Zielina Martin, Matysková Dominika, Štětinský Jiří, Zajíček Robert, Raudenská Jaroslava, Javůrková Alena, Sakmárová Kristína, Modrák Martin
Department of Medical Ethics and Humanities, Second Faculty of Medicine, Charles University, V Úvalu 84, Prague 15006, Czech Republic.
Department of Burns and Plastic Surgery, University Hospital Brno, Brno, Czech Republic.
Burns. 2025 Aug;51(6):107546. doi: 10.1016/j.burns.2025.107546. Epub 2025 May 22.
This study aimed to adapt the Burn-Specific Pain Anxiety Scale (BSPAS) for use in the Czech language and evaluate its validity and reliability. Conducted across three university hospitals in the Czech Republic-Prague, Brno, and Ostrava-from September 2022 to February 2024, the study involved 203 inpatients and outpatients from burn units who met inclusion criteria and consented to participate. The adaptation process included rigorous analysis of validity and reliability, employing language, content, and construct validity assessments. Language validity was ensured through back translation, whereas content validity was confirmed through expert evaluations. Exploratory factor analysis revealed at least a two-factor structure with satisfactory factor loading. Loading of factors to questions was consistent between BSPAS-9 and BSPAS-5. Confirmatory factor analysis further substantiated the model fit for both five- and nine-item versions (RMSEA 0.06 and 0.1 respectively). Internal consistency was assessed using item-total correlation, yielding acceptable results (range 0.63-0.82 for nine items and 0.71-0.82 for five items). Cronbach's alpha coefficients were 0.94 for the nine-item version and 0.91 for the five-item version. These findings indicate that the Czech version of the BSPAS is a valid and reliable tool for assessing pain-related anxiety in patients with burns. Additionally, we show that in our population, the information from the nine-item version is well captured by the five-item version and pain alone explains most of the variance in BSPAS scores.
本研究旨在使《烧伤特异性疼痛焦虑量表》（BSPAS）适用于捷克语，并评估其有效性和可靠性。该研究于2022年9月至2024年2月在捷克共和国的三家大学医院——布拉格、布尔诺和俄斯特拉发进行，涉及203名符合纳入标准并同意参与的烧伤科住院患者和门诊患者。改编过程包括对有效性和可靠性进行严格分析，采用语言、内容和结构效度评估。通过回译确保语言效度，通过专家评估确认内容效度。探索性因素分析揭示了至少一个具有满意因素负荷的双因素结构。BSPAS - 9和BSPAS - 5之间各因素对问题的负荷是一致的。验证性因素分析进一步证实了五项目和九项目版本的模型拟合度（RMSEA分别为0.06和0.1）。使用项目 - 总分相关性评估内部一致性，结果可接受（九项目版本范围为0.63 - 0.82，五项目版本范围为0.71 - 0.82）。九项目版本的Cronbach's alpha系数为0.94，五项目版本为0.91。这些发现表明，捷克语版的BSPAS是评估烧伤患者疼痛相关焦虑的有效且可靠的工具。此外，我们还表明，在我们的研究人群中，五项目版本能够很好地涵盖九项目版本的信息，并且仅疼痛就解释了BSPAS得分的大部分变异。
