The development and evaluation of the pain indicator for communicatively impaired children (PICIC)

被引:52
作者
Stallard, P [1 ]
Williams, L [1 ]
Velleman, R [1 ]
Lenton, S [1 ]
McGrath, PJ [1 ]
Taylor, G [1 ]
机构
[1] Royal United Hosp, Dept Child & Family Psychiat, Avon & Wiltshire Mental Hlth Partnership NHS Trust, Bath BA1 3NG, Avon, England
基金
加拿大健康研究院;
关键词
pain; assessment; children; communicatively impaired; severe cognitive disability;
D O I
10.1016/S0304-3959(02)00038-6
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
A previous study found that parents of communicatively impaired children with severe cognitive impairments identified six core Cues as indicating definite or severe pain in their child (J. Pediatr. Psychol, 27 (2002) 209). The frequency of each cue was assessed by 67 caregivers of communicatively impaired children, twice per day over a I week period. On each occasion the caregivers also rated whether they considered their child to be in pain and the severity of any pain. There was a statistically significant relationship between five of the cues and the presence and severity of pain. The single cue of screwed up or distressed looking face was the strongest predictor and on its own correctly classified 87% of pain and non-pain episodes. The study highlights the potential clinical utility of a short carer completed assessment to assess pain in this vulnerable group of children. (C) 2002 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.
引用
收藏
页码:145 / 149
页数:5
相关论文
共 14 条
[1]  
[Anonymous], ADV PAIN RES THER
[2]   THE FACES PAIN SCALE FOR THE SELF-ASSESSMENT OF THE SEVERITY OF PAIN EXPERIENCED BY CHILDREN - DEVELOPMENT, INITIAL VALIDATION, AND PRELIMINARY INVESTIGATION FOR RATIO SCALE PROPERTIES [J].
BIERI, D ;
REEVE, RA ;
CHAMPION, GD ;
ADDICOAT, L ;
ZIEGLER, JB .
PAIN, 1990, 41 (02) :139-150
[3]   Measuring pain accurately in children with cognitive impairments: Refinement of a caregiver scale [J].
Breau, LM ;
Camfield, C ;
McGrath, PJ ;
Rosmus, C ;
Finley, GA .
JOURNAL OF PEDIATRICS, 2001, 138 (05) :721-727
[4]   Agreement between child and parent reports of pain [J].
Chambers, CT ;
Reid, CJ ;
Craig, KD ;
McGrath, PJ ;
Finley, GA .
CLINICAL JOURNAL OF PAIN, 1998, 14 (04) :336-342
[5]  
Craig K.D., 1992, APS J, V1, P153, DOI 10.1016/1058-9139(92)90001-s
[6]  
Giusiano B, 1995, METHOD INFORM MED, V34, P498
[7]   PAIN EXPRESSION IN NEONATES - FACIAL ACTION AND CRY [J].
GRUNAU, RVE ;
CRAIG, KD .
PAIN, 1987, 28 (03) :395-410
[8]   Prevalence and morbidity associated with non-malignant, life-threatening conditions in childhood [J].
Lenton, S ;
Stallard, P ;
Lewis, M ;
Mastroyannopoulou, K .
CHILD CARE HEALTH AND DEVELOPMENT, 2001, 27 (05) :389-398
[9]  
McGrath PJ, 1998, DEV MED CHILD NEUROL, V40, P340
[10]  
MCGRATH PJ, 1998, MEASUREMENT PAIN INF, P93