《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (7): 608-609.

• 论文 • 上一篇    下一篇

5 种疼痛强度评估量表应用于老年腰痛患者的重测信度

黎春华，瓮长水，蒋天裕，王秋华   

  1. 解放军总医院南楼临床部康复医学科，北京市100853。
  • 收稿日期:2012-02-27 修回日期:2012-03-19 出版日期:2012-07-25 发布日期:2012-07-25
  • 通讯作者: 瓮长水

Test-retest Reliability of 5 Kinds of Pain Intensity Assessment for Older Adults with Low Back Pain

LI Chun-hua, WENG Chang-shui, JIANG Tian-yu, et al   

  1. Department of Rehabilitation Medicine of Nan Lou, The Chinese PLA General Hospital, Beijing 100853
  • Received:2012-02-27 Revised:2012-03-19 Published:2012-07-25 Online:2012-07-25

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摘要： 目的探讨5 种疼痛强度评估量表在老年腰痛患者疼痛评估中的重测信度。方法对30 例有腰痛症状的老年患者在24 h 内用5 种疼痛强度评估量表进行两次测试，包括视觉模拟评分(VAS)、数字评定量表(NRS)、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)。进行组内相关系数(ICC)分析。结果5 种量表的ICC 为0.543~0.754，从高到低依次为NRS、FPS-R、MIX、VAS、VDS。结论5 种疼痛强度评估量表评估老年腰痛的重测信度均满意，建议优先选择NRS 和FPS-R

关键词: 老年人, 腰痛, 疼痛强度, 评估, 信度

Abstract:

Objective To examine the test-retest reliability of 5 pain intensity assessment scales, i.e., Visual Analog Scale (VAS), Numeric Rating Scale (NRS), Verbal Descriptor Scale (VDS), Facial Pain Scale - Revised (FPS-R), and Mix Scale (MIX) in older adults with low back pain. Methods 30 older patients with low back pain volunteered in this study, and rated their pains with VAS, NRS, VDS, FPS-R, and MIX twice within 24 h. Test-retest reliability was assessed with intraclass correlation coefficient (ICC). Results ICC was in range of 0.543~ 0.754, and ranked as NRS, FPS-R, MIX, VAS, VDS from more to less. Conclusion All the assessments were appropriate to evaluate the intensity of back pain among elderly, recommending NRS and FPS-R.

Key words: elderly, back pain, pain intensity, assessment, reliability