婴儿疼痛行为指征量表的汉化及信效度检验  

Chinese vision of behavior indicators of infant pain and its reliability and validity

作　　者：吴怡雪 陈易 邱文波 徐俊英[3] 薛子豪 陈思亦 童莺歌[1] WU Yixue;CHEN Yi;QIU Wenbo;XU Junying;XIU Zihao;CHEN Siyi;TONG Yingge(School of Nursing,Division of Health Sciences,Hangzhou Normal University,Hangzhou 311121,China;Leshan Vocational and Technical College,Leshan 614000,China;Neonates Department,Taizhou Municipal Hospital,Taizhou 318000,China)

机构地区：[1]杭州师范大学医学部护理学院,杭州311121 [2]乐山职业技术学院,乐山614000 [3]台州市立医院新生儿科,台州318000

出　　处：《中国疼痛医学杂志》2021年第11期835-840,共6页Chinese Journal of Pain Medicine

基　　金：2020年浙江省医药卫生科技项目(2020KY240)。

摘　　要：目的:对婴儿疼痛行为指征量表(behavior indicators of infant pain, BIIP)进行汉化,形成中文版婴儿疼痛行为指征量表(Chinese version of BIIP, C-BIIP)并检验其信效度。方法:对BIIP进行翻译、回译和语义分析,形成C-BIIP。在新生儿重症监护室便利选取199例足月儿和197例早产儿,分别在采血操作前、中、后使用C-BIIP和中文版儿童疼痛行为评分量表(facial expression,legs, activity, crying, and consolability scale, FLACC)对新生儿进行疼痛评估,评价C-BIIP量表的信效度。结果:在足月儿和早产儿中,该量表的Cronbach’α系数为0.895和0.904;重测信度分别为0.938和0.947;在致痛性操作前、中、后3个阶段评分者间信度分别为0.961-0.988(足月儿)和0.921-0.959(早产儿)。C-BIIP的条目水平内容效度和量表水平内容效度均为1.000;效标关联效度为0.896和0.948;探索性因子分析结果显示,2个公因子的累计总方差贡献率分别为80.876%和77.740%;采血操作前、中、后3个阶段间的评分均不同(P <0.001)。结论:C-BIIP具有较好的信度和效度,可用于评估新生儿患儿操作性疼痛。Objective: To translate the behavior indicators of infant pain(BIIP) into the Chinese version(C-BIIP), and to test its effectiveness including reliability and validity in neonates treated in neonatal intensive care unit(NICU). Methods: The BIIP scale was translated, back translated, and semantically analyzed to form a Chinese version. A convenient sample of 199 term infants and 197 preterm infants from NICU was measured for pain through C-BIIP and Facial Expression, Legs, Activity, Crying, and Consolability Scale, and the reliability and validity of C-BIIP scale were evaluated according the score of before, during and after blood collection. Results: The internal consistency Cronbach’s coefficient were 0.895 in term infants and 0.904 in preterm infants. The test-retest reliability were 0.938 in term infants and 0.947 in preterm infants. The interclass correlation coefficients were from 0.961 to 0.988(term infants) and from 0.921 to 0.959(preterm infants). Both the content validity index for item(I-CVI) and the content validity index for scales(S-CVI) were 1.000, which were excellent. The correlations between the C-BIIP scale and Chinese version of FLACC were 0.896 in term infants and 0.948 in preterm infants. The accumulative contribution rate of the two common factors produced by the factor analysis reached 80.876% for term infants and 77.740% for preterm infants. There were statistically significant differences in the scores before, during and after blood collection(P < 0.001). Conclusion: C-BIIP has good reliability and validity, and can be used for procedural pain assessment of neonatal patients.

关 键 词：疼痛评估 新生儿 婴儿疼痛行为指征量表 信度 效度 

分 类 号：R473.72[医药卫生—护理学]