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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (21): 61-66.doi: 10.16460/j.issn1008-9969.2022.21.061

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Evaluation of Three Neuropathic Pain Screening Scales in Patients with Axial Spondyloarthritis

LIAO Wen-jia1,2, HE Yi3, SUN Er-wei3, LI Li1   

  1. 1. Clinical Nursing Education and Research Section, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China;
    2. School of Nursing, Southern Medical University, Guangzhou 510515, China;
    3. Dept. of Rheumatology and Immunology, the Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
  • Received:2022-05-07 Online:2022-11-10 Published:2022-12-07

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Abstract: Objective To compare the reliability, validity and applicability of three neuropathic pain screening scales in patients with axial spondyloarthritis (axSpA). Methods One hundred and eighty-six patients with axSpA were surveyed using PainDETECT Questionnaire (PD-Q), Douleur Neuropathique 4 (DN4) Questionnaire and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) pain scale, and the reliability and validity of the scales were evaluated. Results The Cronbach’s α coefficient of the PD-Q, the DN4 and the LANSS was 0.807, 0.697 and 0.623, and the Guttman split-half coefficient 0.846, 0.691 and 0.701, respectively. Two main factors were extracted from the PD-Q, and the total cumulative variance contribution rate was 55.171%. Four main factors were extracted from the DN4, and the total cumulative variance contribution rate was 66.627%. Two main factors were extracted from the LANSS, and the total cumulative variance contribution rate was 50.836%. The Kappa value and correlation coefficient among three scales were over 0.500. The patients’ preference rate of the PD-Q, the DN4 and the LANSS was 71.5%, 3.2%, and 14.0%, respectively. Conclusion With good reliability and validity, the PD-Q is a preferred option by most patients, and the LANSS and the DN4 have good validity and acceptable reliability. All the three scales have strong consistency and correlation.

Key words: spondyloarthritis, neuropathic pain, PainDETECT Questionnaire, Douleur Neuropathique 4 Questionnaire, Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale, reliability, validity

CLC Number: 

  • R473.74
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