Validity and Reliability of 11-face Faces Pain Scale in the Iranian Elderly Community with Chronic Pain
Validity and Reliability of 11-face Faces Pain Scale in the Iranian Elderly Community with Chronic Pain
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DOI：
10.4103/ijpc.ijpc_126_18
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发表时间：
2019-01-01
影响因子：
1.1
通讯作者：
Kaboudi, Bijan
中科院分区：
文献类型：
--
作者：
Fadayevatan, Reza;Alizadeh-Khoei, Mahtab;Kaboudi, Bijan
背景：准确评估老年人的疼痛对于疼痛管理至关重要，护士发挥着关键作用。 11 面疼痛量表 (FPS-11) 是一种成熟的疼痛评估方法，尚未在伊朗老年人中得到验证。目的：研究伊朗版FPS-11（FPS-11-IR）在老年慢性疼痛门诊患者中的性能评估。方法：这是一项横断面验证研究，于 2017 年在伊朗德黑兰的三个门诊诊所进行。研究对象为因退行性关节疾病而患有慢性膝关节疼痛的 60 岁以上老年人 (n = 217)。通过应用对比构造来检查构造效度，并通过排序检验来确定表面效度。为了评估同时有效性，计算了 11 点数字评定量表 (NRS) 和 FPS-11-IR 分数之间的 Spearman 相关系数。重测信度以 1 周为间隔进行确定。结果：大多数老年参与者 (72%) 同意 FPS-11-IR 的面部显示疼痛构造，并且参与者对每张面部的面部排名顺序的同意程度不同，范围从 80% 到 100%。 FPS-11-IR 和 NRS 评分之间的 Spearman 相关系数非常强（r = 0.91，P < 0.01）。重测分数之间的组内相关系数为 0.96，表明具有出色的可靠性。结论：FPS-11-IR 是一种可靠有效的疼痛评估量表，可用于老年慢性疼痛患者。
Background: Accurate pain assessment in elderly population is essential for pain management and nurses have a pivotal role. The 11-face Faces Pain Scale (FPS-11) is a well-established pain assessment measure that has not been validated in the Iranian elderly. Aim: The aim was to study the property assessment of the Iranian version of FPS-11 (FPS-11-IR) among elderly outpatients with chronic pain. Methods: This is a cross-sectional validation study that conducted in three outpatient clinics in Tehran, Iran, in 2017. Older people aged >= 60 years (n = 217) with chronic knee pain due to degenerative joint disease were participated. The construct validity was examined by applying contrast constructs, and the face validity was determined by rank-ordering test. To assess concurrent validity, the Spearman's correlation coefficient was calculated between the scores of 11-point Numeric Rating Scale (NRS) and FPS-11-IR. Test-retest reliability was determined in 1-week interval. Results: Most of elderly participants (72%) agreed that pain construct displays in faces of the FPS-11-IR and participants'' agreement on face rank ordering were vary for each face, ranging from 80% to 100%. Spearman's correlation coefficient between FPS-11-IR and NRS scores was very strong (r = 0.91, P < 0.01). Intraclass correlation coefficient between test-retest scores was 0.96 that indicates excellent reliability. Conclusions: The FPS-11-IR is a reliable and valid pain assessment scale to use in geriatric patients chronic pain.