摘要
【摘要】目的评价中文版肠功能指数(BowelFunctionIndex,BFI)量表在癌痛患者服用阿片类药物继发便秘的人群中便秘严重程度及其影响评估中的信效度。方法纳入符合条件的患者126例,以中文版BFI量表、便秘症状自评量表(PAC-SYM)及临床常用便秘评价指标为研究工具进行资料收集,用信度分析、相关分析、非参数检验等统计方法评价量表信效度。结果BFI量表总的系数为0.86;BFI各条目与PAC.SYM各维度相关程度较高、与临床常用指标粪便性状和排便频率均成负相关;不同便秘严重程度、不同排便频率的各组间BFI各条目及总评分比较差异显著。结论中文版BFI量表具有良好的信效度,简单、可靠、实用,适合中国文化背景下阿片类药物相关性便秘癌痛患者便秘严重程度及其影响的测量。
Objective To evaluate the reliability and validity of Bowel Function Index applied to as- sess the constipation induced by strong opioid drugs for patients with cancer pain. Methods 126 patients with constipation induced by strong opioid drugs for pain caused by cancer were selected. BFI, Patient Assess- ment of Constipation Symptoms(PAC-SYM ) and clinical observations were used to collect data which were con- ducted for reliability analysis, correlation analysis and tests for several independent samples to evaluate the reli- ability and validity. Results The internal consistency determined by Cmnbach ot was 0.86 for the total BFI score. Significant correlations were found among BFI, PAC-SYM and clinical observations. The BFI total score and each item scores of three groups all showed significant differences. Conclusions The Chinese version of BFI is a simple, valid and reliable, clinically relevant tool to assess the constipation induced by strong opi- oid drugs for pain caused by cancer.
出处
《中国实用护理杂志》
北大核心
2013年第17期28-30,共3页
Chinese Journal of Practical Nursing
关键词
BFI量表
阿片
便秘
信度
效度
BFI scale
Opioid
Constipation
Reliability
Validation