Ballard Ariane, Le May Sylvie, Khadra Christelle, Théroux Jean, Charette Sylvie, Villeneuve Edith, Chorney Jill, Fortin Christophe, Parent Stefan
Université de Montréal, Québec, Canada.
Centre de recherche du CHU Sainte-Justine, Montréal, Québec, Canada.
Can J Pain. 2017 Jul 27;1(1):50-60. doi: 10.1080/24740527.2017.1324947. eCollection 2017.
: Spinal fusion for scoliosis generates moderate to severe pain intensity. There are currently no instruments available to measure adolescents' satisfaction regarding post-spinal fusion pain management. : To develop and validate a scale on satisfaction of adolescents regarding pain management following spinal fusion for scoliosis. : A methodological design was used to develop and validate the French-Canadian scale "Satisfaction des Adolescents de la gestion de la Douleur postopératoire - Scoliose idiopathique (SAD-S)". A modified Delphi method, with seven healthcare professionals and 10 adolescents, was used to establish content validity of the SAD-S. A pre-test of the scale was conducted with 10 adolescents post-spinal fusion. The final version of the scale was validated through a pilot study with 98 adolescents following their surgery. : The SAD-S scale includes a total of 13 items. Principal component analysis yielded a two-factor structure (2 subscales): 1) Pain management education and 2) Education regarding medication. These two factors explained 47,8% of the total variance for satisfaction. A Cronbach's alpha of 0,84 was obtained for internal consistency. : Validation of the SAD-S scale showed that it has good psychometric properties with this population. Further validation is required with a larger sample to pursue its validation.
脊柱侧弯的脊柱融合术会产生中度至重度疼痛。目前尚无用于测量青少年对脊柱融合术后疼痛管理满意度的工具。
开发并验证一种关于青少年对脊柱侧弯脊柱融合术后疼痛管理满意度的量表。
采用一种方法学设计来开发并验证法裔加拿大人的量表“青少年特发性脊柱侧弯术后疼痛管理满意度量表(SAD-S)”。使用改良的德尔菲法,邀请7名医疗保健专业人员和10名青少年来确定SAD-S的内容效度。对10名脊柱融合术后的青少年进行了该量表的预测试。通过对98名青少年术后进行的一项试点研究对该量表的最终版本进行了验证。
SAD-S量表共有13个项目。主成分分析得出一个双因素结构(2个子量表):1)疼痛管理教育和2)药物治疗教育。这两个因素解释了满意度总方差的47.8%。内部一致性的克朗巴哈系数为0.84。
SAD-S量表的验证表明,它在该人群中具有良好的心理测量特性。需要用更大的样本进行进一步验证以继续其验证工作。