电子疼痛评估工具的心理测量评估：一种针对中重度痴呆患者的创新工具。
Psychometric Evaluation of the Electronic Pain Assessment Tool: An Innovative Instrument for Individuals with Moderate-to-Severe Dementia.
作者信息
Atee Mustafa, Hoti Kreshnik, Hughes Jeffery D
机构信息
School of Pharmacy, Faculty of Health Sciences, Curtin University, Bentley, Washington, Australia.
Division of Pharmacy, Faculty of Medicine, University of Pristina, Pristina, Kosovo.
出版信息
Dement Geriatr Cogn Disord. 2017;44(5-6):256-267. doi: 10.1159/000485377. Epub 2018 Jan 23.
BACKGROUND/AIMS: Pain is common in aged care residents with dementia; yet it often goes undetected. A novel tool, the electronic Pain Assessment Tool (ePAT), was developed to address this challenging problem. We investigated the psychometric properties of the ePAT.
METHODS
In a 10-week prospective observational study, the ePAT was evaluated by comparison against the Abbey Pain Scale (APS). Pain assessments were blindly co-performed by the ePAT rater against the nursing staff of two residential aged care facilities. The residents were assessed twice by each rater: at rest and following movement.
RESULTS
The study involved 34 residents aged 85.5 ± 6.3 years, predominantly with severe dementia (Psychogeriatric Assessment Scale - Cognitive Impairment score = 19.7 ± 2.5). Four hundred paired assessments (n = 204 during rest; n = 196 following movement) were performed. Concurrent validity (r = 0.911) and all reliability measures (κw = 0.857; intraclass correlation coefficient = 0.904; α = 0.950) were excellent, while discriminant validity and predictive validity were good.
CONCLUSION
The ePAT is a suitable tool for the assessment of pain in this vulnerable population.
背景/目的：疼痛在患有痴呆症的老年护理居民中很常见；然而，它常常未被发现。一种新型工具——电子疼痛评估工具（ePAT）被开发出来以解决这一具有挑战性的问题。我们研究了ePAT的心理测量特性。
方法
在一项为期10周的前瞻性观察研究中，通过与阿比疼痛量表（APS）比较来评估ePAT。ePAT评分者与两个老年护理机构的护理人员一起对疼痛进行盲法联合评估。每位评分者对居民进行两次评估：休息时和活动后。
结果
该研究涉及34名年龄为85.5±6.3岁的居民，主要患有重度痴呆（老年精神病学评估量表 - 认知障碍评分 = 19.7±2.5）。共进行了400次配对评估（休息时n = 204；活动后n = 196）。同时效度（r = 0.911）和所有信度指标（κw = 0.857；组内相关系数 = 0.904；α = 0.950）都非常好，而区分效度和预测效度也较好。
结论
ePAT是评估这一弱势群体疼痛的合适工具。
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