A review of pain measures for hospitalized children with cognitive impairment

作者：Crosta Quinn R^*; Ward Teresa M; Walker Amy J; Peters Lisa M

来源：Journal for Specialists in Pediatric Nursing, 2014, 19(2): 109-118.

DOI：10.1111/jspn.12069

• Cognitive impairment
• communication disorder
• developmental delay
• developmental disability
• intellectual disability
• language disability
• learning disability
• nonverbal
• pain assessment
• pain measures
• review

PurposeThe aims of this review were to examine pain measures for hospitalized children with cognitive impairment who are unable to self-report and to describe the best available evidence for their clinical utility in acute care settings.
Design and MethodsElectronic searches to identify published evidence were conducted and studies reviewed. Reported psychometrics and feasibility of the Non-Communicating Child's Pain ChecklistPostoperative Version, Individualized Numeric Rating scale, Pediatric Pain Profile, and revised Face, Leg, Activity, Cry, and Consolability scale were examined.
ConclusionsThese four measures have established validity and reliability. However, clinical utility findings varied.
Practice ImplicationsThe revised Face, Leg, Activity, Cry, and Consolability scale has demonstrated feasibility in acute care settings related to ease of use, time requirements, and flexibility regarding caregiver input.

• 出版日期2014-4