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黎巴嫩癌症患者样本中阿拉伯文简明疼痛量表的心理计量学评估。

Psychometric evaluation of the arabic brief pain inventory in a sample of Lebanese cancer patients.

机构信息

College of Nursing and Health Sciences, Florida International University, Miami, Florida, USA.

出版信息

J Pain Symptom Manage. 2011 Jul;42(1):147-54. doi: 10.1016/j.jpainsymman.2010.09.019. Epub 2011 Mar 12.

DOI:10.1016/j.jpainsymman.2010.09.019
PMID:21398086
Abstract

CONTEXT

Pain is a common complaint in oncology patients, and success in its treatment requires accurate assessment. Thus, assessment tools that are practical, culturally sensitive, and psychometrically sound are needed.

OBJECTIVES

The purpose of this study was to evaluate the psychometric properties and cultural sensitivity of the Arabic Brief Pain Inventory (BPI) in a Lebanese sample of cancer patients. The BPI measures the location and severity of pain; pain relief from treatment; and the pain's interference with life.

METHODS

The BPI was translated into Arabic. Its cultural sensitivity was evaluated by a panel of experts. This instrument and a visual analogue scale for pain were administered to a convenience sample of 75 adult oncology patients receiving pain treatment.

RESULTS

The experts' ratings indicated that the tool was culturally sensitive. The majority of the patient sample (88%) was married, male (78.7%), older than 46 years (56%), and with at least a secondary education (84%). The mean pain intensity rating was 5.3 ± 1.7, with interference ratings of 5.3 ± 2.0 to 7.0 ± 2.5. Most patients (78.4%) reported more than 50% pain relief with treatment. Cronbach alpha coefficients were 0.82 and 0.92 for the severity and interference items, respectively. Factor analysis yielded two factors, replicating the severity and interference dimensions. Correlations between the severity and interference items ranged between 0.25 and 0.57 (P < 0.05).

CONCLUSION

The findings support the validity, reliability, and cultural sensitivity of the Arabic BPI in Lebanese oncology patients. This tool can be used to assess pain and improve its management in this population.

摘要

背景

疼痛是肿瘤患者常见的主诉,成功治疗疼痛需要准确的评估。因此,需要实用、文化敏感和具有良好心理测量学特性的评估工具。

目的

本研究旨在评估阿拉伯文简明疼痛量表(BPI)在黎巴嫩癌症患者中的心理测量学特性和文化敏感性。BPI 测量疼痛的部位和严重程度、治疗引起的疼痛缓解以及疼痛对生活的干扰。

方法

将 BPI 翻译成阿拉伯文。专家小组对其文化敏感性进行评估。该工具和疼痛视觉模拟量表被用于便利抽样的 75 名接受疼痛治疗的成年肿瘤患者。

结果

专家的评分表明该工具具有文化敏感性。大多数患者样本(88%)为已婚、男性(78.7%)、年龄大于 46 岁(56%)和具有至少中学教育程度(84%)。平均疼痛强度评分为 5.3 ± 1.7,干扰评分为 5.3 ± 2.0 至 7.0 ± 2.5。大多数患者(78.4%)报告治疗后疼痛缓解超过 50%。严重程度和干扰项目的克朗巴赫 α 系数分别为 0.82 和 0.92。因子分析产生了两个因子,复制了严重程度和干扰维度。严重程度和干扰项目之间的相关性在 0.25 至 0.57 之间(P < 0.05)。

结论

研究结果支持阿拉伯文 BPI 在黎巴嫩肿瘤患者中的有效性、可靠性和文化敏感性。该工具可用于评估疼痛并改善该人群的疼痛管理。

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