Abstract:

Objective To assess the validation of Wong-Baker FACES Rating Scale（Wong-Baker）in confort assessment among children with acute fever and aged 0-5 years about comfort and corresponding relationship between Wong-Baker and Echelle Douleur Inconfort Nouveau-Ne, neonatal pain and discomfort scale（EDIN）. Methods This was a prospective，observational study of children aged from 0 to 5 years with acute fever about comfort. Children's discomfort severity with fever was rated on EDIN and Wong-Baker. Spearman's correlation (r) was used to measure agreement between two scales. Results A total of 97 patients including 56 males were enrolled with 31 cases aged ≤1 year, 49 aged -3 years, 17 aged -5 years and 35 cases ≤38.0℃, 49 with -39.0℃ and 13 ≥39.0℃. Forty three cases (44.3%) were diagnosed as infectious diseases, 25 (25.8%) with respiratory diseases, 21 (21.6%) with fever of unknown causes, 7 with hematology diseases and 1 with digestive disease. All children with fever felt pain assessed by Wong-Baker scale, 29.9% of them felt mild pain. The assessments of obvious pain, severe pain and fierce pain were accordant between genders and age groups. The feeling to different pain became more obvious with the increasing of body temperature. More than 90% children felt uncomfortable assessed by Chinese version EDIN scale. It was accordance with the feeling scored 1 to 3 between different genders and ages. The number of children with good sleep, friendly with study staff and easily pacify decreased with increasing of body temperature. Agreement between Wong-Baker and EDIN was good（r=0.742, P<0.001) without relationship with gender, age or body temperature. Conclusion Both scales could be used to assess comfort in acute fever children aged from 0 to 5 years with good agreement between Wong-Baker and EDIN.