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Development of a Chinese Version of the State Behavioral Scale for Mechanically Ventilated Children
Jin-Xia Yang1, Wen-Ying Yao2, Xin Wang2
1Intensive Care Unit, Department of Nursing, Children's Hospital of Soochow University, China.
Insights
The Chinese State Behavioral Scale (SBS-C) is a reliable tool for assessing sedation in mechanically ventilated children. This validated scale aids clinical decisions and enhances patient safety in China.
Area of Science:
- Pediatric Critical Care Medicine
- Nursing Research
- Psychometrics
Background:
- Sedation assessment is crucial for mechanically ventilated children.
- Existing scales may require adaptation for specific populations.
- The State Behavioral Scale (SBS) is a recognized tool for sedation monitoring.
Purpose of the Study:
- To translate and culturally adapt the State Behavioral Scale for use in China (SBS-C).
- To evaluate the reliability and validity of the SBS-C in Chinese pediatric patients requiring mechanical ventilation.
Main Methods:
- A cross-sectional survey design was employed with 172 children in the first phase and 145 in the second.
- The study included children aged 6 weeks to 6 years undergoing mechanical ventilation.
- Content validity (CVI), internal consistency (Cronbach's α), and construct validity (correlation with COMFORT Scale-Chinese version) were assessed.
Main Results:
- The SBS-C demonstrated excellent content validity (CVI=0.932).
- High internal consistency was found in both study phases (Cronbach's α > 0.983).
- Strong positive correlation between SBS-C and CS-C scores (r=0.919, P < .01) confirmed construct validity.
Conclusions:
- The SBS-C is a valid, reliable, and responsive instrument for sedation assessment.
- The SBS-C is suitable for use in Chinese pediatric intensive care units.
- This scale can guide clinical decision-making, improve care, and optimize patient safety.
Purpose:
To develop a Chinese version of the State Behavioral Scale (SBS-C) and to evaluate its reliability and validity for sedation assessment in mechanically ventilated children in China.
Design And Methods:
Cross-sectional survey design was used in a two-part study of mechanically ventilated children, aged 6 weeks to 6 years. A total 172 children and 145 children were recruited from Jan-Dec 2017 and Jan-Dec 2018, respectively, at a tertiary care pediatric hospital in southeast China. Following translation of the scale, the content validity was established by the content validity index, internal consistency was established using Cronbach's α, and construct validity was confirmed by correlation with a similar well-recognized scale, the COMFORT Scale-Chinese version (CS-C).
Results:
The content validity index for the seven scale dimensions ranged from 0.83 to 1.0 and for the full scale was 0.932. In the first study, Cronbach's α for the full SBS-C was 0.986 and for the seven scale dimensions ranged from 0.973 to 0.983; similarly, in the second study, Cronbach's α for the full scale was 0.983 and for the seven dimensions ranged from 0.977 to 0.987. The correlation coefficient between scores of the SBS-C and the CS-C was 0.919 (P < .01).
Conclusions:
The SBS-C is valid, reliable, and responsive and is suitable for assessing sedation in mechanically ventilated children in China.
Implications For Practice:
The SBS-C can be used for sedation assessment in mechanically ventilated children in China, guiding decision making and the provision of care, and optimizing patient safety.
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