Fadayevatan Reza, Alizadeh-Khoei Mahtab, Hessami-Azar Salaheddin Taleb, Sharifi Farshad, Haghi Marjan, Kaboudi Bijan
Department of Gerontology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Gerontology and Geriatric Department, Medical School, Tehran University of Medical Sciences, Tehran, Iran.
Indian J Palliat Care. 2019 Jan-Mar;25(1):46-51. doi: 10.4103/IJPC.IJPC_126_18.
Accurate pain assessment in elderly population is essential for pain management and nurses have a pivotal role. The 11-face Faces Pain Scale (FPS-11) is a well-established pain assessment measure that has not been validated in the Iranian elderly.
The aim was to study the property assessment of the Iranian version of FPS-11 (FPS-11-IR) among elderly outpatients with chronic pain.
This is a cross-sectional validation study that conducted in three outpatient clinics in Tehran, Iran, in 2017. Older people aged ≥60 years ( = 217) with chronic knee pain due to degenerative joint disease were participated. The construct validity was examined by applying contrast constructs, and the face validity was determined by rank-ordering test. To assess concurrent validity, the Spearman's correlation coefficient was calculated between the scores of 11-point Numeric Rating Scale (NRS) and FPS-11-IR. Test-retest reliability was determined in 1-week interval.
Most of elderly participants (72%) agreed that pain construct displays in faces of the FPS-11-IR and participants" agreement on face rank ordering were vary for each face, ranging from 80% to 100%. Spearman's correlation coefficient between FPS-11-IR and NRS scores was very strong (r = 0.91, < 0.01). Intraclass correlation coefficient between test-retest scores was 0.96 that indicates excellent reliability.
The FPS-11-IR is a reliable and valid pain assessment scale to use in geriatric patients chronic pain.
准确评估老年人群的疼痛对于疼痛管理至关重要，护士在其中起着关键作用。11 面部疼痛量表（FPS - 11）是一种成熟的疼痛评估工具，但尚未在伊朗老年人群中进行验证。
旨在研究伊朗版 FPS - 11（FPS - 11 - IR）在老年慢性疼痛门诊患者中的性能评估。
这是一项横断面验证研究，于 2017 年在伊朗德黑兰的三家门诊诊所进行。纳入年龄≥60 岁（n = 217）因退行性关节病导致慢性膝关节疼痛的老年人。通过应用对比结构来检验结构效度，通过排序测试确定表面效度。为评估同时效度，计算 11 点数字评定量表（NRS）得分与 FPS - 11 - IR 得分之间的斯皮尔曼相关系数。在 1 周间隔内确定重测信度。
大多数老年参与者（72%）认为 FPS - 11 - IR 的面部表情能体现疼痛结构，并且参与者对每个面部表情的排序一致性各不相同，范围从 80%到 100%。FPS - 11 - IR 与 NRS 得分之间的斯皮尔曼相关系数非常强（r = 0.91，P < 0.01）。重测得分之间的组内相关系数为 0.96，表明可靠性极佳。
FPS - 11 - IR 是一种可靠且有效的疼痛评估量表，可用于老年慢性疼痛患者。
