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首页> 外文期刊>The journal of pain: official journal of the American Pain Society >The Psychometric Properties of the FLACC Scale Used to Assess Procedural Pain
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The Psychometric Properties of the FLACC Scale Used to Assess Procedural Pain

机译：用于评估程序疼痛的FLACC标度的心理测量特性

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The Face, Legs, Activity, Cry, and Consolability (FLACC) scale is one of the most commonly and widely used behavioral observation pain scales. The aim of this study was to test the psychometric and practical properties of the FLACC scale to quantify procedural pain in infants and young children. Twenty-six clinicians independently applied the FLACC scale to segments of video collected from 100 children aged 6 to 42 months undergoing a procedure. Video segments were scored by 4 reviewers. Inter- and intrarater reliability coefficients were high (.92 and .87, respectively). Linear mixed modeling confirmed scale responsiveness (differences in difference between FLACC scores across phases for painful versus nonpainful procedures was 4.2, 95% confidence interval = 3.67-4.81). Sensitivity and specificity were 94.9% and 73.5%, respectively, at a cutoff of 2. However, the mean difference across phases for children with baseline scores >3 was much lower than for children with scores <3,P?=?.0001. Correlations between FLACC and Visual Analog Scale observer pain and distress were good (r?=?.74 and r?=?.89, respectively). This study supports the reliability and sensitivity of the FLACC scale for procedural pain assessment. However, the circumstances of procedures interfered with application of the scale and the findings question the capacity of the scale to differentiate between pain- and nonpain-related distress. PerspectiveThis article provides evidence that the FLACC scale is reliable and sensitive to pain for procedural pain assessment. Concerns remain about specificity and scale design. Identification of a scale valid for this purpose is needed to provide a platform for improved procedural pain management in infants and young children.
机译：面部，腿部，活动，哭泣和合理性（FLACC）等级是最常用和广泛使用的行为观察疼痛尺度之一。本研究的目的是测试FLACC规模的心理和实际特性，以量化婴儿和幼儿的程序疼痛。二十六名临床医生独立地将FLACC规模应用于来自100岁至42个月的100名患者的视频分段。视频细分由4名审稿人评分。和内部可靠性系数高（分别为0.92和.87）。线性混合建模确认缩放响应性（疼痛与非裸规步骤的阶段的PRACC分数之间的差异为4.2,95％置信区间= 3.67-4.81）。在截止的情况下，敏感性和特异性分别为94.9％和73.5％。然而，基线分数的儿童阶段的平均差异远低于分数<3，p？= 0001的儿童。 FLACC和视觉模拟标度观察者疼痛与痛苦之间的相关性（R？=Δ.74和r？= _. 89）。本研究支持流程疼痛评估的FLACC规模的可靠性和敏感性。然而，程序的情况干扰了施加规模和调查结果质疑规模的能力区分痛苦和非痛苦相关的痛苦。透视文章提供了证据表明FLACC规模可靠，对程序疼痛评估疼痛敏感。担忧仍然是特异性和规模设计。需要识别对此目的有效的规模，以便为婴儿和幼儿改进的程序疼痛管理提供平台。

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