Callahan L F, Brooks R H, Summey J A, Pincus T
Arthritis Rheum. 1987 Jun;30(6):630-6. doi: 10.1002/art.1780300605.
Pain was assessed quantitatively as a component of routine visits of 385 outpatients with rheumatoid arthritis, using a pain scale based on activities of daily living (ADL) and a visual analog scale. The ADL pain scale met psychometric criteria for validity and reliability. Scores on the 2 pain scales were correlated significantly with one another and with other measures of disease status, including joint count, grip strength, walking time, button test, morning stiffness, erythrocyte sedimentation rate, global self-assessment, ADL difficulty, and ADL dissatisfaction scales. Correlations of ADL pain scale scores with other measures were higher than were correlations of visual analog scale scores with other measures, in both unadjusted and adjusted analyses. Significantly more patients completed the ADL pain scale without assistance than the number of those who completed the visual analog pain scale. The ADL pain scale was more sensitive to problems in ADL than were the ADL scales for difficulty and dissatisfaction. The ADL and visual analog pain scales appear to provide useful data for quantitative assessment of pain in the routine care of rheumatoid arthritis patients.
疼痛作为385名类风湿性关节炎门诊患者常规就诊的一项内容进行了定量评估，采用了基于日常生活活动（ADL）的疼痛量表和视觉模拟量表。ADL疼痛量表符合效度和信度的心理测量标准。两种疼痛量表的得分彼此之间以及与疾病状态的其他测量指标显著相关，这些指标包括关节计数、握力、步行时间、纽扣试验、晨僵、红细胞沉降率、整体自我评估、ADL困难程度以及ADL不满意量表。在未调整和调整分析中，ADL疼痛量表得分与其他测量指标的相关性均高于视觉模拟量表得分与其他测量指标的相关性。与完成视觉模拟疼痛量表的患者数量相比，显著更多的患者在无协助的情况下完成了ADL疼痛量表。ADL疼痛量表对ADL中的问题比ADL困难程度和不满意量表更敏感。ADL和视觉模拟疼痛量表似乎为类风湿性关节炎患者的常规护理中疼痛的定量评估提供了有用的数据。
