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彭 琳,张菊英.简化McGill疼痛问卷中文版在腰椎间盘突出所致坐骨神经痛患者中的适用性[J].中国康复医学杂志,2013,28(11):1035~1040
简化McGill疼痛问卷中文版在腰椎间盘突出所致坐骨神经痛患者中的适用性    点此下载全文
彭 琳  张菊英
四川大学华西公共卫生学院(华西第四医院)
卫生统计学教研室,成都,610041
基金项目:
DOI:
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摘要:
      摘要 目的:评价简化McGill疼痛量表(SF-MPQ)中文版的信度、效度以及敏感度,了解其在疼痛评估中的应用价值。 方法:采用SF-MPQ对186例腰椎间盘突出所致坐骨神经痛的患者进行疼痛测定来评价该量表。主要对SF-MPQ进行信度、效度以及敏感度3方面的评价:采用Cronbach α系数法评价量表的内部一致性;计算疼痛分级(PRI)、VAS和PPI三项得分间的相关系数来分析量表的标准效度;采用验证性因子分析评价量表的结构效度;使用配对设计的t检验进行治疗前、后测定得分均数间的比较,同时计算出效应尺度,以此评价量表的敏感度;此外用频数及其百分比描述选词项目数。 结果:该量表中总PRI的Cronbach α系数为0.664,PRI、VSA和PPI三者间的相关系数为0.398—0.538,3因子模型的拟合度优于2因子模型;该量表在治疗后能够较为灵敏地反映出疼痛缓解程度,效应尺度为1.19—3.25。 结论:SF-MPQ中文版的信度、效度尚可,敏感度较高,是一种有实用价值的疼痛评估工具。
关键词:简化McGill疼痛量表  信度  效度  敏感度
Applicability of the Chinese version of short form-McGill pain questionaire among patients with sciatica disease caused by lumbar intervertebral disc protrusion    Download Fulltext
Department of Epidemiology and Biostatistics, West China School of Public Health(No. 4 West China Teaching Hospital)
, Sichuan University , Chengdu, 610041
Fund Project:
Abstract:
      Abstract Objective:To evaluate the reliability,validity and sensitivity of the Chinese version of short form-McGill pain questionaire(SF-MPQ) and understand the questionnaire’s value in pain measurement. Method:The SF-MPQ was administered to a sample of 186 patients with sciatica disease caused by lumbar intervertebral disc protrusion.The evaluation mainly included 3 aspects,reliability,validity and sensitivity. Result:Internal consistency was found by Cronbach's alpha coefficient to be 0.664.The correlation coefficients among pain rating index(PRI),visual analogue scale(VAS) and present pain intensity(PPI) range were 0.398—0.538.The 3-factor model provided better fit to the data than the 2-factor model.Sensitivity was evaluated by pair t-test, which exhibited a significant difference between pre-and post-treatment scores sensitively and the effect size range was 1.19—3.25. Conclusion:The results of this study indicated that the Chinese version of SF-MPQ is a reliable,valid and sensitive instrument for the measurement of pain.
Keywords:short form-McGill pain questionnaire  reliability  validity  sensitivity
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