Kaya Pınar, Erden Sevilay
Department of General Surgery Intensive Care, Adana City Hospital, Adana, Turkey.
Agri. 2019 Jan;31(1):15-22. doi: 10.5505/agri.2018.25349.
In this study, we aimed to adapt the Revised Nonverbal Pain Scale (NVPS-R) into Turkish, and to test reliability and validity of the scale.
A total of 74 patients who were admitted to eight intensive care units in two hospitals between May 2016 and August 2017 were included in this study. All patients were over 18 years old, mechanically ventilated, and sedated. The data were obtained 1 min before, during and 20 min after the aspiration using the NVPS-R-TR and Critical Care Pain Observation Tool (CPOT).
Language, content, construct validity and reliability analyses were performed for the reliability and validity of the scale. Factor loadings in explanatory factor analysis were sufficient (0.790-0.900), and the fit indices of the scale were acceptable values in confirmatory factor analysis (x2/SD: 2.414, RMSEA: 0.066, CFI: 0.910, SRMR: 0.073, GFI: 0. 950 and AGFI: 0.930). After internal consistency analyses of the scale, the item-total correlation was sufficient (0.604-0.794), and Cronbach's alpha score was 0.776.
NVPS-R-TR is a reliable and a valid measuring tool for the pain evaluation of sedated adults who are under mechanical ventilation in the intensive care unit.
在本研究中，我们旨在将修订后的非语言疼痛量表（NVPS-R）改编为土耳其语版本，并测试该量表的信效度。
本研究纳入了2016年5月至2017年8月期间在两家医院的八个重症监护病房住院的74例患者。所有患者年龄均超过18岁，接受机械通气并使用了镇静剂。在吸痰前1分钟、吸痰期间和吸痰后20分钟，使用NVPS-R-TR（修订后的非语言疼痛量表土耳其语版）和重症监护疼痛观察工具（CPOT）获取数据。
对该量表的信效度进行了语言、内容、结构效度和信度分析。探索性因素分析中的因子载荷充分（0.790 - 0.900），在验证性因素分析中量表的拟合指数为可接受值（卡方/标准差：2.414，RMSEA：0.066，CFI：0.910，SRMR：0.073，GFI：0.950，AGFI：0.930）。对该量表进行内部一致性分析后，项目与总分的相关性充分（0.604 - 0.794），Cronbach's alpha系数为0.776。
NVPS-R-TR是一种可靠且有效的测量工具，可用于评估重症监护病房中接受机械通气的成年镇静患者的疼痛情况。
