<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7531</journal-id>
<journal-title><![CDATA[Revista Cubana de Pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Pediatr]]></abbrev-journal-title>
<issn>0034-7531</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75312019000200010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Validación Delphi de un cuestionario sobre el manejo del dolor en pediatría]]></article-title>
<article-title xml:lang="en"><![CDATA[Delphi´s validation of a questionnaire about handling of pain in Pediatrics]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Cruz]]></surname>
<given-names><![CDATA[Nuvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Torres]]></surname>
<given-names><![CDATA[María del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Conde]]></surname>
<given-names><![CDATA[Santa Yarelis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Mato]]></surname>
<given-names><![CDATA[Ivette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Médica de La Habana Facultad de Ciencias Médicas &#8220;Salvador Allende&#8221; Departamento de Clínicas]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pediátrico &#8220;Juan Manuel Márquez&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>91</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75312019000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75312019000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75312019000200010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Existen numerosos factores que influyen en la prescripción de analgésicos en pediatría, algunos relacionados con el prescriptor y otros no relacionados directamente. Para determinar los factores de mayor impacto en este problema, se construyó un cuestionario que se sometió a una validación por un grupo de expertos y a test estadísticos.  Objetivos:  Evaluar la fiabilidad del instrumento construido.  Métodos:  Se utilizó el método Delphi, con una circulación en tres rondas de un cuestionario remitido a un grupo de expertos de la provincia La Habana, durante los meses de mayo a octubre de 2016.  Resultados:  Participaron 23 expertos, en las dos primeras rondas se determinaron los ítems a incluir y en la tercera las preguntas. En esta última se logró un consenso de 89,3 %. Las 43 preguntas aceptadas se condensaron en 19 con múltiples incisos y se obtuvo el cuestionario final. Para los factores no dependientes del prescriptor, el alfa de Cronbach fue de 0,179 y el coeficiente de Spearman-Brown de 0,231, mientras que para los factores que sí dependieron del prescriptor los valores fueron de 0,506 y 0,717, respectivamente.  Conclusiones:  El alto nivel de consenso obtenido y los resultados de los test estadísticos referentes a los factores que sí dependen del prescriptor, indican que las preguntas incluidas en el cuestionario son marcadores válidos para evaluar de forma confiable el manejo del dolor en el área de pediatría.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: There are numerous factors that influence the prescription of analgesics in Pediatrics, some of them are related to prescriptors and other are not directly related to them. In order to determine the factors of bigger impact in this problem, a questionnaire was developed and submitted later to a group of experts in order to be validated.  Objectives:  To determine the contents to include in the questionnaire and to evaluate its reliability.  Method:  The Delphi method was used, with a circulation in 3 rounds of a questionnaire remitted to a group of experts of Havana province from May to October of 2016.  Results:  23 experts participated in the study; in the two first rounds they determined the items to include and in the third round the questions. In this last round the consensus was of 89.3 %, so, it was decided to finish the circulation of the questionnaire. They condensed the 43 accepted questions into 19 with multiple clauses and the final questionnaire was obtained. For the factors not dependents of the prescriptor, Cronbach's alpha value was 0.179 and Spearman-Brown coefficient´s value was 0.231; while for the factors that depended on the prescriptor, the values were 0.506 and 0.717, respectively.  Conclusions:  The high level of consent obtained and the results of statistics test referred to factors depending on the prescriptor are indicators that the questions included in the questionnaire are valid markers to evaluate in a reliable way the handling of pain in Pediatric areas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Delphi]]></kwd>
<kwd lng="es"><![CDATA[dolor]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[analgésicos]]></kwd>
<kwd lng="en"><![CDATA[Delphi]]></kwd>
<kwd lng="en"><![CDATA[pain]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics]]></kwd>
<kwd lng="en"><![CDATA[analgesics]]></kwd>
</kwd-group>
</article-meta>
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