Zabalia Marc, Breau Lynn M, Wood Chantal, Lévêque Christine, Hennequin Martine, Villeneuve Edith, Fall Estelle, Vallet Laurent, Grégoire Marie-Claude, Breau Geneviève
Psychologie des Actions Langagières et Motrices, Université de Caen Basse-Normandie, MRSH, Esplanade de la Paix 14032, Caen Cedex 5, France.
Can J Anaesth. 2011 Nov;58(11):1016-23. doi: 10.1007/s12630-011-9582-7. Epub 2011 Sep 2.
The aim of the study was to test the validity of a French language version of the Non-Communicating Children's Pain Checklist - Postoperative Version (NCCPC-PV): grille d'évaluation de la douleur-déficience intellectuelle (GED-DI).
We assessed the intensity of pain in 87 intellectually disabled surgical patients recruited in four Canadian and French hospitals in the pre- and post-operative settings using the GED-DI, a 100-mm visual analogue pain scale (VAS) and the Rosen sedation scale. The validity of the GED-DI was measured by the difference in scores between pre- and postoperative conditions. The checklist was made up of 30 items divided into seven subgroups. Items were rated from 0 to 3 for a total score ranging from 0 to 90 points.
The mean (standard deviation) age of the patients was 17 (11) yr and the mean mental age 24.5 (24) months. The total GED-DI score was 6.1 (4.9) pre- and 13.4 (11.2) post-surgery (P < 0.001). All subgroups had a higher score after surgery (P < 0.001). The receiver operating characteristic (ROC) curves, comparing the absence of pain to mild pain scores and moderate to severe pain scores, showed a cutoff at 6 (mild pain) and 11 (moderate to severe pain).
The French version of the NCCPC-PV can be used to assess pain in non-communicating patients with intellectual disabilities in a postoperative setting. It has good content validity, as the total pre-surgery score for the GED-DI was significantly lower than the postoperative score, and showed a good concurrent validity when compared to the VAS.
本研究旨在检验法语版非沟通性儿童疼痛检查表 - 术后版（NCCPC - PV）：智力缺陷疼痛评估量表（GED - DI）的有效性。
我们使用GED - DI、100毫米视觉模拟疼痛量表（VAS）和罗森镇静量表，对在四家加拿大和法国医院招募的87名智力残疾手术患者在术前和术后的疼痛强度进行了评估。GED - DI的有效性通过术前和术后状况的得分差异来衡量。该检查表由30个项目组成，分为七个亚组。项目评分从0到3，总分从0到90分。
患者的平均（标准差）年龄为17（11）岁，平均心理年龄为24.5（24）个月。GED - DI总分术前为6.1（4.9），术后为13.4（11.2）（P < 0.001）。所有亚组术后得分均更高（P < 0.001）。将无痛与轻度疼痛评分以及中度至重度疼痛评分进行比较的受试者工作特征（ROC）曲线显示，临界值分别为6（轻度疼痛）和11（中度至重度疼痛）。
NCCPC - PV的法语版可用于评估术后智力残疾的非沟通性患者的疼痛。它具有良好的内容效度，因为GED - DI的术前总分显著低于术后得分，并且与VAS相比具有良好的同时效度。
