鹿特丹老年人疼痛观察量表葡萄牙语版的翻译、跨文化适应和验证。

IF 1.4 Q4 CLINICAL NEUROLOGY Dementia and Geriatric Cognitive Disorders Extra Pub Date : 2021-12-20 eCollection Date: 2021-09-01 DOI:10.1159/000520455
Julieta Seixas-Moizes, Anneke Boerlage, Érica Negrini Lia, Lucas Emmanuel Lopes E Santos, Miriane Lucindo Zucoloto, Fabíola Dach, Priscila Colavite Papassidero, Laís Almeida Leal Wichert-Ana, Oscar Della Pasqua, Marianne Louise Wiesebron, Tatiana Reis Icuma, Vera Lucia Lanchote, Eduardo Barbosa Coelho, Dick Tibboel, Lauro Wichert-Ana
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引用次数: 0

摘要

本研究报告了葡萄牙语版鹿特丹老年疼痛观察量表(REPOS)的翻译、文化适应和验证,REPOS是一种荷兰语量表,用于评估患有或不患有痴呆症的无法沟通的患者的疼痛。方法:这是一项涉及巴西(临床阶段)和荷兰(训练阶段)的疼痛和神经学单位的多中心研究。我们进行了回顾性的横断面两阶段分析,将REPOS翻译成葡萄牙语版本(REPOS- p)并进行文化调整,并评估其心理测量特性。八名卫生专业人员接受了培训,以观察腰痛患者。REPOS由10个行为项目组成,经过2分钟的观察,得分为存在或不存在。REPOS评分≥3分结合NRS评分≥4分提示疼痛。所有项目和说明书的内容效度指数(Content Validity Index, CVI)均达到最大值。NRS与REPOS-P之间存在较高的相关系数,说明NRS与REPOS-P具有足够的收敛效度。结果:80例患者接受reposp治疗,平均年龄60岁(SD 11.5)。Cronbach’s alpha系数显示REPOS- p具有中等的内部一致性(α = 0.62),这与REPOS的原始研究相一致。所有卫生专业人员在培训的中位数10周内达到了较高水平的人员间一致性,确保了可重复性。Cohen’s kappa为0.96 (SD 0.03),类内相关系数为0.98 (SD 0.02),表明培训师(研究者)与学员(医护人员)之间的REPOS-P评分具有较高的信度。Pearson相关系数为0.95(95%可信区间0.94 ~ 0.97),REPOS-P总分与NRS总分相关性显著。结论:REPOS-P量表是一种有价值的评估老年人腰痛的量表。REPOS-P的基本特点是应用时间短、使用方便、说明书清晰、应用培训时间短。
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Translation, Cross-Cultural Adaptation, and Validation of the Portuguese Version of the Rotterdam Elderly Pain Observation Scale.

Introduction: This study reports on the translation, cultural adaptation, and validation of a Portuguese version of the Rotterdam Elderly Pain Observation Scale (REPOS), a Dutch scale to assess pain in patients who cannot communicate, with or without dementia.

Methods: This is a multicenter study in pain and neurological units involving Brazil (clinical phase) and the Netherlands (training phase). We performed a retrospective cross-sectional, 2-staged analysis, translating and culturally adapting the REPOS to a Portuguese version (REPOS-P) and evaluating its psychometric properties. Eight health professionals were trained to observe patients with low back pain. REPOS consists of 10 behavioral items scored as present or absent after a 2-min observation. The REPOS score of ≥3 in combination with the Numerical Rating Scale (NRS) of ≥4 indicated pain. The Content Validity Index (CVI) in all items and instructions showed CVI values at their maximum. According to the higher correlation coefficient found between NRS and REPOS-P, it may be suggested that there was an adequate convergent validity.

Results: The REPOS-P was administered to 80 patients with a mean age of 60 years (SD 11.5). Cronbach's alpha coefficient showed a moderate internal consistency of REPOS-P (α = 0.62), which is compatible with the original study of REPOS. All health professionals reached high levels of interrater agreement within a median of 10 weeks of training, assuring reproducibility. Cohen's kappa was 0.96 (SD 0.03), and the intraclass correlation coefficient was 0.98 (SD 0.02), showing high reliability of REPOS-P scores between the trainer (researcher) and the trainees (healthcare professionals). The Pearson correlation coefficient was 0.95 (95% confidence interval 0.94-0.97), showing a significant correlation between the total scores of REPOS-P and NRS.

Conclusion: The REPOS-P was a valuable scale for assessing elderly patients with low back pain by different healthcare professionals. Short application time, ease of use, clear instructions, and the brief training required for application were essential characteristics of REPOS-P.

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来源期刊
Dementia and Geriatric Cognitive Disorders Extra
Dementia and Geriatric Cognitive Disorders Extra Medicine-Psychiatry and Mental Health
CiteScore
4.30
自引率
0.00%
发文量
18
审稿时长
9 weeks
期刊介绍: This open access and online-only journal publishes original articles covering the entire spectrum of cognitive dysfunction such as Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field. Dementia and Geriatric Cognitive Disorders Extra provides additional contents based on reviewed and accepted submissions to the main journal Dementia and Geriatric Cognitive Disorders Extra .
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