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Assessment of the Convergent Validity of Pain Intensity in the Pain Sensory Tool

疼痛感受量表的疼痛強度之收斂效度評估

摘要


本研究的目的是使用籌碼片疼痛評估工具來測試疼痛感受量表的收斂效度,此二種研究工具均用來評估兒童(5到14歲)的疼痛強度。計有104位具有急性疼痛的住院童參與此研究。所有的病童都需要使釤籌碼片疼痛評估工具以及疼痛感受量表來評估疼痛強度。皮爾森相關係數(Pearson correlation)顯示二種量表之相關係數為.79 to .88,此結果支持疼痛感受量表的收斂效度。此外,不同年齡層及性別之病童對疼前評估工具的喜愛並無顯著差異。此研究結果證實疼痛感受量表可以被用來評估兒童的疼痛強度。然而,5歲病童中,有27%的小孩較無法瞭解疼痕感受量表的使用使用方式,雖然此研究並沒有採用這些小孩的資料,這些資料在統計學上是否屬於極度端值並不是很清楚。因此,5歲病童的個案數有限是本篇研究的限制。作者建議再複製相同的研究並將重心放在5歲病童上,以做5歲病童效度這測試。

並列摘要


The purpose of this study was to examine the convergent validity of the Pain Sensory Tool with the Poker Chip Tool. Both tools were used to assess children’s pain intensity (ages 5 to 14 years). A total of 104 hospitalized Taiwanese children with acute pain were asked to participate in this study. All children were required to use both the Pain Sensory Tool and the Poker Chip Tool to mea sure their pain. The results of Pearson correlation revealed a coefficient of .79 to .88. The convergent validity of the Pain Sensory Tool with the Poker Chip Tool was there fore sup ported. No significant differences in preferences of using the PST and the PCT were found by age group and sex. The findings of this study also demonstrated that the Poker Chip Tool can be used to mea sure Taiwanese children’ s pain intensity. In addition, the Pain Sensory Tool and the Poker Chip Tool were reliable instruments to mea sure pain intensity of Taiwanese children (ranged from 5 to 14 years of age). How ever, 27% of five-year-old children failed to under stand the instructions of the PST although these children were dropped from the study. This raises concerns about the validity of the PST for five-year-old children. It is not clear whether these five-year-old children were outliers or whether the PST is difficult for younger children. The authors suggested duplicating this study and specifying the five-year-old age group for the validity test.

參考文獻


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Abu-Saad, H., Holzemer, W. Z.(1981).Measuring Children's Self-Assessment of Pain.Issues in Comprehensive Pediatric Nursing.5
Aradine, C. R., Beyer, J. E., Tompkins, J. M.(1988).Children's Pain Perception Before and After Analgesia: A Study of Instrument Construct Validity and Related Issues.Journal of Pediatric Nursing.3(1)
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