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通过让患有骨关节炎引起慢性疼痛症状的犬只主人用芬兰语填写问卷,对赫尔辛基慢性疼痛指数进行心理测量测试。

Psychometric testing of the Helsinki chronic pain index by completion of a questionnaire in Finnish by owners of dogs with chronic signs of pain caused by osteoarthritis.

作者信息

Hielm-Björkman Anna K, Rita Hannu, Tulamo Riitta-Mari

机构信息

Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Fin-00014, Finland.

出版信息

Am J Vet Res. 2009 Jun;70(6):727-34. doi: 10.2460/ajvr.70.6.727.


DOI:10.2460/ajvr.70.6.727
PMID:19496661
Abstract

OBJECTIVE: To determine the validity, reliability, and sensitivity of a published chronic pain index by completion of a questionnaire in Finnish by owners of dogs with chronic signs of pain caused by osteoarthritis. ANIMALS: 61 client-owned dogs with osteoarthritis. PROCEDURES: Validity, internal consistency, and repeatability testing of the questionnaire were evaluated by completion of questions in Finnish by owners of 61 dogs; the questionnaire was named the Helsinki chronic pain index (HCPI). Sensitivity testing of the questionnaire was determined from data of 2 smaller groups of dogs treated with carprofen (n = 17) or placebo (17). Owners completed the questionnaire 5 times during a 16-week period. Psychometric properties of the HCPI were evaluated. RESULTS: Principal component analysis yielded only a single stable component, indicating that the HCPI was best explained as an 11-item single construct index of chronic pain. Changes in the HCPI correlated well with change in quality of life and with change in the mobility visual analogue scale (r = 0.72 and r = 0.67, respectively), indicating a high predictive validity. Internal consistency (Cronbach A value = 0.82) and test-retest reliability (intraclass correlation coefficient = 0.84 for items and 0.92 for the HCPI) were high. Changes in scores (from baseline to treatment and back to no treatment) between the carprofen treatment group and placebo control group were significant, indicating high sensitivity. CONCLUSIONS AND CLINICAL RELEVANCE: The Finnish version of the HCPI provided a valid, reliable, and responsive tool for assessment of response to treatment in dogs with osteoarthritis.

摘要

目的:通过让患有骨关节炎慢性疼痛症状的犬只主人用芬兰语完成一份问卷,来确定已发表的慢性疼痛指数的有效性、可靠性和敏感性。 动物:61只客户拥有的患有骨关节炎的犬只。 程序:通过让61只犬只的主人用芬兰语完成问卷问题,对该问卷进行有效性、内部一致性和重复性测试;该问卷被命名为赫尔辛基慢性疼痛指数(HCPI)。问卷的敏感性测试是根据两组较小的用卡洛芬(n = 17)或安慰剂(17)治疗的犬只的数据确定的。主人在16周内完成问卷5次。对HCPI的心理测量特性进行评估。 结果:主成分分析仅产生一个稳定成分,表明HCPI最好被解释为一个包含11个项目的慢性疼痛单一结构指数。HCPI的变化与生活质量的变化以及运动视觉模拟量表的变化相关性良好(分别为r = 0.72和r = 0.67),表明具有较高的预测效度。内部一致性(Cronbach α值 = 0.82)和重测信度(组内相关系数:项目为0.84,HCPI为0.92)较高。卡洛芬治疗组和安慰剂对照组之间的分数变化(从基线到治疗,再回到未治疗)具有显著性,表明敏感性较高。 结论及临床意义:芬兰语版的HCPI为评估骨关节炎犬只对治疗的反应提供了一个有效、可靠且灵敏的工具。

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