International journal of obstetric anesthesia · 2026
The Thai version of the defense and veterans pain rating scale (DV-PRS) for postoperative pain assessment in patients after postpartum tubal ligation and total abdominal hysterectomy: a psychometric evaluation.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Srinil Sukanya, Arunpongpaisal Suwanna, Suparattanagool Piyanan, Charoenpol Fa-Ngam
Аннотация
BACKGROUND: Accurate postoperative pain assessment is essential for evaluating recovery. The Defense and Veterans Pain Rating Scale (DVPRS) is a multidimensional patient-reported measure assessing pain intensity and pain-related interference with activity, sleep, mood, and stress. Its psychometric performance has not been evaluated in Thai postoperative patients.
METHODS: This prospective psychometric validation study enrolled 288 women at a tertiary hospital in Thailand: 132 underwent postpartum tubal ligation within 24 h after vaginal delivery, and 156 underwent elective total abdominal hysterectomy outside the peripartum context. The DVPRS-Thai was administered at predefined perioperative time points. Evaluation included test-retest reliability, internal consistency, convergent validity against the modified Thai Brief Pain Inventory (mBPI-T), known-group validity, responsiveness, feasibility, and floor and ceiling effects.
RESULTS: Preoperative test-retest rank correlations in the hysterectomy cohort ranged from ρ = 0.689-0.743, and internal consistency was high (Cronbach's α = 0.946). In the postpartum tubal ligation cohort, correlations with corresponding mBPI-T domains were moderate-to-strong (r = 0.55-0.84). Pain intensity and interference scores were significantly lower following postpartum tubal ligation than following total abdominal hysterectomy (all P < 0.001). Scores decreased significantly from postoperative days 1-3 after hysterectomy (all P < 0.001). Mean completion time was 3.4 ± 1.1 min. No ceiling effects were observed, whereas floor effects occurred primarily in supplementary interference items following postpartum tubal ligation.
CONCLUSION: The DVPRS-Thai demonstrated satisfactory psychometric properties and feasibility in women undergoing postpartum tubal ligation or total abdominal hysterectomy; further validation across pain severities and other procedures is needed.
METHODS: This prospective psychometric validation study enrolled 288 women at a tertiary hospital in Thailand: 132 underwent postpartum tubal ligation within 24 h after vaginal delivery, and 156 underwent elective total abdominal hysterectomy outside the peripartum context. The DVPRS-Thai was administered at predefined perioperative time points. Evaluation included test-retest reliability, internal consistency, convergent validity against the modified Thai Brief Pain Inventory (mBPI-T), known-group validity, responsiveness, feasibility, and floor and ceiling effects.
RESULTS: Preoperative test-retest rank correlations in the hysterectomy cohort ranged from ρ = 0.689-0.743, and internal consistency was high (Cronbach's α = 0.946). In the postpartum tubal ligation cohort, correlations with corresponding mBPI-T domains were moderate-to-strong (r = 0.55-0.84). Pain intensity and interference scores were significantly lower following postpartum tubal ligation than following total abdominal hysterectomy (all P < 0.001). Scores decreased significantly from postoperative days 1-3 after hysterectomy (all P < 0.001). Mean completion time was 3.4 ± 1.1 min. No ceiling effects were observed, whereas floor effects occurred primarily in supplementary interference items following postpartum tubal ligation.
CONCLUSION: The DVPRS-Thai demonstrated satisfactory psychometric properties and feasibility in women undergoing postpartum tubal ligation or total abdominal hysterectomy; further validation across pain severities and other procedures is needed.