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|Title:||Initial validation of Chinese Pain Assessment in Advanced Dementia Scale (C-PAINAD)|
|Authors:||Pang, MC |
|Source:||中华护理杂志 (Chinese journal of nursing), Aug. 2007, v. 42, no. 8, p. 677-680 How to cite?|
|Journal:||中华护理杂志 (Chinese journal of nursing)|
结果: C-PAINAD的评分集中于0分附近。其与DVA及负面情感均有良好及显著的相关性,但与正面情感的相关程度较差,能够有效测评不同状态下的疼痛程度。因子分析的贡献率是51.20%(CronbachUs α=0.66),显示PAINAD具有良好的可靠性及有效性。
Objective: To validate the translated Chinese version of Pain Assessment in Advanced Dementia Scale (C-PAINAD) for its clinical application in assessing the discomfort level of severely cognitive impaired patients.
Methods: In developing the C-PAINAD, both clinical and academic experts were engaged in an iterative translation process for ensuring its semantic equivalence with its original language as well as it comprehensibility for clinical application. In establishing C-PAINAD’s inter-rater reliability, its applicability for clinical use is further assessed in 11 severely cognitive impaired patients. The assessment tools included C-PAINAD, Discomfort Visual Analog Scale (DVA), and Philadelphia Geriatric Center Affect Rating Scale (PGCAR). Correlations, ANOVA and factor analysis were undertaken to examine the reliability and validity of C-PAINAD.
Results: The scores of C-PAINAD were not in normal distribution but clustered around Zero. C-PAINAD was positively correlated with DVA and negative affect but mildly and negatively correlated with positive affect. It was able to detect different pain level under different condition. One factor was extracted and the percentage of variance was 51.20%. C-PAINAD was proved to have satisfactory reliability and validity(Cronbach’s α=0.66).
Conclusions: C-PAINAD was a simple, reliable and effective pain assessment instrument for measuring pain level of non-communicative patients like advanced dementia. Further research is deemed necessary to conduct with pre - and post-test of analgesic prescriptions prior to wider clinical application.
|Rights:||© 2007 中国学术期刊电子杂志出版社。本内容的使用仅限于教育、科研之目的。|
© 2007 China Academic Journal Electronic Publishing House. It is to be used strictly for educational and research purposes.
|Appears in Collections:||Journal/Magazine Article|
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