2001-2002 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe

Chung, JWY

Fan, YY

Qin, HY

Wong, TKS

Wu, YP

Xian, MZ

2001-2002 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishedVoR allowe

PolyU Institutional Repository

中国人癌症疼痛评估工具效度与信度的分析吴燕萍1　覃惠英1 　范育英1 　洗慕慈1　钟慧仪2　汪国成2(1.?????????? ,?? ?? 510060;2.???????????? E-mail:hsjchung@inel.polyu.edu.hk)　　?　?　?? ????????????????????????????? , 《???????????》(Chinese Cancer Pain Assesment tool , CCPAT),??????。?? ??319 ????? , ??30 ???? CCPAT??????????(The Mcgill Pain Quesionnaire ,MPQ)???? ,???????????????????;???????? CCPAT ?MPQ ?????????????? , ?? CCPAT ???。??? 30 ??????????CCPAT???????? ,? CCPAT ?????????? ,??????? ,???????? CCPAT???? ,????????? , ?????????。 ?? ?? 319 ????? , CCPA ? MPQ ????? , ??????? ,????? 0.96 ,??????? 0.88。?? ??????????? 、????。??????????????????????。　　???　????　　????　　??　　??Validity and reliability analysis of the Chinese Cancer Pain assessment toolWu Yanping　Qin Huiying 　FanYuying et al(Tumor hospital of Zhongshan University , Guangdong , Guangzhou 510060)Abstract Objective To discuss the validity and reliability of Chinese cancer pain assessment tool(CCPAT), a multi-layerassessment table that was developed by Doctor Zhong Huiyi from Hong Kong and adapted to Chinese culture background .Method319 cases of cancer patients were measured.Among them , 30 patients were questioned by MPQ(the Mcgill pain questionnaire)and CCPAT.Respectively.Using factor analysis to research for how many factors will influence measured pain concepts .Calcula-tion of total corresponding score was made by gathering all the items of CCPAT andMPQ of the cancer pain group to determine thevalidity of CCPAT.Other 30 cases of patients were questioned by two investigators.Every factor in CCPAT was carried out half-probability selection and its validity index was calculated.The remaining patients were questioned by CCPAT only .The mean valueof the indexes were calculated and the interior coherence was tested .Result among 319 measured patients , the variables od CC-PAT and MPQ were linked and an accordant validity was established.The rate validity was 0.96 and the interior coherence indexwas 0.88.Conclusion CCPAT has a good reliability and validity.It' s a good reference to evaluated the pain intensity of cancer painpatients in clinic.Key words　Cancer pain　　Assessment tool　　Reliability　　Validity?????:R471 , R473.72　　?????:A　　????:1002-6975(2001)10-0737-02　　?Sonica ?? 50%～ 70%?????????????? ,????????????? 10???? 100??? 。?? ,???? 50 ～ 70???????????[ 1] 。?????????? ,??????????? ,??????? ,?????????? ,????????????。??????????????????????????[ 2] 。???????????????? 。???????????????????????(VAS),?????????(VRS),?????????(The Mcgill Pain Quesionnaire ,MPQ)???????????? ,????????????????????? ,?? ,????????????????????? 。1996 ????????????????????????????????????????? ,?? 1998????????????(Chinese Cancer Pain Assesment-tool ,CCPAT),????????? 、???? 、???? 、????? 、???????????? ,?? 56??? ,???????? 5 、4 、3 、2 、1? ,????????????????? 。1998 ～ 1999???????????? ,????? CCPAT ?????? ,????????????????。1　?????????1.1　??????????????????????? ,????? ,·737·?????? 2001? 10 ?? 16 ??10??????????????(?? RA1 ? RA2),????????????? 30?? CCPAT ??? ,RA1 ? CCPAT ????? , RA2 ?? CCPAT ?????。??????????????(??RB1? RB2),????????????? 30? ,RB1? CCPAT ?????? ,RB2 ? MPQ?????? 。?????????????? ,????????CCPAT??????。1.2　???????? 1998? 10 ? ～ 1999? 12??????? ,?????????:(1)??? 18??????????;(2)???????? ,????????????;(3)??????? ,??????????? 、??;(4)?????????????????? ,??????? ,????????????????;(5)????????? 24h???????? 。???????:(1)?????????????;(2)?????????;(3)?????????????? 。1.3　????1.3.1　????:(1)???????????????????;(2)???????? CCPAT ?MPQ?????????????? ,?? CCPAT???。1.3.2　????:? CCPAT ?????????? ,??????? ,??????????? ,?????????? 。2　??2.1　??????? 319?????????220??? 99? ,?? 21 ～ 78? ,???? 49.91±11.59 ,??????????? 5 ～ 40min , ???? 18.91 ±5.34min ,????:?????? 15(4.7%)、??100(31.3%)?? 130(40.8%)?? 47(14.7%)???? 27(8.5%)。??????:? 、? 91(28.5%)?66(20.7%)?37(11.6%)??? 31(9.7%)??22(6.9%)? 16(5.0%)???? 13(4.1%)?? 10(3.1%)? 3(10.9%)???2(0.6%)?? 1(0.3%)?? 27(7.5%)2.2　30?CCPAT ? MPQ ?????? CCPAT ????????????? MPQ???????????????? ,????????? ,??????? ,????? 0.81 ,?? CCPAT ? MPQ????????。2.3　CCPA????????????????????? 。????? 0.96?????????? 0.77 ,???????? 0.88 ,???????????? 。3　??3.1　????《?????????》?? 319????? ,??????????? 、????。CCPA?MPQ????? ,??????? ,????? 0.96 ,??????? 0.88 ,??????????????????????。3.2　MPQ?????? ,?????????? ,????????????? ,???????????? 。?????? 56??? ,?????:???? 、???? 、???? 、????? 、????????。??????????? ,?????????????????? ,???????????? 。?????????????????????????? 。????????????? ,??????????????? ,????20min??? ,???????? ,??????? ,???????????。3.3　???? 、????????《?????????》???????????? ,?????????????????? ,???????????????? 。?????????????:?????????“?????????” ,???????????“????????” ,????????????? ,???? ,?? ,?????????? ,??????????????????????????????????????-???????? , ?????? CCPAT ??? ,?????? ,?????????????。????1　??? ,??.???????.??∶????????? ,1998.459～ 460.2　Moore , R, Miller ,ML ,Weinstein , P , Dworkin , S.F , and Liou , H.H(198)Cultural perceptions of pain and pain coping among patients and dentists.Cultural Perception of pain.14, 327～ 333.(收稿日期:2001-03-11)·738· ?????? 2001 ? 10 ?? 16?? 10 ?

Validity and reliability analysis of the Chinese cancer pain assessment tool

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