中国疼痛健康综合指数的构建研究

Construction of China pain health index

目的:构建中国疼痛健康综合指数指标体系,为监测、比较和评价慢性疼痛的疾病负担及其应对策略和行动提供依据。方法:采用综合评价法,通过文献回顾、德尔菲专家咨询和层次分析法,进行中国疼痛健康综合指数指标体系的构建。结果:参与德尔菲专家咨询的专家权威程度为0.8,2轮专家咨询的问卷有效回收率分别为90.6%、91.7%,Kendall's W分别为0.05、0.2(P<0.05)。最终构建的指标体系包括4大维度和16个指标。4个维度分别是疼痛流行水平、疼痛疾病负担、疼痛诊疗现状、疼痛学科建设,其对应权重分别为0.17、0.19、0.34、0.30。结论:中国疼痛健康综合指数指标体系具有较高的科学性和可靠性,为反映人群整体疼痛健康状况提供了依据,有助于为改善中国人群疼痛健康提供重点方向。

Objective:To construct a comprehensive index system of China Pain Health Index to provide a basis for monitoring,comparing and evaluating the disease burden of chronic pain and its coping strategies and actions.Methods:This study used a comprehensive evaluation method,through literature review,Delphi expert consultation and analytical hierarchy process to construct a comprehensive index.Results:The authority of the experts participating in the Delphi expert consultation was 0.8.The effective recovery rates of the questionnaires for the two rounds of expert consultation were 90.6%and 91.7%,respectively,and Kendall's W coefficient were 0.05 and 0.2 respectively(P<0.05).The China Pain Health Index included 4 dimensions and 16 indicators.The four dimensions were the prevalence of pain disease,the burden of pain disease,the current status of pain disease diagnosis and treatment,and the construction of pain disease disciplines.The corresponding weights were 0.17,0.19,0.34,and 0.30,respectively.Conclusion:The index system of China pain health index is highly scientific and reliable,which provides a basis for reflecting the overall pain health status of the population and helps to provide key direction for improving the pain health of the Chinese population.