• 作者：I. Latorre Marco^a ; ^{ilatorre.hpth@salud.madrid.org} ; M. Solí ; s Muñ ; oz^b ; T. Falero Ruiz^a ; A. Larrasquitu Sá ; nchez^a ; A.B. Romay Pé ; rez^a ; I. Millá ; n Santos^c ; resto del grupo del proyecto de Investigació ; n ESCID
• 关键词：Valoració ; n del dolor ; Escalas ; Paciente crí ; tico ; Ventilació ; n mecá ; nica ; No comunicativo ; Investigació ; n
• 刊名：Enfermer铆a Intensiva
• 出版年：2011
• 期刊代码：pca155_11302399
• 类别：med
• 出版时间：January-March 2011
• 卷：22
• 期：1
• 页码：3-12
• 文件大小：424 K

Objective

To determine the reliability and validity of the 鈥淪cale of Behavior Indicators of Pain鈥?(Escala de Conductas Indicadoras de Dolor: ESCID) as a tool to assess pain in the critically ill, non-communicative patients with mechanical ventilation.

Methods

An observational study of development and validation of this scale as an instrument for pain measurement in ICU patients over 18 years of age, who are uncommunicative and under mechanical ventilation. Their pain was assessed with the Behavioral Pain Scale (BPS) and the ESCID simultaneously, by two independent observers, when the painful maneuvers (PM), secretion aspiration and mobilization, were applied. Measurements were obtained before, during and after the PM. A descriptive analysis of the general characteristics of the population was carried out. The reliability of the ESCID was measured through the internal consistency of each item using Cronbach's alpha. Intraobserver and interobserver concordance was measured with the repeated measurements analysis of variance test. The components of the two pain scales were compared to obtain the change between the results obtained based on time, observer and procedure. The correlation between the scales was measured with the Pearson's correlation.

Results

A total of 480 observations were obtained in 42 patients, 62%were males; age 57.33 卤 16.35 years. The most frequent ICU admission was due to infectious disease (36%) and neurological disease (35%). Glasgow Coma Scale 8.45 卤 1.2 and Richmond Agitation-Sedation Scale 鈭?.55 卤 1.5. Arterial blood pressure, heart rate and respiratory rate remained stable. Cronbach's s Alpha Coefficient for ESCID ranged from 0.70-0.80. There is a good correlation between the ESCID and BPS in the three measurement points in time: Pearson's correlation: before 0.97, during 0.94 and after 0.95.

Conclusions

ESCID is a reliable and valid tool to assess pain in critically ill, non-communicative patients under mechanical ventilation.