Effect of psycho social rehabilitation on pain and activities of daily living of terminal patients with cancer

本研究的目的是编制物理性能测试(PPT)电池的日语版本，并评估其信度和效度。对120名晚期癌症患者用日语版PPT电池评估疼痛对活动的限制。同时对受试者进行了两份自我报告问卷，一份与疼痛的感觉评估有关，另一份与疼痛的情感评估有关，以及评估日常生活能力的功能独立性测量。信度检验结果表明，评分员间信度和评分员内信度的ICC值均在0.91以上。效度结果显示，PPT电池日文版的所有项目的得分与功能独立性测量的总分之间存在显著的相关性。在日语版本的PPT电池和由于疼痛而导致的情感状态之间发现了显著的关联。日语版的PPT电池被证明具有足够的信度和效度，作为评估晚期癌症患者活动受限的标准。研究结果还表明，有可能通过改善癌症晚期患者对疼痛的反应来改善他们的情感状态，从而改善他们的活动限制。

The purpose of this study is to prepare a Japanese-language version of the Physical Performance Test (PPT) Battery and assess its reliability and validity. Activity limitations by pain were evaluated by means of the Japanese-language version of the PPT Battery in 120 terminal patients with cancer. Two self-report questionnaires, one related to sensory evaluation of pain, and the other related to affective evaluation of pain, and the Functional Independence Measure, which evaluates activities of daily living, were simultaneously administered to the subjects. The results for reliability showed that the ICC values for inter-rater reliability and intra-rater reliability were 0.91 or more for every item. The results for validity showed significant associations between the scores for all of the items on the Japanese-language version of the PPT Battery and the total scores on the Functional Independence Measure. Significant associations were found between on the Japanese-language version of the PPT Battery and affective state due to the pain. The Japanese-language version of the PPT Battery was shown to possess adequate reliability and validity as a scale for evaluating the activity limitations of terminal patients with cancer. The results also suggested that it might be possible to improve the activity limitations of terminal patients with cancer by improving their affective state in response to the pain.