儿童腹部手术疼痛定位工具的可靠性与改进
Reliability and refinement of a pain location tool for children's abdominal surgery.
作者信息
Hamill James K, Mair Jonathan, Steedman Hannah B, Liley Andrew, Hill Andrew G
机构信息
Department of Paediatric Surgery, Starship Children's Hospital, Park Road, Auckland, New Zealand.
University of Otago Wellington School of Medicine, Wellington, New Zealand.
出版信息
Pain Manag. 2017 Jan;7(1):33-40. doi: 10.2217/pmt-2016-0021. Epub 2016 Sep 12.
AIM
To determine the 'inter-rater' and test-retest reliability of a pain location tool for children.
MATERIALS & METHODS: In children aged 5-14 years who had undergone a laparoscopic operation, pain scores at each of seven abdominal locations, and at the shoulder tip, were recorded at baseline and after a 5- and 30-min interval.
RESULTS
Intraclass correlation coefficients were predominantly in the 'moderate' to 'substantial' range for both 'inter-rater' and test-retest reliability. Three quarters of children would prefer an electronic version of the tool. Thematic analysis showed accuracy, usability, utility and usefulness were areas for future development.
CONCLUSION
Children can reliably indicate where they hurt after laparoscopic surgery. An electronic version could increase acceptability to children and usability by professionals.
目的
确定一种儿童疼痛定位工具的“评分者间”信度和重测信度。
材料与方法
对5至14岁接受过腹腔镜手术的儿童，在基线、间隔5分钟和30分钟后记录七个腹部位置及肩峰处的疼痛评分。
结果
“评分者间”信度和重测信度的组内相关系数主要在“中等”至“较高”范围内。四分之三的儿童更喜欢该工具的电子版。主题分析表明，准确性、可用性、实用性和有用性是未来发展的方向。
结论
儿童能够可靠地指出腹腔镜手术后疼痛的部位。电子版可能会提高儿童的接受度和专业人员的易用性。
Zotero 插件