Validity of simplified self-report methods versus standard use method for pain assessment in preschool-aged children

IF 1.2 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing Pub Date : 2023-06-05 DOI:10.1111/jspn.12411

Petra Kasparova MSc, Jane Greaves

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引用次数: 0

Abstract

Purpose

Children experience painful invasive procedures very intensely. The aim of health professionals is to help children minimize this traumatic experience. The Simplified Faces Pain Scale (S-FPS) and Simplified Concrete Ordinal Pain Scale (S-COS) tools offer children the possibility of self-assessing their pain. This can then be the basis for tailoring pain relief to the child's individual need. The aim of this study is to present the validation procedure of the S-FPC, S-COS methods.

Design and Methods

135 children aged 3−6 years assessed their pain using the self-reported S-FPS and S-COS methods at three consecutive times, and their results were compared with the commonly used Face, Legs, Activity, Cry, Consolability assessment scale. Intra-class correlations (ICC) were used to assess inter-rater agreement. Convergent validity was verified using Spearman's correlation coefficient.

Results

This study demonstrated good validity for both the S FPS and S-COS assessment tools. The ICC coefficient showed good inter-rater correlation. Spearman's correlation coefficient showed a strong correlation between the scales.

Practice Implications

It is not possible to clearly select a best method of pain assessment in preschool children. To choose the most appropriate method, it is necessary to take into account the child's cognitive development and preferences.

查看原文本刊更多论文

简化自我报告方法与标准使用方法在学龄前儿童疼痛评估中的有效性

目的:儿童非常强烈地经历痛苦的侵入性手术。卫生专业人员的目的是帮助儿童尽量减少这种创伤经历。简化面部疼痛量表(S-FPS)和简化具体顺序疼痛量表(S-COS)工具为儿童提供了自我评估疼痛的可能性。这就可以成为根据孩子的个人需要定制疼痛缓解的基础。本研究的目的是提出S-FPC、S-COS方法的验证程序。设计与方法135名3 ~ 6岁儿童连续3次采用自我报告S-FPS和S-COS方法评估疼痛，并将其结果与常用的Face, Legs, Activity, Cry, Consolability量表进行比较。使用类内相关性(ICC)来评估评分者之间的一致性。采用Spearman相关系数验证收敛效度。结果S- FPS和S- cos评估工具均具有良好的效度。ICC系数表现出良好的等级间相关性。Spearman相关系数显示量表之间有很强的相关性。实践意义是不可能明确选择一个最好的方法来评估学龄前儿童的疼痛。要选择最合适的方法，必须考虑到孩子的认知发展和喜好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.