Skovby Pernille, Rask Charlotte Ulrikka, Dall Rolf, Aagaard Hanne, Kronborg Hanne
Anæstesiologisk-Intensiv Afdeling, Aarhus Universitshospital, Brendstrupgårdsvej 100, 8200 Aarhus N, Denmark.
Dan Med J. 2014 Jun;61(6):A4853.
Preoperative anxiety is common in children and it is associated with an adverse post-operative outcome. The modified Yale Preoperative Anxiety Scale (m-YPAS) was developed to assess preoperative anxiety in children. The purpose of this study was to translate and adapt the m-YPAS to Danish cultural and linguistic conditions and to test its face validity and inter-rater reliability in a clinical setting.
Translation was done in accordance with the WHO guidelines. Face validity and linguistic challenges were resolved in a focus group with five nurse anaesthetists. Inter-rater reliability for the subscales in the m-YPAS was determined at two different time points by using weighted kappa (κw) statistics, whereas agreement on the overall weighted scores was calculated using the intraclass correlation coefficient (ICC). The inter-rater reliability test was done by a paediatric anaesthesiologist consultant, a psychiatrist and the first author.
The Danish version of the m-YPAS was considered suitable and its face validity was satisfactory. Inter-rater reliability analysis revealed that inter-observer agreement among three independent raters was good (induction 1: κw: 0.63-0.98, ICC = 0.92; induction 2: κw: 0.72-0.96, ICC = 0.92).
Standardised and validated assessment tools are needed to evaluate interventions to reduce preoperative anxiety in children. A Danish version of the m-YPAS now exists, and preliminary testing has demonstrated a satisfactory face validity and inter-rater reliability.
The study was supported by grants from TrygFonden (Grant number: j.no.7-11-1292).
The Danish Data Protection Agency, the Central Denmark Region, has approved the study (j.no.: 2007-58-0010).
术前焦虑在儿童中很常见，且与不良术后结果相关。改良耶鲁术前焦虑量表（m-YPAS）旨在评估儿童术前焦虑。本研究的目的是将m-YPAS翻译并调整以适应丹麦的文化和语言环境，并在临床环境中测试其表面效度和评分者间信度。
翻译按照世界卫生组织的指南进行。在由五名麻醉护士组成的焦点小组中解决了表面效度和语言挑战问题。使用加权kappa（κw）统计量在两个不同时间点确定m-YPAS各子量表的评分者间信度，而使用组内相关系数（ICC）计算总体加权分数的一致性。评分者间信度测试由一名儿科麻醉顾问、一名精神科医生和第一作者进行。
m-YPAS的丹麦语版本被认为是合适的，其表面效度令人满意。评分者间信度分析显示，三名独立评分者之间的观察者间一致性良好（诱导1：κw：0.63 - 0.98，ICC = 0.92；诱导2：κw：0.72 - 0.96，ICC = 0.92）。
需要标准化和经过验证的评估工具来评估减少儿童术前焦虑的干预措施。现在已有m-YPAS的丹麦语版本，初步测试已证明其表面效度和评分者间信度令人满意。
本研究由TrygFonden提供的赠款支持（赠款编号：j.no.7 - 11 - 1292）。
丹麦数据保护局、丹麦中部地区已批准本研究（j.no.：2007 - 58 - 0010）。
