse SBS and nurse VAS scores were strongly correlated (ρ = 0.80,P< 0.001) with the researcher SBS and researcher Richmond Agitation–Sedation Scale scores (ρ = 0.91,P< 0.001).ConclusionThis study suggests that our Japanese version of the SBS is valid and reliable for evaluating sedation for critically ill children.