美国疼痛协会患者结局问卷跨文化调适及在癌痛患者中的信效度评价  

Cross-cultural adaptation, validity, and reliability of the Chinese version of revised American Pain Society patient outcome questionnaire for patients with cancer pain

作　　者：于文华 杨红[1] 陆宇晗[1] 马晓晓 Yu Wenhua;Yang Hong;Lu Yuhan;Ma Xiaoxiao(Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education),Nursing of Department,Peking University Cancer Hospital&Institute,Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所护理部恶性肿瘤发病机制及转化研究教育部重点实验室,100142

出　　处：《中国实用护理杂志》2020年第5期331-336,共6页Chinese Journal of Practical Nursing

基　　金：北京市属医院科研培育计划项目(PX2017052)。

摘　　要：目的对美国疼痛协会患者结局问卷进行跨文化调适并评价其在癌症患者中应用的信效度。方法在美国疼痛协会官网发布的美国疼痛协会患者结局问卷基础上经专家评议、预试验进行跨文化调适;对153例内科住院癌症患者进行现场问卷调查,对数据进行信、效度分析。结果调适后的美国疼痛协会患者结局问卷包含18个核心条目,语言通俗易懂,可在10 min内填写完成。信度检验:量表内部一致性总Cronbachα系数为0.735。其中疼痛强度维度Cronbachα系数为0.233,睡眠受干扰维度Cronbachα系数为0.891,活动受干扰维度Cronbachα系数为0.830,情感维度Cronbachα系数为0.846,疼痛管理相关不良反应维度Cronbachα系数为0.591,对疼痛护理的感知维度Cronbachα系数为0.633。效度检验:量表总内容效度为0.98,各条目的内容效度在0.82~1.00。结论调适后的中文版美国疼痛协会患者结局问卷具有较好的信效度,为医疗机构进行癌症疼痛管理的质量评价提供了有效评估工具。Objective To introduce Revised American Pain Society Patient Outcome Questionnaire for patients with cancer pain in China,and to test its reliability and validity.Methods Cross-cultural adjustment was conducted on the basis of the Revised American Pain Society Patient Outcome Questionnaire of the American Pain Association published on the official website through expert review and pre-experiment.A convenience sample of 153 hospital patients with cancer pain was recruited.And the data were analyzed for reliability and validity.Results The adjusted Revised American Pain Society Patient Outcome Questionnaire contains 18 core items,which are easy to understand and can be completed within 10 minutes.Reliability test:the Cronbachαcoefficient of internal consistency for the total scale was 0.735.The Cronbachαcoefficient of pain intensity dimension was 0.233,the Cronbachαcoefficient of sleep interference dimension was 0.891,the Cronbachαcoefficient of activity interference dimension was 0.830,the Cronbachαcoefficient of emotion dimension was 0.846,the Cronbachαcoefficient of pain management related side effects dimension was 0.591,and the Cronbachαcoefficient of perception dimension of pain care was 0.633.Validity test:The total content validity of the scale was 0.98,and the content validity of each item ranged from 0.82 to 1.00.Conclusion The adjusted Revised American Pain Society Patient Outcome Questionnaire has good reliability and validity,providing an effective assessment tool for medical institutions to evaluate the quality of cancer pain management.

关 键 词：疼痛 癌症 跨文化调试 

分 类 号：R473[医药卫生—护理学]