| 英文摘要 |
Background: Appropriate assessment of pain is not only associated with analgesic use in clinical settings, but also helps improve the quality of pain management. However, only a limited number of tools are available to assess pain in children who cannot express pain verbally. The current study aims to validate the Chinese version of the Pediatric Critical-Care Pain Observation Tool (P-CPOT).
Methods: The P-CPOT scale was translated into Chinese. We obtained approval from the guardians before recruiting the participating children. The research staff assessed the pain response at three stages: pretest, during pain stimulation, and post-test. The pain responses were recorded with the P-CPOT and the Face, Leg, Activities, Cry, and Consolability (FLACC) scales. Inter-rater reliability, construct validity, and discriminant validity were thereafter calculated.
Results: A total of 22 participants (13 males and 9 females) were recruited over 8 months of study. Participants aged between 0 and 27 months old (mean = 6.77 months). The mean hospitalization day of ICU stay was 15.09 days. Statistical analysis showed that the Chinese P-CPOT has satisfactory interrater reliability and construct validity. Elevated pain responses were recorded during the pain stimulation, which showed the discriminant validity of this validated scale.
Conclusion: Using this new tool, clinicians can have an alternative option for pain assessment in children, thereby improving the quality of pain control in Taiwan’s pediatric intensive care units. |
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