Handicap & Habilitation, Stockholm, Sweden.
Acta Paediatr. 2010 Jun;99(6):929-33. doi: 10.1111/j.1651-2227.2009.01632.x. Epub 2009 Dec 11.
To test the validity and reliability of a Swedish version of the Non-Communicating Children's Pain Checklist-Postoperative Version (NCCPC-PV).
Thirty-two consecutive children/adolescents (2-20 years of age) with cognitive impairment and no verbal communication from four habilitation centres were admitted to the study. Each child's behaviour was observed by a parent or a caregiver and by a physiotherapist in two calm and two painful situations within the child's everyday life. The raters independently assessed and graded the child's behaviour during 5 min according to the translated Swedish version of the NCCPC-PV. The intrarater and interrater reliability were determined, and the construct validity was examined.
The results from 202 assessments showed that the construct validity was good: children's behavioural signs differed significantly between situations of pain and situations of calm (p < 0.001). Repeated assessments showed poor agreement both within and between raters [intraclass correlation coefficient (ICC) 0.51-0.65]. The agreement for pain was good (ICC 0.83).
The Swedish version of the NCCPC-PV can be used for pain assessment in children with cognitive impairments who lack verbal communication. Aspects of reliability need to be further analysed.
测试非言语交流儿童术后疼痛检查表（NCCPC-PV）瑞典语版本的有效性和可靠性。
从四个康复中心连续招募了 32 名认知障碍且无法言语沟通的儿童/青少年（2-20 岁）参与研究。每个孩子的行为都由家长或看护者以及物理治疗师在日常生活中的两个平静和两个疼痛情境中观察。评估者根据翻译后的瑞典语 NCCPC-PV 版本，独立地对 5 分钟内孩子的行为进行评估和分级。评估了内部和外部评估者的可靠性，并检查了结构有效性。
202 次评估的结果表明，结构有效性良好：疼痛和安静情境下孩子的行为迹象差异显著（p<0.001）。重复评估显示，内部和外部评估者之间的一致性都较差[组内相关系数（ICC）0.51-0.65]。疼痛评估的一致性较好（ICC 0.83）。
NCCPC-PV 的瑞典语版本可用于评估无法言语沟通的认知障碍儿童的疼痛。可靠性方面需要进一步分析。
