类风湿关节炎患者疼痛评估量表的汉化与信效度检验

目的 引入并汉化类风湿关节炎患者疼痛评估量表（Rheumatoid Arthritis Pain Scale,RAPS）,并检验其信效度。 方法 2020年6月—10月,按照Brislin翻译模式进行翻译、回译、检译,进行文化调试,形成中文版RAPS量表。成立专家委员会检验其内容效度,对上海市某三级甲等医院的236例患者进行调查,测定量表信度。 结果 中文版RAPS共24个条目,各维度Cronbach’s α系数为0.881~0.954,总量表Cronbach’s α系数为0.969。内容效度指数为0.97,各条目均高于0.80,共析出3个公因子,分别为生理维度、感觉维度、情感认知维度,累计方差贡献率为73.582%。 结论 中文版的RAPS具有较好的信效度,适合中国文化背景下类风湿关节炎患者疼痛水平的评估与测量。

Reliability and validity of Chinese version of the Rheumatoid Arthritis Pain Scale

Objective To translate the Rheumatoid Arthritis Pain Scale（RAPS） into Chinese and to evaluate its reliability and validity. Methods The Chinese version of RAPS was translated,back translated and modified for cultural adaptation according to Brislin translation model. After the content validity was tested by an expert committee,a convenience sample of 236 rheumatoid arthritis patients in a tertiary hospital in Shanghai was investigated using the Chinese version of RAPS to test the reliability and validity of the scale. Results The Chinese version of RAPS includes 24 items,and Cronbach’s α was 0.969. Cronbach’s α coefficient of each dimension was 0.881~0.954.The scale-level content validity index was 0.97,and the item-level content validity index were over 0.80. Factor analysis showed that a total of 3 factors were extracted explaining 73.582% of the total variance,namely physiological,sensory and emotional cognition. Conclusion The Chinese version of RAPS has good reliability and validity,and it can be used to evaluate the pain level of patients with rheumatoid arthritis in Chinese cultural background.