摘要
目的使用昏迷疼痛量表-修订版(nociception coma scale-revised,NCS-R)评估意识障碍患者的疼痛,并分析其信效度,评价该量表在国内的临床应用价值。方法用NCS-R量表对62名意识障碍患者进行疼痛评估,分析量表的内部一致性,评估者间的一致性,评估与再评估的一致性,同时效度。结果该量表的内部一致性Cronbach'α系数为0.611,重复评估总分Sperman相关系数为0.884,运动、言语和面部表情分量表的Cronbach'skappa系数分别为0.856,0.870,0.856,评估者之间的总分Sperman相关系数为0.662,运动、言语和面部表情分量表信度的Cronbach'skappa系数分别为0.962,0.867,0.671;与其他疼痛量表的同时效度的Sperman相关系数为0.560(均P<0.01)。结论NCS-R具有较好的信度和效度,适用于临床医生和研究人员评估意识障碍患者的疼痛情况。
Objective To assess the pain of patients with disorders of consciousness(DOC)and evaluate the reliability and validity of Chinese version of Nociception Coma Scale- revised(NCS-R).Methods Sixty-two patients with disorders of consciousness were assessed by NCS-R and the internal reliability,inter-rater reliability,test-retest reliability and concurrent validity was analyzed.Results Cronbach's alpha(α)of internal reliability was 0.611,test-retest reliability for the NCS-R total scores by spearman was 0.884.For the subscales,the reliability for the motor,verbal and facial subscale scores by Cronbach's kappa were 0.856,0.870 and 0.856 respectively.Inter-rater reliability for the NCS-R total scores by spearman was 0.662.For the subscales,the reliability for the motor,verbal and facial subscale scores by Cronbach's kappa were 0.962,0.867 and 0.671 respectively.The spearman coefficient of concurrent validity was 0.560(all P<0.01).Conclusion The NCS-R is a good valid scale and available for Chinese clinician and researchers to assess the pain of DOC patients.
作者
王静
华雯
程丽文
夏志刚
胡晓华
闫怡帆
Steven Laureys
狄海波
Wang Jing;Hua Wen;Cheng Liwen;Xia Zhigang;Hu Xiaohua;Yan Yifan;Laureys Steven;Di Haibo(International Vegetative State and Consciousness Science Institute,Hangzhou Normal Univelsity,Hangzhou 310036,China;Department of Rehabilitation,Hangzhou Wujing Hospital,Hangzhou 310054,China;Coma Science Group,University & Neurology Department,Hospital of Liege,Liege 4000,Belgium)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2018年第11期1039-1042,共4页
Chinese Journal of Behavioral Medicine and Brain Science
基金
国家自然科学基金项目(81471100)
浙江省大学生科技创新活动计划项目(2017R423055).
关键词
昏迷疼痛量表-修订版
疼痛评估
意识障碍
信度和效度
Nocieption coma scale-revised
Pain assessment
Disorders of consciousness
Reliability and validity
