Servicio de Anestesia y Reanimación, HIU Niño Jesús, Madrid, España.
Servicio de Anestesia y Reanimación, HIU Niño Jesús, Madrid, España.
Rev Esp Anestesiol Reanim (Engl Ed). 2020 Mar;67(3):139-146. doi: 10.1016/j.redar.2019.09.004. Epub 2019 Nov 24.
The digital version of the assessment scales recommended for the pediatric patient could contribute to its improvement and to implement the quality indicators described for the management of acute pain.
Psychometric validation (validity and reliability) of pain assessment and treatment side effects scales incorporated in the electronic application PainAPPle. For this, both formats (paper and electronic) of all the scales were applied in two measurements with 30minutes of difference in 44 patients from 4 to 18years of the Acute Pain Unit in the immediate postoperative period. In addition, the data collected by PainAPPle was evaluated by retrospectively applying the quality indicators described for the management of acute postoperative pain.
Reliability was studied analyzing the high correlation (Spearman greater than 0.5, P<.001) that we obtained for the values of each scale in two moments with 30minutes of difference, in the same patients. For validity, the high correlation (Spearman greater than 0.5, P<.001) between the values of the paper scales (gold rule) and PainAPPle at both minute 0 and 30 was analyzed. Concordance obtained taking into account the cut-off point of the scales that would force a treatment were also statistically significant (P<.005).
PainAPPle is a validated instrument for the management of acute pain in pediatric patients. The collected data allow to apply the quality indicators described for the management of acute postoperative pain.
推荐用于儿科患者的评估量表的数字版本可以促进其改进，并实施描述的急性疼痛管理质量指标。
评估量表和治疗副作用量表的心理测量学验证（有效性和可靠性）纳入电子应用程序 PainAPPle。为此，在术后即刻的急性疼痛病房中，对 44 名 4 至 18 岁的患者，在两次测量中，两次测量之间间隔 30 分钟，分别使用纸质和电子格式的所有量表。此外，通过回顾性应用描述的急性术后疼痛管理质量指标来评估由 PainAPPle 收集的数据。
通过分析同一患者两次测量（相差 30 分钟）之间每个量表值的高度相关性（斯皮尔曼相关系数大于 0.5，P<.001）来研究可靠性。对于有效性，分析了纸质量表（金标准）和 PainAPPle 在 0 分钟和 30 分钟时的数值之间的高度相关性（斯皮尔曼相关系数大于 0.5，P<.001）。考虑到会强制治疗的量表的截止点，获得的一致性也具有统计学意义（P<.005）。
PainAPPle 是一种用于管理儿科患者急性疼痛的经过验证的工具。收集的数据允许应用描述的急性术后疼痛管理质量指标。
