癌痛规范化治疗评估量表的研发与应用  

Assessment scale for cancer pain standardized treatment: development and application

作　　者：饶跃峰[1] 廖争青 叶子奇[1] 杨琛 沈朋[4] 钱永平[5] 王红妹[6] 张沂平 卢丽琴[8] 冯智英[9] 卢晓阳[1] Rao Yuefeng;Liao Zhengqing;Ye Ziqi';Yang Chen;Shen Peng;Qian Yongping;Wang Hongmei;Zhang Yiping;Lu Liqin;Feng Zhiying;Lu Xiaoyang(Department of Clinical Pharmacy,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou City,Zhejiang Province 310003,China;Department of Pharmacy,Changxing People's Hospital,Huzhou City,Zhejiang Province 313100,China;Zhejiang University City College School of Medicine,Hangzhou City,Zhejiang Province 310015,China;Departmenl of Medical Oncology,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou City,Zhejiang Province 310003,China;Department of Medical Affairs,the First Affiliated Hospital of Zhejiang University,Hangzhou City,Zhejiang Province 310003,China;Department of Social Medicine,School of Public Health,Zhejiang Universityy Hangzhou City,Zhejiang Province 310058,China;Department of Thoracic Medical Oncology,Cancer Hospital of the University of Chinese Academy of Sciences(Zhejiang Cancer Hospital),Institute of Cancer and Basic Medicine,Chinese Academy of Sciences,Hangzhou City,Zhejiang Province 310011,China;Department of Medical Oncology,Zhejiang Provincial People's Hospital,Hangzhou City,Zhejiang Province 310014,China;Department of Painology,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou City,Zhejiang Province 310003,China)

机构地区：[1]浙江大学医学院附属第一医院临床药学部,杭州市310003 [2]长兴县人民医院药剂科,浙江省湖州市313100 [3]浙江大学城市学院医学院,杭州市310015 [4]浙江大学医学院附属第一医院肿瘤内科,杭州市310003 [5]浙江大学医学院附属第一医院医务部,杭州市310003 [6]浙江大学公共卫生学院社会医学系,杭州市310058 [7]中国科学院大学附属肿瘤医院(浙江省肿瘤医院)胸部肿瘤内科,中国科学院肿瘤与基础医学研究所,杭州市310011 [8]浙江省人民医院肿瘤内科,杭州市310014 [9]浙江大学医学院附属第一医院疼痛科,杭州市310003

出　　处：《中华疼痛学杂志》2021年第4期360-366,共7页Chinese Journal Of Painology

基　　金：浙江省药学会医院药学科研专项(2019ZYYG02);浙江省医药卫生科技计划面上项目(2020KY1036)。

摘　　要：目的编制癌痛规范化治疗评估量表(CP-STAS)并检验其信效度,为评估医院癌痛规范化治疗提供简洁、有效的测评工具。方法采用文献查询及专家访谈形成量表条目池,最终量表经过专家咨询、预调查、正式调查后形成。利用CP-STAS量表对2019年2月至2019年4月浙江大学医学院附属第一医院各科室癌痛患者病程记录进行评价,考察该量表信效度情况并进行项目分析、同质性检验等。结果正式调查中共计评估患者病历200份,采用Levene法F检验显示量表总分的低分组和高分组有显著性差异,量表具有较好的鉴别度;同质性检验显示除条目11外,其他各条目与总分均有良好相关性;测量克朗巴哈系数(Cronbach'sα)为0.739,说明量表的信度非常可观;采用因素分析法提取4个公共因子解释量表的结构效度,可解释总方差的58.888%,14个条目在其主因子上的负荷均大于0.4,说明量表结构效度佳。结论本文提出的癌痛规范化治疗评估量表(CP-STAS)用于评价癌痛治疗工作是否规范化的信效度较好,可供临床应用。Objective To compile and evaluate the reliability and validity of Cancer Pain-Standardized Treatment Assessment Scale(CP-STAS),for providing a simple and effective evaluation tool to assess the standardization treatment of cancer pain in hospitals.Methods A literature inquiry and expert interviews were used to form a scale entry pool,and the final scale was formed after expert consultation,preliminary investigation,and formal investigation.The CP-STAS was used to evaluate the history records of cancer pain patients in various departments of the First Affiliated Hospital,Zhejiang University School of Medicine from February to April 2019,to investigate the reliability and validity of the scale and to conduct project analysis and homogeneity testing.Results A total of 200 patients'history were evaluated in the survey.Levene's F tests indicates that the low-group and high-group of the total score of the scale were significantly different,and the scale had a good discrimination;the homogeneity test indicated that all items except 11 had a good correlation with the total score;and the measurement of Cronbach'sαcoefficient was 0.739,indicating that the reliability of the scale was very impressive.The factor analysis method was used to extract the structural validity of the 4 public factor interpretation scales,which can explain 58.888%of the total variance,and the load of the 14 items on their main factors were all greater than 0.4,indicating that the scale had good validity.Conclusion The Cancer Pain-Standardized Treatment Assessment Scale proposed in this paper has a good reliability and validity to assess the standardization treatment of cancer pain in hospitals,and applicable in clinic.

关 键 词：癌痛 量表开发 信度 效度 

分 类 号：R730.5[医药卫生—肿瘤]