Development of a pictorial scale of pain intensity for patients with communication impairments: initial validation in a general population
Development of a pictorial scale of pain intensity for patients with communication impairments: initial validation in a general population
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DOI：
10.7861/clinmedicine.6-6-580
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发表时间：
2006-11-01
影响因子：
4.4
通讯作者：
Turner-Stokes, Lynne
中科院分区：
文献类型：
--
作者：
Jackson, Diana;Horn, Sandra;Turner-Stokes, Lynne
这项研究评估了一种新的用于测量疼痛强度的六点顺序量表。 72 名年龄在 23 岁至 87 岁之间的参与者按照疼痛强度量表 (SPIN)、10 厘米视觉模拟量表 (VAS) 和 0-10 数字量表以随机顺序对“当前疼痛”的强度以及记忆中的“重度”和“轻度”疼痛进行了评分。干预评估后进行重新测试。对参与者对量表的评论进行了主题分析。量表之间的 Spearman 相关性均超过 0.78 (p < 0.001)。 SPIN 的重测得出当前疼痛的百分比一致性（加权 kappa）为 69% (0.83)，重度疼痛为 94% (0.94)，轻度疼痛为 83% (0.85)。大多数参与者更喜欢使用序数量表而不是连续 VAS。有些人发现数字更容易使用，而另一些人则发现 SPIN 更有帮助。我们得出的结论是，SPIN 为患者提供了一种有效的疼痛强度测量方法，患者完全能够表达自己的观点和经历。现在需要对有认知或沟通障碍的患者进行调查。
This study evaluated a new six-point ordinal scale for measuring pain intensity. Seventy-two participants aged between 23 and 87 years rated the intensity of 'present pain' as well as remembered episodes of 'severe' and 'mild' pain on the scale of pain intensity (SPIN), a 10 cm visual analogue scale (VAS) and a 0-10 numeric scale, in random order. Retesting followed an intervening assessment. Participants' comments on the scales were analysed thematically. Spearman's correlation between scales all exceeded 0.78 (p < 0.001). Test-retest of the SPIN gave percentage agreements (weighted kappa) of present pain 69% (0.83), severe pain 94% (0.94) and mild pain 83% (0.85). Most participants preferred using an ordinal scale to the continuous VAS. Some found numbers easier to use whereas others found the SPIN more helpful. We conclude that the SPIN provides a valid measure of pain intensity in patients fully able to communicate their views and experiences. Investigation in patients with cognitive or communication impairments is now required.