《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (8): 752-754.

• 论文 • 上一篇    下一篇

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

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:2012-02-28 修回日期:2012-03-29 出版日期:2012-08-25 发布日期:2012-08-25
  • 通讯作者: 瓮长水

Concurrent Validity and Preference of Pain Intensity Assessment Scales in Elderly with 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, China
  • Received:2012-02-28 Revised:2012-03-29 Published:2012-08-25 Online:2012-08-25

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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。

关键词: 腰痛, 老年人, 疼痛强度评估量表, 同时效度, 偏好

Abstract: 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.

Key words: back pain, elderly, pain intensity assessment scale, concurrent validity, preference