5 种疼痛强度评估量表应用于老年腰痛患者的重测信度①.pdfVIP

- 608 - 中国康复理论与实践2012 年7 月第18 卷第7 期 Chin J Rehabil Theory Pract, Jul. 2012, Vol. 18, No.7 DOI : 10.3969/j.issn. 1006-9771.2012.07.003 ·专题· 5 种疼痛强度评估量表应用于老年腰痛患者的重测信度① 黎春华，瓮长水，蒋天裕，王秋华 [摘要] 目的 探讨5 种疼痛强度评估量表在老年腰痛患者疼痛评估中的重测信度。方法 对30 例有腰痛症状的老年患者在 24 h 内用5 种疼痛强度评估量表进行两次测试，包括视觉模拟评分(VAS)、数字评定量表(NRS)、词语描述量表(VDS)、修改版面部 表情疼痛量表(FPS-R)和组合型疼痛评估表(MIX) 。进行组内相关系数(ICC)分析。结果 5 种量表的ICC 为0.543~0.754 ，从高到低 依次为NRS 、FPS-R 、MIX 、VAS 、VDS 。结论 5 种疼痛强度评估量表评估老年腰痛的重测信度均满意，建议优先选择NRS 和 FPS-R 。 [关键词] 老年人；腰痛；疼痛强度；评估；信度 Test-retest Reliability of 5 Kinds of Pain Intensity Assessment for Older Adults with Low Back Pain LI Chun-hua, WENG Chang-shui, JIANG Tian-yu, et al. Department of Rehabilitation Medicine of Nan Lou, The Chinese PLA General Hospital, Beijing 100853, China Abstract: Objective To examine the test-retest reliability of 5 pain intensity assessment scales, i.e., Visual Analog Scale (VAS), Numer- ic Rating Scale (NRS), Verbal Descriptor Scale (VDS), Facial Pain Scale - Revised (FPS-R), and Mix Scale (MIX) in older adults with low back pain. Methods 30 older patients with low back pain volunteered in this study, and rated their pains with VAS, NRS, VDS, FPS-R, and MIX twice within 24 h. Test-retest reliability was assessed with intraclass correlation coefficient (ICC). Results ICC was in range of 0.543~ 0.754, and ranked as NRS, FPS-R, MIX, VAS, VDS from more to less. Conclusion All the assessments were appropriate to evaluate the in- tensity of back pain among elderly, recommending NRS and FPS-R. Key words: elderly; back pain; pain intensity; assessment; reliability [中图分类号] R681.5 [文献标识码] A [文章编号] 1006-9771(2012)07-0608-02 [本文著录格式] 黎春华，瓮长水，蒋天裕，等. 5 种疼痛强度评估量表应用于老年腰痛患者的重测信度[J]. 中国康复理论与实 践, 2012, 18(7): 608-609. 在老年人群中，腰痛的发生率较高。疼痛的评估 例，腰椎管狭窄症1例。