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一套日语版的体能测验（PPT），并评估其信度和效度。通过对120例晚期癌症患者进行PPT成套测验的日语版本，评价了疼痛导致的活动受限。两个自我报告问卷，一个与疼痛的感觉评价，和其他相关的情感评价疼痛，和功能独立性测量，评估日常生活活动，同时管理的主题。信度分析结果显示，各项目的评分者间信度和评分者内信度的ICC值均在0.91以上。有效性的结果表明，在所有的项目的得分之间的关系的PPT电池的日语版本和功能独立性测量的总得分显着。在日语版本的PPT电池和情感状态之间发现了显着的关联，由于疼痛。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的活动限制的规模。研究结果还表明，通过改善癌症晚期患者对疼痛的情感状态，有可能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.