Clinimetric evaluation of the pain observation scale for young children in children aged between 1 and 4 years after ear, nose, and throat surgery

被引:22
作者
Boelen-van der Loo, WJC
Scheffer, E
de Haan, RJ
de Groot, CJ
机构
[1] Univ Amsterdam, AMC, Emma Childrens Hosp, Dept Pediat, NL-1100 DD Amsterdam, Netherlands
[2] Twenteborg Hosp, Day Surg Ctr, Almelo, Netherlands
[3] Univ Amsterdam, AMC, Dept Clin Epidemiol & Biostat, NL-1100 DD Amsterdam, Netherlands
关键词
pediatric pain; measurement; toddlers; day surgery;
D O I
10.1097/00004703-199908000-00004
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
This study assessed the reliability, validity, and responsiveness of a new pain measure for children aged I to 4 years that was developed from the Children's Hospital of Ontario Pain Scale and its Neonatal Infant Pain Scale. Pain in 311 children, aged 1 to 4 years, was measured by two observers at fixed intervals after adenotonsillectomy (n = 114), adenotomy (n = 109), or insertion of Ventilation tubes (grommets) (n = 88) until discharge using a dichotomous pain scale of 9 behavioral and physiological categories. The scale proved to be strongly homogeneous. The interobserver agreement was substantial for 7 items. On these final 7 items, the ability to distinguish between patients with differing degrees of pain and the sensitivity to detect changes over time within each patient were substantial. The resulting Pain Observation Scale for Young Children is reliable and easy to use for assessment of short- and longer-lasting pain after ear, nose, and throat surgery and may be used for assessing pain with other conditions.
引用
收藏
页码:222 / 227
页数:6
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