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1、·800·CHINESENURSINGRESEARCHMarch,2014Vol.28No.3A改良中文版非语言疼痛评估量表的信效度研究AstudyonreliabilityandvalidityofChineseversionofimprovednonverbalpainassessmentscale张晶,田丽ZhangJing,TianLi(TianjinMedicalUniversity,Tianjin300070China)摘要:[目的]初步探讨引入改良版非语AbstractObject
2、ive:Toprobeintothereliabilityandvalidityofintro-言疼痛评估量表(简体中文版)应用于存ductionofmodifiednonverbalpainassessmentscale(simplifiedChinese)在交流障碍的ICU病人的信效度。[方appliedforICUpatientswithcommunicationobstacles.Methods:Atotal法]选取某三级甲等医院120例入住of120casesoftrachealint
3、ubationpatientswereselectedinICUinaICU气管插管病人,运用改良版非语言thirdgradeclassAhospital,andthescalewasappliedforobservation疼痛评估量表进行观察评估,用内部一andevaluation.Andthetestresultswereevaluatedwiththeindexofin-致性、评定者间信度、内容效度、主成分/因子分析、校标效度、特异度与灵敏度对测ternalconsistency,int
4、erraterreliability,contentvalidity,principalcom-试结果进行评价。[结果]量表的内部一ponent/factoranalysis,criterionvalidity,specificityandsensitivity.Re-致性良好(Cronbach’sα系数为0.781),评sults:theinternalconsistencyofthescalewasgood(Cronbach’salpha定者间评分差异无统计学意义。各条目coefficien
5、twas0.781),interraterreliabilitywashigh,andcorrelationco-与总分间相关系数为0.647~0.757;因efficientbetweeneachitemscoreandtotalscorewas0.647~0.757.Fac-子分析提取1个公因子,贡献率为51.823%,torsanalysisextractedacommonfactor,thecontributionratewas51.823%.5个条目的因子负荷为0.642~0.809;
6、Fiveitemsoffactorloadingwas0.632~0.809.Thecorrelationcoeffi-量表评估值与病人主诉疼痛值相关系数cientbetweenscaleassessmentvalueandpatientscomplainedofpainval-为0.735;当量表评分≥4分时敏感度为uewas0.735.Itssensitivitywas90%andspecificitywas74%when90%,特异度为74%。[结论]改良版非语言疼痛评估量表(简体中文版)
7、具有较scoreofnonverbalpainassessmentscalewas4ormore.Conclusion:好的信效度和可行性,但是否可推广应Modifiednonverbalpainassessmentscale(simplifiedChinese)hasgood用于所有存在交流障碍的病人还需要进validityandfeasibility.However,whetheritcanbeappliedforpatients一步测评。withcommunicationdisorders
8、needtobeevaluatedfurther.关键词:改良版非语言疼痛评估量表;疼Keywordsmodifiedversionofnonverbalpainassessmentscale;pain;痛;评估;信度;效度assessment;reliability;validity中图分类号:R471文献标识码:Adoi:10.3969/j.issn.10096493.2014.07.014文章编号:10096493(2014)03A080004疼痛是ICU病人常见的护理诊断。施方便,而且是
