中文版成人疼痛行为量表的研制及信效度检验

发布时间：2019-01-27 11:06

【摘要】：目的:建立适用于成人客观疼痛评估的成人疼痛行为量表(Adult Pain Behavioral Scale,APBS)。方法:在文献回顾和现有的客观疼痛评估工具的基础上拟定条目池,通过专家评定形成APBS。采用APBS和疼痛程度数字评分法(Numeric Rating Scale,NRS)对77例插管患者和143例非气管插管患者进行疼痛评估,完成APBS的效标关联效度、区分效度和内部一致性的评价。然后20名ICU护士对另外5例气管插管和5例非气管插管患者进行疼痛评估,完成评定者间信度评价。结果:经过2轮专家评定后,形成了包含5个条目的量表,各条目的内容效度指数为0.923-1.000,量表的内容效度指数为0.973。在气管插管患者和非气管插管患者中,APBS均具有较好的结构效度(均提取到1个公因子,特征根分别为2.847和2.583,其中解释方差变异量分别为56.936%和51.668%,各条目的因子负荷均大于0.60)和效标关联效度(APBS与NRS的相关系数分别为0.956和0.794);有疼痛刺激时患者的APBS评分比无疼痛刺激时均明显升高(P0.001)。内部一致性分别为0.706和0.733,评定者间信度分别为0.872-0.983和0.842-0.979。结论:中文版成人疼痛行为量表具有良好的效度和信度,适用于成人患者的客观疼痛评估。
[Abstract]:Objective: to establish an adult pain behavior scale (Adult Pain Behavioral Scale,APBS) for objective pain assessment in adults. Methods: on the basis of literature review and existing objective pain assessment tools, a pool of entries was drawn up and APBS. was formed by expert evaluation. APBS and (Numeric Rating Scale,NRS were used to evaluate the pain of 77 intubation patients and 143 non-tracheal intubation patients to evaluate the correlation validity, distinguishing validity and internal consistency of APBS. Then 20 ICU nurses assessed the pain in 5 patients with endotracheal intubation and 5 patients with non-tracheal intubation. Results: after two rounds of expert evaluation, the content validity index of each item was 0.923-1.000, and the content validity index of the scale was 0.973. In tracheal intubation patients and non-tracheal intubation patients, APBS had good structural validity (1 common factor was extracted, the characteristic root was 2.847 and 2.583, respectively), and the variance of interpretation variance was 56.936% and 51.668%, respectively. The load of each target factor was greater than 0.60) and the correlation validity of APBS and NRS were 0.956 and 0.794 respectively. The APBS scores of patients with pain stimulation were significantly higher than those without pain stimulation (P 0. 001). The internal consistency was 0.706 and 0.733, and the reliability was 0.872-0.983 and 0.842-0.979, respectively. Conclusion: the Chinese version of Adult pain behavior scale has good validity and reliability, which is suitable for the objective pain assessment of adult patients.
【作者单位】：北京大学人民医院护理部;武汉大学HOPE护理学院;北京大学人民医院麻醉和疼痛医学科;浙江大学医学院附属第二医院护理部;福建省立医院护理部;湖南省肿瘤医院妇瘤科;中国医学科学院肿瘤医院护理部;浙江大学医学院附属邵逸夫医院护理教育部;吉林大学第一医院肿瘤中心;国家卫生计生委医院管理研究所;
【分类号】：R473

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