对血管接入程序的儿科影响与合作尺度 (HRAD±) 的前性观察性研究
Romy Yun1, Kristin M Kennedy2, Janet Titzler3
1Department of Anesthesiology, Perioperative and Pain Medicine, Division of Pediatric Anesthesiology, Stanford University School of Medicine, Lucile Packard Children's Hospital Stanford, Stanford, CA, USA.
The journal of vascular access
|December 6, 2024
概括
快乐,放松,焦虑,痛苦 (HRAD±) 尺度有效地评估儿科程序性焦虑和血管接入期间的合作. 这种高效的工具与已建立的尺度很好地相关,有助于临床决策和干预.
科学领域:
- 儿科医学 儿科医学
- 心理学 心理学 心理学
- 临床评估 临床评估
背景情况:
- 儿科程序性焦虑很普遍,特别是在血管接入期间.
- 现有的焦虑量表 (OSBD-r,mYPAS,mICC) 往往过于复杂,无法在常规临床中使用.
- HRAD±尺度提供了一种临床有效的观察方法,用于评估儿科手术影响和合作.
研究的目的:
- 评估HRAD±尺度在接受血管接入手术的儿科患者的临床实用性.
- 确定HRAD±分数与已建立的基于研究的焦虑和合作等级之间的相关性.
- 在观察者中评估HRAD±尺度的评价者间可靠性.
主要方法:
- 进行了一项前性观察性研究,该研究对儿科住院患者 (1个月至25岁) 进行了外周静脉插入或瘤切除.
- 两个研究助理独立使用HRAD±,OSBD-r,mYPAS和mICC在程序期间给患者评分.
- 使用相关性分析和Fleiss' Kappa来评估尺度关联和评级者之间的可靠性.
主要成果:
- HRAD±分数与行为困扰修订的观察量表 (OSBD-r) 和修改的耶鲁手术前焦虑量表 (mYPAS) (p < 0.0001) 显示出强烈的相关性.
- HRAD±的合作组成部分与修改的诱导合规性检查清单 (mICC) 有着强烈的相关性 (p < 0.0001).
- 在研究助理和医疗保健提供者之间观察到HRAD±的中等评价者间可靠性 (p < 0.0001).
结论:
- HRAD±尺度在评估儿科程序性焦虑和合作方面表现出强大的有效性和可靠性.
- HRAD±是血管接入期间快速临床评估的实用工具,支持知情决策.
- 更广泛地采用HRAD±可以帮助指导有针对性的干预措施,以减少儿科患者的焦虑.
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