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护理学报 ›› 2022, Vol. 29 ›› Issue (21): 61-66.doi: 10.16460/j.issn1008-9969.2022.21.061

• 临床护理-内科护理 • 上一篇    下一篇

3种神经病理性疼痛筛查量表在中轴型脊柱关节炎患者中的评价

廖文佳1,2, 何懿3, 孙尔维3, 李漓1   

  1. 1.南方医科大学珠江医院 临床护理教研室,广东 广州 510282;
    2.南方医科大学 护理学院,广东 广州 510515;
    3.南方医科大学第三附属医院 风湿免疫科,广东 广州 510630
  • 收稿日期:2022-05-07 出版日期:2022-11-10 发布日期:2022-12-07
  • 通讯作者: 李漓（1971-）,女,湖南邵东人,博士,主任护师,副教授,临床护理教研室主任。E-mail:lli1@smu.edu.cn
  • 作者简介:廖文佳（1997-）,女,湖北咸宁人,硕士,护士。

Evaluation of Three Neuropathic Pain Screening Scales in Patients with Axial Spondyloarthritis

LIAO Wen-jia1,2, HE Yi3, SUN Er-wei3, LI Li1   

  1. 1. Clinical Nursing Education and Research Section, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China;
    2. School of Nursing, Southern Medical University, Guangzhou 510515, China;
    3. Dept. of Rheumatology and Immunology, the Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
  • Received:2022-05-07 Online:2022-11-10 Published:2022-12-07

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摘要： 目的 比较3种神经病理性疼痛筛查量表在中轴型脊柱关节炎患者中的信度、效度和适用性。方法 采用painDETECT问卷、神经病理性疼痛4问卷和利兹神经病理性症状和体征评估疼痛量表对186例中轴型脊柱关节炎患者进行调查,评价量表的信度和效度。结果 painDETECT问卷、神经病理性疼痛4问卷和利兹神经病理性症状和体征评估疼痛量表的Cronbach α系数分别为0.807,0.697和0.623, Guttman分半系数分别为0.846、0.691和0.701。painDETECT问卷共提取2个公因子,累计方差贡献率55.171%。神经病理性疼痛4问卷共提取4个公因子,累计方差贡献率66.627%。利兹神经病理性症状和体征评估疼痛量表共提取2个公因子,累计方差贡献率50.836%。3种量表评估结果一致性Kappa值和相关性r值均大于0.500。患者对3种量表首选率分别为71.5%、3.2%和14.0%。结论 painDETECT问卷信度和效度良好,首选率最高。其余2种量表信度尚可,效度良好。3种量表一致性与相关性较强。

关键词: 脊柱关节炎, 神经病理性疼痛, painDETECT问卷, 神经病理性疼痛4问卷, 利兹神经病理性症状和体征评估疼痛量表, 信度, 效度

Abstract: Objective To compare the reliability, validity and applicability of three neuropathic pain screening scales in patients with axial spondyloarthritis (axSpA). Methods One hundred and eighty-six patients with axSpA were surveyed using PainDETECT Questionnaire (PD-Q), Douleur Neuropathique 4 (DN4) Questionnaire and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) pain scale, and the reliability and validity of the scales were evaluated. Results The Cronbach’s α coefficient of the PD-Q, the DN4 and the LANSS was 0.807, 0.697 and 0.623, and the Guttman split-half coefficient 0.846, 0.691 and 0.701, respectively. Two main factors were extracted from the PD-Q, and the total cumulative variance contribution rate was 55.171%. Four main factors were extracted from the DN4, and the total cumulative variance contribution rate was 66.627%. Two main factors were extracted from the LANSS, and the total cumulative variance contribution rate was 50.836%. The Kappa value and correlation coefficient among three scales were over 0.500. The patients’ preference rate of the PD-Q, the DN4 and the LANSS was 71.5%, 3.2%, and 14.0%, respectively. Conclusion With good reliability and validity, the PD-Q is a preferred option by most patients, and the LANSS and the DN4 have good validity and acceptable reliability. All the three scales have strong consistency and correlation.

Key words: spondyloarthritis, neuropathic pain, PainDETECT Questionnaire, Douleur Neuropathique 4 Questionnaire, Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale, reliability, validity

中图分类号: 

  • R473.74
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