慢性疼痛患者配偶疼痛回应量表的编制及信效度检验

Development and reliability and validity test of the Scale of Pain-Relevant Responses from Spouse for Chronic Pain Patients

目的编制慢性疼痛患者配偶疼痛回应量表并进行信效度检验,为慢性疼痛患者配偶疼痛回应的科学评估提供可靠工具。方法以亲密关系的人际过程模型为理论模型,通过文献分析、半结构式访谈、德尔菲专家咨询、预调查形成量表初稿。采用便利抽样法于2022年4月至2023年4月在中国人民解放军空军军医大学第二附属医院就诊的388例慢性疼痛患者进行问卷调查,检验量表的信效度。结果慢性疼痛患者配偶疼痛回应量表共包括情感支持型疼痛回应、行为支持型疼痛回应、注意力转移型疼痛回应、消极型疼痛回应4个维度,21个条目。I-CVI为0.850~1.000;探索性因子分析共提取到4个符合条件的公因子,累计方差贡献率为71.173%;验证性因子分析模型拟合度指标均在可接受范围;效标关联效度系数为0.692(P<0.01)。总量表Cronbachα系数为0.894,折半信度为0.906,重测信度为0.927。结论慢性疼痛患者配偶疼痛回应量表具有良好的信效度,适用于慢性疼痛患者配偶疼痛回应的评估。

Objective To develop the Scale of Pain-Relevant Responses from Spouse for Chronic Pain Patients and to test its reliability and validity,so as to provide a reliable tool for the scientific assessment of the pain-relevant responses from spouses for chronic pain patients.Methods Based on the interpersonal process model of intimacy,the first draft of the scale was formed through literature analysis,semi-structured interview,Delphi expert consultation and pre-investigation.A questionnaire survey was conducted on 388 patients with chronic pain who visited the Second Affiliated Hospital of Air Force Military Medical University from April 2022 to April 2023 using convenience sampling method to test the reliability and validity of the scale.Results The Scale of Pain-Relevant Responses from Spouse for Chronic Pain Patients included 21 items in 4 dimensions:emotional support pain-relevant responses,behavioral support pain-relevant responses,distractive pain-relevant responses and negative pain-relevant responses.The range of I-CVI was 0.850-1.000.The results of structural validity analysis showed that four qualified common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 71.173%.The confirmatory factor analysis model fit indicators were within the acceptable range.The correlation validity coefficient was 0.692(P<0.01).The Cronbachαcoefficient of the total table was 0.894,the half reliability was 0.906,and the retest reliability was 0.927.Conclusions The Scale of Pain-Relevant Responses from Spouse for Chronic Pain Patients has good reliability and validity,and is suitable for the evaluation of pain-relevant responses from spouse of chronic pain patients.