疼痛强度评估量表应用于老年腰痛患者的同时效度与偏好性  

Concurrent Validity and Preference of Pain Intensity Assessment Scales in Elderly with Back Pain

作　　者：黎春华[1] 瓮长水[1] 蒋天裕[1] 王秋华[1] 

机构地区：[1]解放军总医院南楼临床部康复医学科,北京市100853

出　　处：《中国康复理论与实践》2012年第8期752-754,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：全军医药卫生科研基金课题(11BJZ14)

摘　　要：目的探讨疼痛强度评估量表在老年腰痛患者疼痛评估中的同时效度与选择量表时的偏好。方法由测评人员对30例有腰痛临床症状的老年患者进行疼痛强度评估量表测试,包括数字评定量表(NRS)、视觉模拟评分表(VAS)、词语描述量表(VDS)、修改版面部表情疼痛量表(FPS-R)和组合型疼痛评估表(MIX)。以NRS为校标工具,通过Spearman相关系数检验NRS与FPS-R、MIX、VAS和VDS之间的相关程度来确定FPS-R、MIX、VAS和VDS的同时效度。统计患者对5种评估量表的首选率。结果 FPS-R、MIX、VAS和VDS与NRS高度正相关(r=0.753～0.957,P<0.001)。首选疼痛强度评估量表依次为FPS-R、NRS、VDS、MIX、VAS。结论 FPS-R、MIX、VAS和VDS具有良好的同时效度,疼痛强度评估量表的同时效度适用于老年腰痛人群的评估。FPS-R是首选率最高的量表。Objective To evaluate the concurrent validity and preference of pain intensity assessment scales in elderly with back pain. Methods 30 elderly with back pain were asked to rate their pains by using Visual Analog Scale （VAS）, Numeric Rating Scale （NRS）, Verbal Descriptor Scale （VDS）, Facial Pain Scale-Revised （FPS-R）, and Mix scale （MIX）. Concurrent validity was assessed using the Spearman correlations. The preference for using scales were collected. Results FPS-R, MIX, VAS and VDS correlated with NRS （r=0.753-0.957, P〈0.001）. The preference for using scales was ranked by FPS-R, NRS, VDS, MIX, VAS. Conclusion FPS-R, MIX, VAS and VDS show good concurrent validity, and they were appropriated to evaluate the back pain among elderly. FPS-R had the highest scale preference.

关 键 词：腰痛 老年人 疼痛强度评估量表 同时效度 偏好 

分 类 号：R49[医药卫生—康复医学]