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首页> 外文期刊>Burns: Including Thermal Injury >Reliability and validity of the pain observation scale for young children and the visual analogue scale in children with burns.
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Reliability and validity of the pain observation scale for young children and the visual analogue scale in children with burns.

机译：幼儿疼痛观察量表和烧伤患儿视觉模拟量表的信度和效度。

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摘要

The aim of this study was to assess if the pain observation scale for young children (POCIS) and the visual analogue scale (VAS) are reliable and valid instruments to measure procedural and background pain in burned children aged 0-4 years. Burn care nurses (n=73) rated pain from 24 fragments of videotaped children during wound care procedures and during periods of rest using the POCIS and the VAS. Intraclass correlations were used to assess inter-rater and intra-rater reliability for the POCIS and the VAS. Internal consistency for POCIS was assessed by Cronbach's alpha. The POCIS has shown poor to moderate inter-rater reliability, moderate to good intra-rater reliability and an acceptable internal consistency. The VAS turned out to have poor inter-rater reliability and poor to moderate intra-rater reliability. Due to poor results of inter-rater reliability in both scales, construct validation is left undone until more acceptable results are obtained. Factors explaining the results are the large numberof raters, the manner they were trained and a lack of variation between pain classes in video fragments. Although not all results were satisfying, an easy to use scale as POCIS has promising qualities and deserves further reliability research.
机译：这项研究的目的是评估幼儿疼痛观察量表（POCIS）和视觉模拟量表（VAS）是否是衡量0-4岁烧伤儿童手术和背景疼痛的可靠有效工具。烧伤护理护士（n = 73）使用POCIS和VAS在伤口护理程序和休息期间对24个录像带孩子的疼痛进行了评估。类内相关用于评估POCIS和VAS的评分者间和评分者内可靠性。通过Cronbach的alpha评估POCIS的内部一致性。 POCIS已显示出差到中等的评估者间可靠性，中等到良好的评估者间可靠性以及可接受的内部一致性。事实证明，VAS具有较差的评估者间可靠性和较差至中等的评估者内可靠性。由于在两个尺度上评估者之间的可靠性均较差，因此无需进行构建验证，直到获得更可接受的结果为止。解释结果的因素包括评估者数量众多，培训者的训练方式以及视频片段中疼痛类别之间缺乏差异。尽管并非所有结果都令人满意，但由于POCIS易于使用，因此具有良好的质量，值得进一步的可靠性研究。

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