Blount R L, Bunke V, Cohen L L, Forbes C J
Department of Psychology, The University of Georgia, Athens, GA 30602, USA.
J Pain Symptom Manage. 2001 Jul;22(1):591-9. doi: 10.1016/s0885-3924(01)00303-7.
This study evaluated the concurrent and construct validity of the Child-Adult Medical Procedure Interaction Scale-Short Form (CAMPIS-SF), a behavior rating scale of children's acute procedural distress and coping, and the coping promoting behaviors and distress promoting behaviors of their parents and the medical personnel who were present in the medical treatment room. Sixty preschool children undergoing immunizations at a county health department served as subjects. Videotapes of the procedures were scored using three observational measures in addition to the CAMPIS-SF. Also, parent, nurse, and child report measures of child distress, fear, pain, and cooperation were obtained. Results indicated that the validity of the CAMPIS-SF codes of Child Coping, Child Distress, Parent Coping Promoting, Parent Distress Promoting, Nurse Coping Promoting, and Nurse Distress Promoting behaviors was supported by multiple significant correlations with the other measures. The interrater reliability of the 5-point CAMPIS-SF scales was good to excellent. The results emphasize that the CAMPIS-SF scales can be used to monitor not only children's acute procedural distress, but also their coping and the various adults' behaviors that significantly influence children's distress. Further, because of the CAMPIS-SF's ease of use, it is likely that the study of the effects of the social environment on children's distress and coping will be facilitated.
本研究评估了儿童-成人医疗程序互动量表简版（CAMPIS-SF）的同时效度和结构效度，该量表用于评定儿童急性医疗程序中的痛苦与应对情况，以及在场的父母和医护人员的促进应对行为和促进痛苦行为。60名在县卫生部门接受免疫接种的学龄前儿童作为研究对象。除了CAMPIS-SF之外，还使用三种观察指标对程序录像进行评分。此外，还获得了父母、护士和儿童关于儿童痛苦、恐惧、疼痛及合作情况的报告。结果表明，儿童应对、儿童痛苦、父母促进应对、父母促进痛苦、护士促进应对和护士促进痛苦行为的CAMPIS-SF编码的效度，得到了与其他指标的多重显著相关性的支持。5分量表的CAMPIS-SF评分者间信度良好至优秀。结果强调，CAMPIS-SF量表不仅可用于监测儿童急性医疗程序中的痛苦，还可用于监测他们的应对情况以及显著影响儿童痛苦的各类成人行为。此外，由于CAMPIS-SF易于使用，可能会促进对社会环境对儿童痛苦和应对影响的研究。
