The measurement of postoperative pain: A comparison of intensity scales in younger and older surgical patients
The measurement of postoperative pain: A comparison of intensity scales in younger and older surgical patients
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DOI：
10.1016/j.pain.2005.07.004
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发表时间：
2005-10-01
期刊：
影响因子：
7.4
通讯作者：
Chan, VWS
中科院分区：
文献类型：
--
作者：
Gagliese, L;Weizblit, N;Chan, VWS
尚未报道用于评估成人寿命期术后疼痛的疼痛强度量表的心理测量学特性。本研究的目的是比较数字评定量表（NRS）、语言描述量表（VDS）和视觉模拟量表（水平（VAS-H）和垂直（VAS-V）线方向）评估年轻和老年手术患者疼痛强度的可行性和有效性。在术后24小时，504名通过患者自控镇痛接受静脉注射吗啡的患者以随机顺序完成疼痛强度测量和麦吉尔疼痛问卷（MPQ）。他们被问到哪种量表最容易完成，最准确的测量，以及他们将来最喜欢完成的量表，作为表面效度的指标。记录阿片类药物自我给药量。术后疼痛强度没有发现年龄差异，然而，老年患者获得较低的MPQ评分和自我管理的吗啡比年轻人少。心理测量学分析表明，NRS是首选的疼痛强度量表。它具有较低的错误率，较高的面孔效度、聚合效度、发散效度和效标效度。最重要的是，它的属性与年龄无关。VDS也有一个有利的配置文件，低错误率和良好的脸，收敛和标准效度。最后，确定了老年人使用VAS的困难，包括不可评分数据的高比率和低表面有效性。不鼓励老年术后患者使用。(c)2005年国际疼痛研究协会。Elsevier B. V.出版，保留所有权利。
The psychometric properties of pain intensity scales for the assessment of postoperative pain across the adult lifespan have not been reported. The objective of this study was to compare the feasibility and validity of the Numeric Rating Scale (NRS), Verbal Descriptor Scale (VDS), and Visual Analog Scale (horizontal (VAS-H) and vertical (VAS-V) line orientation) for the assessment of pain intensity in younger and older surgical patients. At 24 It following surgery, 504 patients, who were receiving i.v. morphine via patient-controlled analgesia, completed the pain intensity measures and the McGill Pain Questionnaire (MPQ) in a randomized order. They were asked which scale was easiest to complete, the most accurate measure, and which they would most prefer to complete in the future, as an index of face validity. The amount of opioid self-administered was recorded. Age differences in postoperative pain intensity were not found. However, elderly patients obtained lower MPQ scores and self-administered less morphine than younger people. Psychometric analyses suggested that the NRS was the preferred pain intensity scale. It had low error rates, and higher face, convergent, divergent and criterion validity than the other scales. Most importantly, its properties were not age-related. The VDS also had a favourable profile with low error rates and good face, convergent and criterion validity. Finally, difficulties with VAS use among the elderly were identified, including high rates of unscorable data and low face validity. Its use with elderly postoperative patients should be discouraged. (c) 2005 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.