摘要目的 分析疼痛评估测量工具对门诊伤口换药患者的同时效度和偏好性.方法 选取2017年5月至2019年5月门诊换药室的40例伤口换药患者资料,并由本科室4名护理人员再用NRS(数字评定量表)、VAS(视觉模拟评分表)、VDS(词语描述量表)、FPS-R(修改版面部表情疼痛量表)及MIX(组合型疼痛评估表)对受试者进行疼痛强度评估,以NRS量表为校标工具,通过 Spearman简单相关性软件检验NRS与VAS 、VDS、F自-R、MIX之间的相关程度,最终确定VAS、VDS、FPS-R 、MIX的同时效度,并通过百分比卡方统计患者对5种量表首选的偏好性.结果 VAS、VDS、FPS-R、MIX与NRS高度呈正向关系(r=0.753-0.957,P ＜ 0.05),以及首选偏好性由高到低依次为 FPS-R为 75.0％(n=30)、MIX为 60.0％(n=24)、NRS为 22.5％(n=9)、VAS为 5.0％(n=2)、VDS为 2.5％(n=1).结论 门诊伤口换药疼痛评估应用FPS-R 、VDS 、MIX、VAS量表工具均具有较好的同时效度,但 FPS-R量表为首先偏好最佳的量表.

abstractsObjective To analyze the simultaneous validities and preferences of pain assessment and measurement tools in outpatients undergoing wound dressing change.Methods The data of 40 patients undergoing wound dressing change in the outpatient dressing changing room from May,2017 to May,2019 were selected.NRS(Digital Rating Scale),VAS(Visual Analog Scale),VDS(Word Description Scale),FPS-R(Modified Facial Ex-pression Pain Scale),and MIX(Combined Pain Assessment Form)were used to evaluate their pain intensities.NRS was used as the calibration tool.The correlation of NRS with VAS,VDS,FPS-R and MIX was verified by Spearman simple correlation Software.The simultaneous validities of VAS,VDS,FPS-R,and MIX were finally determined; and the preferences of the patients for the five scales were counted by percentage chi-square.Results There was a positive correlation of NRS with VAS,VDS,FPS-R,and MIX(r=0.753-0.957,P＜ 0.05).And the preferences from high to low were as below: FPS-R 75.0％(n=30),MIX 60.0％(n=24),NRS 22.5％(n-9),VAS 5.0％(n=2,and VDS 2.5％(n=1).Conclusion FPS-R,VDS,MIX,and VAS in the evaluation of outpatients undergoing wound dressing change all have good simultaneous validities,but FPS-R has the best preference.