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西黑文耶鲁多维疼痛量表:土耳其语版本在癌症患者中的信度和效度

The West Haven Yale Multidimensional Pain Inventory: Reliability and validity of the Turkish version in individuals with cancer.

作者信息

Cetin Arife Altin, Bektas Hicran, Ozdogan Mustafa

机构信息

Akdeniz University Hospital, Hematology Unit, Antalya, Turkey.

Akdeniz University Faculty of Nursing, Department of Internal Medicine Nursing, Antalya, Turkey.

出版信息

Eur J Oncol Nurs. 2016 Feb;20:1-9. doi: 10.1016/j.ejon.2015.03.007. Epub 2015 Apr 27.

Abstract

PURPOSE

Pain is a complex, multidimensional and subjective phenomenon that is common in patients with cancer. The translation of existing pain measurement scales is considered important in producing internationally comparable measures for evidence based practice. In measuring the pain experience, the WHYMPI is a widely used instrument to measure assessment of clinical pain, and it has not been validated in Turkey. The present study aimed to assess the reliability and validity of the Turkish version of the West Haven Yale Multidimensional Pain Inventory (WHYMPI).

METHOD

In this methodological study, the scale was translated into simplified Turkish by the cross-culture translation method, and 520 participants with cancer were assessed. The internal consistency, item analysis, and test-retest methods were used to determine the reliability of the Turkish WHYMPI. Content validity, criterion validity, convergent/divergent validity, and exploratory factor analysis were used to test the construct validity of the Turkish WHYMPI.

RESULTS

Cronbach's alpha and item-total correlations results suggested that there was good internal reliability. The Cronbach's alpha for internal consistency of the pain experience, responses by significant others, and daily activities were 0.85, 0.60, and 0.83, respectively. The internal consistency coefficient for test-retest reliability of the pain experience, responses by significant others, and daily activities were acceptable: 0.82, 0.66, and 0.81, respectively. Factor loadings were significant, with standardised loadings ranging from 0.40 to 0.92.

CONCLUSIONS

WHYMPI is reliable and valid instrument for the measurement of pain in patients with cancer in Turkey. Its use is recommended for clinical and research purposes.

摘要

目的

疼痛是一种复杂、多维度且主观的现象,在癌症患者中很常见。现有疼痛测量量表的翻译被认为对于产生基于证据的实践中具有国际可比性的测量方法很重要。在测量疼痛体验时,WHYMPI是一种广泛用于测量临床疼痛评估的工具,且尚未在土耳其进行验证。本研究旨在评估西黑文耶鲁多维疼痛量表(WHYMPI)土耳其语版本的信效度。

方法

在这项方法学研究中,该量表通过跨文化翻译方法被翻译成简化土耳其语,并对520名癌症患者进行了评估。采用内部一致性、项目分析和重测法来确定土耳其语WHYMPI的信度。采用内容效度、效标效度、收敛/发散效度和探索性因素分析来检验土耳其语WHYMPI的结构效度。

结果

克朗巴哈系数和项目与总分相关性结果表明存在良好的内部信度。疼痛体验、重要他人反应和日常活动的内部一致性克朗巴哈系数分别为0.85、0.60和0.83。疼痛体验、重要他人反应和日常活动的重测信度内部一致性系数是可接受的,分别为0.82、0.66和0.81。因子载荷显著,标准化载荷范围为0.40至0.92。

结论

WHYMPI是土耳其癌症患者疼痛测量的可靠且有效的工具。建议将其用于临床和研究目的。

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