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中国循证儿科杂志

中国循证儿科杂志 ›› 2021, Vol. 16 ›› Issue (3): 186-191.

• 论著 • 上一篇    下一篇

三种量表用于新生儿术后疼痛评估的信效度分析

何星蓉, 郑显兰, 柯淞淋, 冷虹, 瑶林紫   

  1. 重庆医科大学附属儿童医院护理部，国家儿童健康与疾病临床医学研究中心，儿童发育疾病研究教育部重点实验室，儿科学重庆市重点实验室重庆，400014
  • 收稿日期:2021-03-17 修回日期:2021-04-02 出版日期:2021-06-25 发布日期:2021-06-25
  • 通讯作者: 郑显兰

Comparison Of Reliability And Validity Of Three Scales For Neonatal Postoperative Pain Assessment

HE Xingrong , ZHENG Xianlan, KE Songling, LENG Hongyao, LIN Zi   

  1. Department of Nursing, Children's Hospital of Chongqing Medical University; National Clinical Research Center for Child Health and Diseases; Ministry of Education Key Laboratory of Child Derelopment and Disorders; Chongqing Key Laboratory of Pediatries, Chongqing 400014, China
  • Received:2021-03-17 Revised:2021-04-02 Online:2021-06-25 Published:2021-06-25
  • Contact: ZHENG Xianlan

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摘要： 目的：比较CRIES量表 (Cries, Requires Oxygen, Increased Vital Signs, Expression, Sleeplessness , CRIES)、早产儿疼痛评估量表(Premature Infant Pain Profile, PIPP)和新生儿疼痛、躁动及镇静评估量表（Neonatal Pain, Agitation and Sedation Scale , N-PASS）用于新生儿术后疼痛评估的信度和效度，以找出信效度最高的新生儿术后疼痛评估量表。方法：采用便利抽样法，选取2019年08月至2020年1月重庆市某三甲儿童医院67例术后新生儿作为研究对象，通过一般资料调查表和床旁录像进行资料收集，使用3种量表对每例患者术后1、2、4、8、12、24小时进行共2412次疼痛评估。运用相关分析、信度分析、主成分分析和探索性因子分析对3种量表的信度和效度进行评价。结果：CRIES、PIPP、N-PASS的Cronbach’s α系数分别为0.906，0.769，0.915；重测信度分别为0.917，0.753，0.919；效标效度分别为0.887，0.874，0.920；探索性因子分析分别提取了1、2、2个公因子，累计方差贡献率分别为72.717%，71.133%，87.252%。结论：N-PASS量表信度和效度高于CRIES量表和PIPP量表，更适合用于评估新生儿术后疼痛。

关键词: 新生儿, 术后疼痛, CRIES, PIPP, N-PASS

Abstract: Objective: To compare the reliability and validity of the CRIES scale, PIPP scale and N-PASS scale for neonatal postoperative pain assessment and then find the most reliable and valid postoperative pain assessment scale for neonates. Methods: The convenience sampling method was adopted to select 67 newborns who had been operated in a third-grade A children's hospital in Chongqing from August 2019 to January 2020 as the research objects. Data were collected through general information questionnaire and bedside video recording. Three scales were used to evaluate the pain of each patient for a total of 2,412 times at 1, 2, 4, 8, 12 and 24 hours after surgery. The reliability and validity of three scales were evaluated by correlation analysis, reliability analysis, principal component analysis and exploratory factor analysis. Results: The Cronbach's alpha coefficients of CRIES, PIPP, and N-PASS were 0.906, 0.769, and 0.915 respectively. The test-retest reliability was 0.917, 0.753 and 0.919, respectively. Criterion validity was 0.887,0.874 and 0.920, respectively. Exploratory factor analysis extracted 1, 2 and 2 components, and the cumulative variance contribution rate was 72.717%, 71.133% and 87.252%, respectively. Conclusion: The reliability and validity of the N-PASS scale was higher than that of the CRIES scale and PIPP scale, which was more suitable for the assessment of neonatal postoperative pain.

Key words: Neonates, Postoperative pain, CRIES, PIPP, N-PASS