重症监护疼痛观察工具印尼语版的跨文化调适及心理测量学分析  

Cross-cultural adaptation and validation of the Indonesian version of the Critical-care Pain Observation Tool

作　　者：Luthfi Fauzy Asriyanto Nur Chayati 

机构地区：[1]Master of Nursing Program,Postgraduate Program,Universitas Muhammadiyah Yogyakarta,Indonesia [2]School of Nursing,Faculty of Medicine and Health Sciences,Universitas Muhammadiyah Yogyakarta,Indonesia

出　　处：《International Journal of Nursing Sciences》2024年第1期113-119,共7页国际护理科学（英文）

基　　金：support from the Research and Innovation Institute Universitas Muhammadiyah Yogyakarta(UMY)given to Nur Chayati.

摘　　要：目的重症监护疼痛观察工具(Critical-care Pain Observation Tool, CPOT)是评估ICU危重症和/或意识水平下降患者疼痛最准确的方法之一。本研究旨在翻译印尼语版CPOT,并验证其效度和信度。方法研究包括初始翻译.综合翻译结果、回译、专家委员会验证.印尼语版工具验证5个步骤。2022年9月- -12月在印度尼西亚4所医院ICU中,对52例患者在翻身前、翻身过程中和翻身后15min进行疼痛评估。使用疼痛程度温度计(Faces Pain Thermometer, FPT)作 为金标准来评估CPOT的校标效度。采用内容效度和校标效度评估量表的效度;采用Cronbach's a系数和评分者之间- -致性评估工具的信度。结果 患者翻身过程中CPOT评分高于翻身前和翻身后。印尼语版CPOT条目水平内容效度指数为0.75~1.00,量表内容效度指数为0.93。患者CPOT与FPT评分呈正相关(0.877-0.983 ,P<0.01)。CPOT的Cronbach's a系数为0.82,评分者之间测量结果一致性水平均较高(k值范围0.739-0.834 ,P<0.01)。结论 印尼语版CPOT用于评估危重症和/或意识水平降低患者的疼痛是有效和可靠的。Objective:The Critical-care Pain Observation Tool(CPOT)is one of the most accurate methods for assessing pain in ICU patients with critical illness and/or a decreased level of consciousness(LOC).This study aimed to determine the validity and reliability of the Indonesian version of the CPOT.Methods:The English version of CPOT was translated into the Indonesian version following five steps:initial translation,synthesis of instrument translation results,back translation,validation of the instrument by an expert committee,and testing of the Indonesian instrument.Between September and December 2022,a total of 52 ICU patients from four hospitals in Indonesia were evaluated for pain at rest,during body-turning procedure,and 15 minutes after the procedure using the CPOT.The researcher used the verbal Faces Pain Thermometer(FPT)instrument as a gold standard to assess the CPOT’s criteria validity.Validity assessments included content and criterion validity.Reliability was evaluated using Cronbach’s a coefficient and interrater reliability.Results:Higher CPOT scores were found during the body-turning procedure than at rest and after the procedure.The instrument’s item-content validity index(I-CVI)ranged from 0.75 to 1.00,and the overall instrument’s average scale-level content validity index(S-CVI/Ave)was 0.93.The statistical analysis revealed a positive correlation(r)between the CPOT and the patient’s FPT scores(0.877e0.983,P<0.01).The significant agreement amongst raters(k)revealed the inter-rater reliability of the CPOT(0.739 e0.834,P<0.01).Conclusion:The Indonesian version of the CPOT has been proven valid and reliable in assessing pain in patients with critical illness and/or decreased LOC.

关 键 词：重症监护 疼痛评估 病人 信度 效度 

分 类 号：R459.7[医药卫生—急诊医学]