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Translation and psychometric properties of the comfort behavioral scale-Persian version

Zhila Tahmasb Zamanian1, FatemehSadat SeyedNematollah Roshan2, Narges Rahmani3

  • 1Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.

BMC Nursing
|December 20, 2024
PubMed

Insights

The Persian COMFORT Behavioral Scale is a valid and reliable tool for assessing pain and sedation in critically ill children. This scale aids nurses in improving care quality and patient satisfaction in Iranian hospitals.

Area of Science:

  • Pediatric Intensive Care
  • Nursing Research
  • Pain Management

Background:

  • Assessing pain and sedation in critically ill children is challenging for nurses.
  • A valid and reliable scale is essential for effective management.
  • The COMFORT Behavioral Scale is a widely used tool.

Purpose of the Study:

  • To translate the COMFORT Behavioral Scale into Persian.
  • To evaluate the validity and reliability of the Persian version.

Main Methods:

  • Methodological research involving forward-backward translation.
  • Assessed face, content, construct, and criterion validity.
  • Determined reliability using the concordance correlation coefficient.

Main Results:

  • High content validity index (S-CVI/Ave = 0.96) and ratio (CVR > 0.62).
  • Significant differences in pain scores between painful and resting states (P=0.000).
  • Positive correlation between COMFORT scale and criterion instruments (NISS, NRS) (P<0.05), with kappa > 0.4.

Conclusions:

  • The Persian COMFORT Behavioral Scale demonstrates good validity and reliability.
  • It is suitable for pain management in non-verbal, critically ill children in Iran.
  • The scale can enhance clinical care, education, research, and patient/parent satisfaction.
Abstract

Keywords:
Comfort behavioral scalePainPediatric intensive care unitTranslationValidation

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