Faculty of Medicine and University Hospital, Medicine of Child and Adolescent Area, Faculty of Medicine and University Hospital of University of Brasilia, Brasilia - Federal District 70910-900, Brazil.
Faculty of Medicine and University Hospital, Medicine of Child and Adolescent Area, Faculty of Medicine and University Hospital of University of Brasilia, Brasilia - Federal District 70910-900, Brazil.
Early Hum Dev. 2021 Jan;152:105285. doi: 10.1016/j.earlhumdev.2020.105285. Epub 2020 Nov 24.
EVENDOL scale (from the French Evaluation Enfant Douleur) is used to evaluate pain in children in any situation covering a wider age group than other pain scales (birth up to seven years). This study aimed to evaluate pain in hospitalized newborns, to adapt and validate the EVENDOL to Brazilian Portuguese.
Cross-sectional, cross-cultural adaptation and validation study in a convenience sample from a tertiary hospital, Brazil. EVENDOL was translated and tested for reliability and validity using the PIPP and NFCS scales for comparison. For reliability testing, two observers independently evaluated 117 nociceptive procedures from 87 newborns. Internal consistency coefficient Cronbach's alpha, internal class agreement coefficient, and Kappa factor were appropriately measured.
The scale's internal consistency reached a value of 0.82, and the estimates of internal consistency and reliability also reached acceptable or very good values. Two-way ANOVA determined statistically significant effect of gestational age on the total score of the EVENDOL (F = 4.14; p = 0.045), younger infants had the lowest values, as lower values of Apgar-5° minute lowered the indicator "Interaction with the Environment" (F = 5.066; p = 0.027).
EVENDOL proved to be an easily applied tool and it was psychometrically robust, reliable and valid for use with both premature and term hospitalized newborns, who were clinically stable, being Apgar score and gestational age relevant factors. It is a reliable method of identifying pain in babies who need more support from the hospital staff and now is available for use in Portuguese language.
The EVENDOL pain scale is now validated for babies born at term and prematurely in Portuguese Language allowing its use in all Lusophone countries.
EVENDOL 量表（法语 Evaluation Enfant Douleur 的缩写）用于评估任何情况下儿童的疼痛，涵盖的年龄范围比其他疼痛量表更广（从出生到七岁）。本研究旨在评估住院新生儿的疼痛，将 EVENDOL 进行翻译和验证，使其适用于巴西葡萄牙语。
这是一项在巴西一家三级医院进行的便利性样本的横断面、跨文化适应和验证研究。EVENDOL 经过翻译和测试，使用 PIPP 和 NFCS 量表进行比较，以评估其可靠性和有效性。为了进行可靠性测试，两位观察者独立评估了 87 名新生儿的 117 次疼痛操作。适当测量了内部一致性系数 Cronbach's alpha、内部类别一致性系数和 Kappa 因子。
该量表的内部一致性达到 0.82，内部一致性和可靠性的估计值也达到了可接受或非常好的水平。双因素方差分析确定了 EVENDOL 总分在胎龄上有统计学显著的影响（F=4.14；p=0.045），胎龄较小的婴儿得分最低，因为 Apgar-5 分钟评分较低会降低“与环境的互动”指标（F=5.066；p=0.027）。
EVENDOL 被证明是一种易于应用的工具，它具有良好的心理测量学特性，在早产儿和足月儿中均具有可靠性和有效性，这些婴儿的临床状况稳定，Apgar 评分和胎龄是相关因素。这是一种可靠的方法，可以识别需要医院工作人员更多支持的婴儿的疼痛，现在已经可以在葡萄牙语中使用。
EVENDOL 疼痛量表现已在葡萄牙语中得到验证，适用于足月和早产婴儿，可以在所有葡语国家使用。
