Fishman B, Pasternak S, Wallenstein S L, Houde R W, Holland J C, Foley K M
Cancer. 1987 Sep 1;60(5):1151-8. doi: 10.1002/1097-0142(19870901)60:5<1151::aid-cncr2820600538>3.0.co;2-g.
Effective evaluation and treatment of cancer pain require valid and independent measurement of pain intensity, pain relief, and psychological distress. The Memorial Pain Assessment Card (MPAC) is a simple instrument designed to provide rapid evaluation of these subjective experiences. On the 8.5 by 11 inch card are printed the eight pain intensity descriptors, and three visual analog scales which measure pain intensity, pain relief, and mood. Experienced patients can complete it in less than 20 seconds. The authors administered the MPAC to 50 hospitalized cancer patients within 48 hours of referral to the Pain Service for inadequate pain control, together with standard measures: The McGill Pain Questionnaire, Profile of Mood States, Hamilton Depression Scale, and Zung Anxiety Scale. Correlational and multiple regression analyses revealed that the MPAC can distinguish pain intensity from pain relief and from general psychological distress, and it can provide multidimensional assessment that is practically equivalent to the full assessment battery. We conclude that the MPAC is valid and effective for clinical use, and recommend it for the assessment of individual patients, and as an outcome measure in clinical trials.
癌症疼痛的有效评估和治疗需要对疼痛强度、疼痛缓解情况以及心理困扰进行有效且独立的测量。纪念疼痛评估卡（MPAC）是一种简单的工具，旨在对这些主观体验进行快速评估。在这张8.5×11英寸的卡片上印着八个疼痛强度描述词，以及三个视觉模拟量表，分别用于测量疼痛强度、疼痛缓解情况和情绪。有经验的患者能在不到20秒的时间内完成填写。作者在将50名住院癌症患者转介至疼痛服务部门以处理疼痛控制不佳问题后的48小时内，让他们填写MPAC，同时还采用了标准测量方法：麦吉尔疼痛问卷、情绪状态剖面图、汉密尔顿抑郁量表和zung焦虑量表。相关性分析和多元回归分析表明，MPAC能够区分疼痛强度与疼痛缓解情况以及一般心理困扰，并且它能够提供几乎等同于完整评估组的多维度评估。我们得出结论，MPAC在临床应用中是有效且可靠的，并建议将其用于个体患者的评估，以及作为临床试验中的一项结果指标。
