Intensive Care Unit, Department of Nursing, Children's Hospital of Soochow University, China.
Department of Nursing, Children's Hospital of Soochow University, Suzhou 215025, China.
J Pediatr Nurs. 2021 May-Jun;58:e13-e18. doi: 10.1016/j.pedn.2020.11.016. Epub 2020 Dec 28.
To develop a Chinese version of the State Behavioral Scale (SBS-C) and to evaluate its reliability and validity for sedation assessment in mechanically ventilated children in China.
Cross-sectional survey design was used in a two-part study of mechanically ventilated children, aged 6 weeks to 6 years. A total 172 children and 145 children were recruited from Jan-Dec 2017 and Jan-Dec 2018, respectively, at a tertiary care pediatric hospital in southeast China. Following translation of the scale, the content validity was established by the content validity index, internal consistency was established using Cronbach's α, and construct validity was confirmed by correlation with a similar well-recognized scale, the COMFORT Scale-Chinese version (CS-C).
The content validity index for the seven scale dimensions ranged from 0.83 to 1.0 and for the full scale was 0.932. In the first study, Cronbach's α for the full SBS-C was 0.986 and for the seven scale dimensions ranged from 0.973 to 0.983; similarly, in the second study, Cronbach's α for the full scale was 0.983 and for the seven dimensions ranged from 0.977 to 0.987. The correlation coefficient between scores of the SBS-C and the CS-C was 0.919 (P < .01).
The SBS-C is valid, reliable, and responsive and is suitable for assessing sedation in mechanically ventilated children in China.
The SBS-C can be used for sedation assessment in mechanically ventilated children in China, guiding decision making and the provision of care, and optimizing patient safety.
开发中文版状态行为量表（SBS-C），并评估其在中国机械通气儿童镇静评估中的信度和效度。
采用横断面调查设计，对机械通气的儿童进行了两部分研究。2017 年 1 月至 12 月和 2018 年 1 月至 12 月，在中国东南部的一家三级儿科医院分别招募了 172 名和 145 名年龄在 6 周至 6 岁的儿童。在对量表进行翻译后，采用内容效度指数（CVI）建立内容效度，采用克朗巴赫 α 建立内部一致性，通过与类似公认的量表（即 COMFORT 量表-中文版（CS-C））的相关性来验证结构效度。
七个量表维度的内容效度指数范围为 0.83 至 1.0，全量表的内容效度指数为 0.932。在第一项研究中，SBS-C 的克朗巴赫 α 系数为 0.986，七个量表维度的范围为 0.973 至 0.983；同样，在第二项研究中，全量表的克朗巴赫 α 系数为 0.983，七个维度的范围为 0.977 至 0.987。SBS-C 评分与 CS-C 的相关系数为 0.919（P<0.01）。
SBS-C 具有有效性、可靠性和敏感性，适用于评估中国机械通气儿童的镇静状态。
SBS-C 可用于中国机械通气儿童的镇静评估，指导决策和护理提供，优化患者安全。
