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Cirugía y cirujanos
versão On-line ISSN 2444-054Xversão impressa ISSN 0009-7411
Resumo
MELGAR-BIEBERACH, Rebeca E.. Methodological proposal for the development and validation of a scale of pain assessment in the critically burned patient. Cir. cir. [online]. 2022, vol.90, n.3, pp.365-371. Epub 06-Jun-2022. ISSN 2444-054X. https://doi.org/10.24875/ciru.21000050.
Objective:
To have a scale for pain assessment in the critical burned adult patient.
Method:
A literature review was carried out, and an assessment scale was built with 24 items grouped into 8 categories or dimensions: burn extension, depth, airway burn and/or inhalation injury, facial expression, mechanical ventilation, limb movement, heart rate and painful procedures, and 4 evaluation criteria were applied: sufficiency, clarity, coherence and relevance, on a scale of 1 to 4, from non-compliance with the criterion to full compliance with the criterion.
Results:
The Scale was revised and validated by expert judgement, reaching an overall content validity ratio of 0.96 (Lawshe) and 0.98 (Tristan-Lopez), an Aiken V of 0.96, which shows an agreement between judges over 96% and an adequate validity of the instrument. The Cronbach index was 0.74, demonstrating acceptable internal reliability and consistency.
Conclusions:
In the experts’ opinion, it is an instrument with a high reliability rate and is recommended for application in a sample of critical burned patients for a second validation and its subsequent use and dissemination.
Palavras-chave : Pain; Scale; Critical status; Burned.