Reading A E, Reed C, Newton J R
Acta Obstet Gynecol Scand. 1979;58(1):105-13. doi: 10.3109/00016347909154925.
This paper considers the problem of measuring the subjective report of pain. In view of the limitations of existing approaches an alternative method of pain assessment is proposed. This approach derives from a multidimensional concept of pain. The test is in the form of pair comparisons and is designed to measure different pain dimensions. Sufficient consensus was found over the meaning and relevance of words describing intrauterine device related pain and primary dysmenorrhoea to allow a standard test to be developed. The reliability of the test was found to be high and its clinical advantages promising. It was not possible to provide an adequate evaluation of the test's validity. In view of these findings a longer-term treatment evaluation study is currently being undertaken in order to establish this.
本文探讨了测量疼痛主观报告的问题。鉴于现有方法的局限性,提出了一种疼痛评估的替代方法。该方法源自疼痛的多维概念。测试采用配对比较的形式,旨在测量不同的疼痛维度。对于描述宫内节育器相关疼痛和原发性痛经的词汇的含义和相关性,已达成足够的共识,从而得以开发出一项标准测试。该测试的可靠性较高,其临床优势也很可观。目前尚无法对该测试的有效性进行充分评估。鉴于这些发现,目前正在进行一项长期治疗评估研究,以确定这一点。