行为评估量表在成人危重病人疼痛评估中的信效度研究

Study on reliability and validity of Behavior Assessment Scale in pain assessment of adult patients with critically ill

[目的]对行为评估量表(The Face,Legs,Activity,Cry,Consolability Behavioral Scale,FLACC)进行信度和效度评价,探讨该量表对成人危重病人疼痛评估的应用价值。[方法]选取2015年1月—5月在某三级甲等医院重症监护病房住院的30例病人为研究对象。在非疼痛性操作前、操作后和疼痛性操作前、操作后采用FLACC量表对病人进行疼痛评估。[结果]FLACC量表评定者间信度较好[(t=1.000,P=0.326)和(t=1.044,P=0.305)];量表总体Cronbach’sα系数为0.859和0.843;非疼痛性操作前、操作后和疼痛性操作前、操作后两次重复测量的整体相关系数分别为别0.995和0.962;5个条目内容效度(I-CVI)大于0.78,K值大于0.74;该量表共提取1个公因子,累计贡献率为55.901%。非疼痛性操作后和疼痛性操作后FLACC评分分别为(3.667±1.689)分和(5.033±1.731)分。[结论]FLACC量表在成人危重病人疼痛评估中具有较好的信度和效度。

Objective：To evaluate the reliability and validity of behavior assessment scale（The Face,Legs,Activity,Cry,Consolability Behavioral Scale,FLACC）and probe into application value of the scale in the pain assessment in adult critically ill patients,Methods：A total of 30 cases of ICU patients were selected from January to May in 2015 in intensive care unit（ICU）in a third grade A cancer hospital.The FLACC scale was used for pain assessment of patients before and during non pain operation and pain operation.Results：Reliability and validity of FLACC scale were better（t=1.000,P=0.326）and（t=1.044,P=0.305）;total alpha coefficients of the scale were 0.859 and 0.843;Integral correlation coefficient of twice repeated measurements before and after non pain operation and pain operation were respective 0.995 and 0.962;5items of content validity（I-CVI）was greater than 0.78,K value was greater than 0.74;common factor of the scale was extracted,the cumulative contribution rate was 55.901%.The FLACC score was respectively（3.667±1.689）and（5.033±1.731）after non-pain operation and pain operation.Conclusion：FLACC scale has better reliability and validity in the pain evaluation of adult critically ill patients.