Yozgat Bozok University, Faculty of Health Sciences, Department of Pediatric Nursing, Turkey.
Kayseri Erciyes University, Faculty of Health Sciences, Department of Pediatric Nursing, Turkey.
J Pediatr Nurs. 2019 Sep-Oct;48:e49-e55. doi: 10.1016/j.pedn.2019.06.007. Epub 2019 Jun 19.
This methodological study was conducted to determine the Turkish validity-reliability and selectivity-sensitivity of the Premature Infant Pain Profile-Revised Form (PIPP-R). 200 newborn infants with gestational age of 26-42 weeks followed up in the neonatal unit of a university hospital. Necessary permissions were obtained from the responsible author, the institution, and the ethics committee before starting the study. Language validity, content validity, and construct validity studies were conducted for the validity of PIPP-R. For the content validity, the opinions of 10 experts were asked and the content validity index was found as 0.88. The factor analysis method was used to determine the construct validity of the scale and it was determined that the PIPP-R consisted of three factors. The Cronbach's alpha coefficient from the internal consistency analysis was calculated for the reliability of the scale and the scale was determined to be highly reliable with the value of 0.840. The intra-class correlation coefficient was used in determining the observer reliability and the agreement between three observers was found to be very good (0.944-1.000). In the analyses conducted for the sensitivity and selectivity of the scale, it was determined that the sensitivity of the scale was 91% and its selectivity was 88%. In accordance with the obtained results, PIPP-R was determined to be a valid, reliable, selective, and sensitive measurement tool to be used for the pain assessment of the Turkish population.
本方法学研究旨在确定早产儿疼痛评估工具修订版（PIPP-R）的土耳其语效度、信度、选择性和敏感性。研究纳入了 200 名胎龄为 26-42 周的新生儿，这些新生儿在一所大学附属医院的新生儿病房接受随访。在开始研究之前，已从责任作者、机构和伦理委员会获得了必要的许可。为了评估 PIPP-R 的效度，进行了语言效度、内容效度和结构效度研究。在内容效度方面，征求了 10 名专家的意见，内容效度指数为 0.88。采用因子分析法确定量表的结构效度，结果表明 PIPP-R 由三个因素组成。通过内部一致性分析计算量表的信度，得到的 Cronbach's alpha 系数为 0.840，表明量表具有高度可靠性。采用组内相关系数评估观察者间的可靠性，发现三位观察者之间的一致性非常好（0.944-1.000）。在对量表的敏感性和选择性进行分析时，发现量表的敏感性为 91%，选择性为 88%。根据研究结果，PIPP-R 是一种有效的、可靠的、具有选择性和敏感性的评估土耳其人群疼痛的测量工具。
