A SPANISH OUTCOME MEASURE OF ACUTE PAIN MANAGEMENT

描述(改编自《调查员摘要》)：对 住院患者的疼痛与持续时间的延长有关 住院时间和不良临床结果，如更高的并发症发生率，放缓 会痊愈，并降低生活质量。少数族裔人口一直是 显示出经历糟糕疼痛管理的可能性更高(克利兰， 戈宁等人，1994；Bates，Edwards，&Anderson，1993)。具体目标是 描述拉美裔美国人对以下方面的看法和经历 急性疼痛和疼痛管理经验，2)适应并转化为 西班牙美国疼痛协会的患者结果问卷(APS-POQ) 为了衡量拉美裔急性疼痛管理的结果，3)评估 修改后的西班牙语APS-POQ的心理测量表现 拉美裔美国人，4)分析影响他们之间关系的因素 人口统计学变量、疼痛的选定特征和满意度 在西班牙裔样本中使用疼痛管理，并5)描述以下结果 拉美裔美国人的急性疼痛管理。该项目将分两个阶段进行 为期一年的阶段。第1阶段的目的是了解 西班牙裔成人的急性疼痛及其处理。将使用焦点小组 为了从拉美裔美国人那里获得关于急性疼痛经历的信息， 与疼痛体验和疼痛缓解相关的信念、期望和 用于控制疼痛的方法。将收集关于以下方面的数据 对疼痛管理和医疗保健提供者的满意度。定性的 将使用技术来分析主题的数据，以便开发 APS的信念、干扰和满意度分量表的条目 工具。修改后的工具将针对内容和文化进行评估 有效性。将对该工具进行翻译、回译和试点测试 西班牙语和英语版本的等价性。相关分析将是 用于测试等价性；测试-重新测试程序将检查稳定性。 阶段2的目的是：1)测试修改后的APS-POQ的可靠性和 有效性；2)确定西班牙裔对全面疼痛控制的满意度 以及卫生保健提供者的响应；以及3)收集描述性 关于报告的疼痛管理策略有效性的数据， 包括非药物或替代策略，在西班牙裔。在……里面 第二阶段，横断面研究设计将测试修改后的西班牙语 用于内部一致性可靠性、构造性和收敛的APS-POQ 有效性。除了修改后的工具，简短的疼痛清单还将 用来评估收敛效度，以及疼痛管理指数 将根据病历中的止痛方案信息进行计算； 这些分数将与APS-POQ分量表分数和人口统计相关 数据。来自修改后的APS工具的数据将使用系数进行分析 分析建立结构效度的程序。这项研究将产生 一个在文化上敏感、可靠和有效的工具，用于确定 西班牙裔美国人的疼痛管理。

DESCRIPTION (Adapted from the Investigator's Abstract): Undertreatment of pain in hospitalized patients has been associated with increased length of stay and adverse clinical outcomes such as higher complication rates, slowed would healing, and reduced quality of life. Minority populations have been shown to experience a higher likelihood of poor pain management (Cleeland, Gonin et al., 1994; Bates, Edwards, & Anderson, 1993). Specific aims are to: 1) describe the perceptions and experiences of Hispanics regarding experience of acute pain and pain management, 2) adapt and translate into Spanish the American Pain Society's Patient Outcome Questionnaire (APS-POQ) to measure outcomes of acute pain management in Hispanics, 3) evaluate the psychometric performance of the modified Spanish language APS-POQ in Hispanics, 4) analyze the factors influencing relationships among demographic variables, selected characteristics of pain, and satisfaction with pain management in an Hispanic sample, and 5) describe outcomes of acute pain management in Hispanics. The project will be conducted in two one-year phases. The purpose of Phase 1 is to understand the experience of acute pain and its management in adult Hispanics. Focus groups will be used to elicit information from Hispanics regarding acute pain experiences, beliefs, expectations related to pain experience and pain relief, and approaches used to manage pain. Data will be gathered on perceptions of satisfaction with pain management and health care providers. Qualitative techniques will be used to analyze the data for themes, in order to develop items for the Beliefs, Interference and Satisfaction subscales of the APS tool. The modified tool will be evaluated for content and cultural validity. The tool will be translated, back-translated and pilot-tested for equivalence of Spanish and English versions. Correlational analysis will be used to test for equivalence; test-retest procedures will examine stability. Phase 2 purposes are to: 1) test the modified APS-POQ for reliability and validity; 2) determine Hispanic satisfaction with overall pain management and with the responses of health care providers; and 3) gather descriptive data regarding the reported effectiveness of pain management strategies, including non-pharmacologic or alternative strategies, in Hispanics. In Phase 2, a cross-sectional study design will test the modified Spanish APS-POQ for internal consistency reliability, construct and convergent validity. In addition to the modified tool, the Brief Pain Inventory will be administered to assess convergent validity, and the Pain Management Index will be computed from analgesic regimen information in the medical record; these scores will be correlated with APS-POQ subscale scores and demographic data. Data from the modified APS tool will be analyzed using factor analysis procedures to establish construct validity. The study will produce a culturally sensitive, reliable and valid tool for determining outcomes of pain management in Hispanics.