Faculdade de Ciências da Saúde, Universidade de Brasília, Brasília, DF, Brasil.
Braz J Med Biol Res. 2023 Oct 20;56:e12996. doi: 10.1590/1414-431X2023e12996. eCollection 2023.
Pain is present in the dental clinic, whether due to oral problems such as dental caries and its complications or related to dental procedures. Pain evaluation in patients with communication difficulties (PCDs) is challenging for dentists, potentially compromising treatment. The aim of this study was to develop and validate an instrument to assess the perception of dentists about pain in PCDs. This study followed a quantitative methodological approach involving constructing and validating an instrument administered to 50 dentists. The initial instrument consisted of 29 items divided into four domains. Content and construct validity and internal consistency were confirmed. Content validation was performed by judges using the Content Validity Index. The instrument underwent construct validation and internal consistency assessments through exploratory factor analysis and confirmatory factor analysis using Cronbach's α, Kaiser-Meyer-Olkin, and Bartlett's sphericity tests. The final instrument consisted of 21 items divided into three domains, with a high Cronbach's α for one domain and moderate values for the others. The total variance accounted for was above 46.03%. Each factor retained at least three items, with factor loadings greater than 0.3, commonalities greater than 0.2, and eigenvalues >1. Despite the study's limitations, the instrument demonstrated its applicability and potential in evaluating the perception and management of pain in PCDs.
在牙科诊所中，疼痛是常见的，无论是由于口腔问题如龋齿及其并发症，还是与牙科手术有关。对于牙医来说，评估有沟通困难（PCD）的患者的疼痛是具有挑战性的，这可能会影响治疗。本研究旨在开发和验证一种评估牙医对 PCD 患者疼痛感知的工具。这项研究采用了定量方法学方法，包括构建和验证一种对 50 名牙医进行评估的工具。初始工具包含 29 个项目，分为四个领域。内容和结构有效性和内部一致性得到了确认。内容有效性通过使用内容有效性指数进行评判来完成。通过探索性因子分析和验证性因子分析，使用克朗巴赫的α、Kaiser-Meyer-Olkin 和 Bartlett 的球形检验，对工具进行了结构验证和内部一致性评估。最终的工具包含 21 个项目，分为三个领域，一个领域的克朗巴赫的α值较高，其他两个领域的为中等值。总方差解释率超过 46.03%。每个因子保留至少三个项目，因子负荷大于 0.3，共性大于 0.2，特征值>1。尽管研究存在局限性，但该工具在评估 PCD 患者疼痛感知和管理方面表现出了适用性和潜力。
