Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, 3584 CS Utrecht, the Netherlands.
Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
J Pediatr Nurs. 2024 Sep-Oct;78:75-81. doi: 10.1016/j.pedn.2024.06.010. Epub 2024 Jun 17.
To optimize recognition and management of nausea in children with cancer using patient reported outcome measures (PROMs) and to identify preferences of children with cancer regarding two validated tools: the Baxter Retching Faces (BARF) scale and the Pediatric Nausea Assessment Tool (PeNAT).
This quantitative descriptive cross-sectional study (n = 34) used bespoke questionnaires to measure feasibility and face validity of the BARF and the PeNAT. Feasibility included the items: understanding, ease of use, and communication. Face validity was studied in terms of the degree in which the faces of both PROMs corresponded with children's feelings of nausea. A descriptive and comparative analysis of the data was performed.
Both the BARF and the PeNAT were rated by the children as feasible, and no significant differences were found. However, regarding the item communication, the PeNAT did not reach the cut-off value (≥80% of all children scored neutral, agree or totally agree on the Likert scale). Regarding face validity, only the BARF reached the cut-off value and corresponded significantly better with children's feelings of nausea than the PeNAT.
According to children with cancer, only the BARF is both feasible and meets criteria for face validity. Therefore, the BARF is recommended as a PROM for reporting nausea in children with cancer. However, possible differences between age groups should be taken into account for future research.
This study will help health care professionals in making a patient-centered and informed choice when using a PROM for measuring nausea in children with cancer.
使用患者报告结局测量（PROMs）来优化对癌症患儿恶心的识别和管理，并确定癌症患儿对两种经过验证的工具（Baxter 恶心面部表情量表（BARF）和儿科恶心评估工具（PeNAT））的偏好。
本定量描述性横断面研究（n=34）使用定制问卷来衡量 BARF 和 PeNAT 的可行性和表面效度。可行性包括理解、易用性和沟通三个方面。表面效度研究了两个 PROM 的面部表情与儿童恶心感的匹配程度。对数据进行了描述性和比较分析。
儿童对 BARF 和 PeNAT 的评价均为可行，且两者之间无显著差异。然而，就沟通项目而言，PeNAT 未达到临界值（所有儿童在李克特量表上的评分中，中性、同意或完全同意的比例均<80%）。在表面效度方面，只有 BARF 达到了临界值，与儿童的恶心感更为一致，显著优于 PeNAT。
根据癌症患儿的反馈，只有 BARF 既具有可行性，又符合表面效度标准。因此，BARF 被推荐作为报告癌症患儿恶心的 PROM。然而，未来的研究应该考虑到年龄组之间的可能差异。
本研究将有助于医疗保健专业人员在为癌症患儿测量恶心时，做出以患者为中心且知情的选择。
