Johnson Alisha Maree, Smith Sheree Ms
School of Nursing and Midwifery, Western Sydney University, Penrith.
School of Nursing and Midwifery, Western Sydney University, Penrith; Respiratory, Sleep, and Environmental Health Research Academic Unit, Liverpool Hospital, Liverpool, NSW, Australia.
Int J Chron Obstruct Pulmon Dis. 2017 Mar 17;12:923-929. doi: 10.2147/COPD.S119889. eCollection 2017.
The experience of pain can have a significant impact on the everyday life of individuals including those with COPD. Recently, pain has emerged as an area in COPD research. When considering pain measurement in COPD studies, it is important to consider the validity, reliability, responsiveness and interpretability of instruments and tools. This review sought to assess these domains of general pain instruments and tools using the consensus-based standards for the selection of health measurement instruments (COSMIN).
Three separate analyses were used to assess general pain measurement tools and instruments. These comprise COSMIN's, 1) methodological quality assessment with dichotomous responses, 2) the 4-point rating scale, and 3) overall quality criteria using an assessment scale for clinimetric properties by Terwee.
Overall Pain Sensitivity Questionnaire (PSQ) was found to have the highest rating in all domains of validity, reliability, responsiveness and interpretability. In the first analysis, PSQ and Geriatric Pain Measure (GPM) scored highest in four of the six domains. In the second analysis, using the 4-point rating, the PSQ scored highest in three of four domains. In the third analysis, the GPM scored the highest in all four domains. Overall the PSQ, GPM and Defense and Veterans Pain Rating Scale scores were consistently high in the three separate analyses in this review.
This review found variability in the domains of validity, reliability, responsiveness and interpretability in general pain tools and instruments. The PSQ was found to be the most valid and reliable general pain measurement instrument for adult populations.
疼痛体验会对包括慢性阻塞性肺疾病（COPD）患者在内的个体日常生活产生重大影响。近来，疼痛已成为COPD研究领域之一。在考虑COPD研究中的疼痛测量时，重要的是要考虑仪器和工具的有效性、可靠性、反应性和可解释性。本综述旨在使用基于共识的健康测量工具选择标准（COSMIN）评估一般疼痛仪器和工具的这些方面。
采用三项独立分析来评估一般疼痛测量工具和仪器。这些分析包括COSMIN的：1）二分法反应的方法学质量评估；2）4分制评分量表；3）使用Terwee临床测量属性评估量表的总体质量标准。
总体疼痛敏感性问卷（PSQ）在有效性、可靠性、反应性和可解释性的所有方面评分最高。在第一项分析中，PSQ和老年疼痛测量量表（GPM）在六个方面中的四个方面得分最高。在第二项分析中，使用4分制评分，PSQ在四个方面中的三个方面得分最高。在第三项分析中，GPM在所有四个方面得分最高。总体而言，在本综述的三项独立分析中，PSQ、GPM和国防与退伍军人疼痛评定量表的得分一直很高。
本综述发现一般疼痛工具和仪器在有效性、可靠性、反应性和可解释性方面存在差异。PSQ被认为是针对成年人群最有效和可靠的一般疼痛测量工具。
Zotero 插件