Psychometric Study of Chinese Version of the Pain Assessment in Advanced Dementia Scale

• Main Authors: Pei-Chao Lin, 林佩昭
• Other Authors: Li-Chan Lin
• Format: Others
• Language: zh-TW
• Published: 2006
• Online Access: http://ndltd.ncl.edu.tw/handle/93189564796089475357

碩士 === 國立陽明大學 === 臨床護理研究所 === 94 === Background. Monitoring and treating pain for nursing home residents are essential factors for quality of care in nursing homes. Inappropriate pain management may result in negative effects on patients’ physical, mental, and social aspects, such as: decreasing quality of life, increasing caregivers’ burdens and cost in health care. Self-report is regarded as a golden to assess pain but it is unable to employ for people who are unable to talk. Therefore, many pain assessment scales for non-communicable population were developed. Objectives. The purpose of this study was to translate “The Pain Assessment in Advanced Dementia (PAINAD)” scale into Chinese and establish the validity and reliability of this scale for future use. Methods. The study consisted of translation and back-translation, and establishment of reliability and validity. The original PAINAD scale was translated and back-translated. Five experts were used to determine content validity. In determining reliability and validity, subjects including 156 dementia residents and 54 non-dementia residents were chosen from five long-term care facilities in Taipei and Hsinchu. Data were collected by using participation observation. Results. The intra-class correlation coefficient for inter-rater reliability was .80-.86. The Cronbach’s coefficient alpha for internal consistency was .55-.66. In terms of test-retest reliability, the Pearson’s correlation coefficient was .704 and the Wilcoxon signed rank test was no significant differences. In determining construct validity, there was statistically significant differences (p<.001) between the non-dementia group and the advanced dementia group on the PAINAD scores. Additionally, there was significant differences (p<.001) between the advanced dementia residents during the activities and during the rest. Conclusion. The overall findings revealed an initial evaluation of the validity and the reliability of the Chinese version of the PAINAD scale. Further study is recommended to compare pre and post-intervention of pain assessment and pain management protocols for advanced dementia residents in nursing homes.