Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Ağrı Kaygısı Belirti Ölçeği'nin Türkçeye Uyarlanması: Geçerlik ve Güvenirlik Araştırması
Turkish Adaptation of the Pain Anxiety Symptom Scale: A Validity and Reliability Study
Elif YAVUZa , Güzel Nur YILDIZb
aMuş Alparslan Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Terapi Ve Rehabilitasyon Bölümü, Muş, Türkiye
bMuş Alparslan Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu, Tıbbi Hizmetler ve Teknikler Bölümü, Muş, Türkiye
Turkiye Klinikleri J Health Sci. 2025;10(1):241-51
doi: 10.5336/healthsci.2024-105394
Article Language: TR
Full Text
ÖZET
 Amaç: ''Ağrı Kaygısı Belirti Ölçeği''nin 4 ve 8 maddelik versiyonlarının Türkçeye uyarlanması amaçlandı. Gereç ve Yöntemler: Araştırmanın evrenini doğuda bir devlet hastanesinin dâhiliye, nöroloji, genel cerrahi, göğüs polikliniklerine başvuran hastalar oluşturdu. Araştırmanın örneklemini ise 251 birey oluşturdu. Araştırma verileri ''Tanıtıcı Bilgi Formu'', taslak halindeki ''Ağrı Kaygısı Belirti Ölçeği'' ve ''Ağrı Kaygısı İçin VAS'' ile toplandı. Bulgular: Katılımcıların %59'unun kadın, %38,2'sinin 56-70 yaş aralığında olduğu, %69,7'sinin evli olduğu, %61'inin 76 ay ve üzeri süredir kronik ağrılar yaşadığı, %68,1'inin sigara kullanmadığı, %46,22sinin gelir düzeyinin orta olduğu, %84,1'inin çalışmadığı, %65,3'ünün 4 ve üzeri sayıda ilaç kullandığı, %60,6'sının 4 ve üzeri kronik hastalığının olduğu, %88,8'inin ağrısı olduğunda dile getirdiği, %94'ünün ağrı olduğunda ilaç içtiği, %72,9'unun ağrısını kontrol edebileceğini düşünmediği, %63,3'ünün ağrısı olduğunda kontrolsüzce ilaç kullanmadığı, %88,4'ünün ağrısı olduğunda ağrısını tarif edebildiği, %94,4'ünün ağrının günlük yaşamını etkilediğini belirttiği ve %64,1'inin ağrı kaygısı düzeyinin 4-7 arasında olduğu saptandı. PASS 4 ve PASS 8'in Vowles ve ark.nın yaptığı çalışma ile benzer şekilde tek boyuttan oluştuğu belirlendi. PASS 4'ün uyum indekslerinin ''CMIN/df=3,013, GFI=0,988, CFI=0,983, RMSEA=0,090, RMR=0,070, SRMR=0,0297, NFI=0,975, TLI=0,949, IFI=0,983'' şeklinde olduğu, PASS 8'e ait uyum indekslerinin ''CMIN/df=3,456, GFI=0,942, CFI=0,952, RMSEA=0,99, RMR= 0,091, SRMR=0,0391, NFI=0,953, TLI=0,925, IFI=0,953'' şeklinde olduğu belirlendi. PASS 4'e ait Cronbach Alfa değerinin 0,745, PASS 8'e ait Cronbach Alfa değerinin 0,864 olduğu saptandı. PASS 8 için yapılan cinsiyet değişkenine göre ölçüm değişmezliği analizinde güçlü değişmezliğin sağlandığı belirlendi. PASS 4 için yapılan cinsiyet değişkenine göre ölçüm değişmezliği analizinde katı değişmezliğin sağlandığı belirlendi. Sonuç: ''Ağrı Kaygısı Belirti Ölçeği''nin 4 ve 8 maddelik versiyonları Türk toplumu için geçerli ve güvenilir bir ölçüm aracıdır.

Anahtar Kelimeler: Ağrı; ağrı kaygısı; hemşirelik bakımı; geçerlik; güvenirlik
ABSTRACT
 Objective: The aim of the study is providing to adaptation into Turkish the 4 and 8 item versions of the ''Pain Anxiety Symptom Scale''. Material and Methods: The objectives of the study consisted of patients who applied to the internal medicine, neurology, general surgery and thorax polyclinics in state hospital in Muş. The sample of the study consisted of 251 individuals. Data were collected using the ''Descriptive Information Form'', the ''Pain Anxiety Symptom Scale'' and the ''VAS for Pain Anxiety''. Results: It was found that 59% of the participants were female, 38.2% were between the ages of 56-70, 69.7% were married, 61% had chronic pain for 76 months or more, 68.1% did not smoke, 46.2% had a medium income level, 84.1% were unemployed, 65.3% used 4 or more medications, 60.6% had 4 or more chronic diseases, 88.8% expressed their pain, 94% use medications when they were in pain, 72.9% did not think they could control their pain, 63.3% did not use medications uncontrollably when they were in pain, 88.4% could describe their pain when they were in pain, 94.4% stated that pain affected their daily life, and 64.1% had a pain anxiety level of between 4-7. It was determined that PASS 4 and PASS 8 consisted of a single dimension similar to the study by Vowles and et al. The fit indices of PASS 4 were ''CMIN/df=3.013, GFI=0.988, CFI=0.983, RMSEA=0.090, RMR=0.070, SRMR=0.0297, NFI=0.975, TLI=0.949, IFI=0.983'', while the fit indices of PASS 8 were determined as ''CMIN/df=3.456, GFI=0.942, CFI=0.952, RMSEA=0.99, RMR=0.091, SRMR=0.0391, NFI=0.953, TLI=0.925, IFI=0.953''. Cronbach's Alpha value for PASS 4 was 0.745 and Cronbach's Alpha value for PASS 8 was 0.864. In the measurement invariance analysis for PASS 8 according to the gender variable, it was determined that strong invariance was achieved. PASS 4 according to the gender variable, it was determined that strict invariance was achieved. Conclusion: The 4- and 8-item versions of the ''Pain Anxiety Symptom Scale'' are valid and reliable measurement tools for the Turkish population.

Keywords: Pain; pain anxiety; nursing care; validity; reliability
REFERENCES:
  1. Akyüz G. Osteoporozda ağrı ve yaşam kalitesi [Pain and quality of life in osteoporosis]. The Journal of Turkish Family Physician. 2010,1(4):11-5. [Link] 
  2. İnanoğlu D, Baltacı G. Nörolojik defisiti olmayan bel ağrılı hastalarda farklı bantlama tekniklerinin yaşam kalitesi ve ağrı üzerine etkisi [Effects of different taping techniques on quality of life and pain in low back pain patients without any neurological deficits]. Journal of Exercise Therapy and Rehabilitation. 2014,1(1):26-34. [Link] 
  3. Dikmen Y, Ziyai YN. Ağrı. İçinde:Kara Kaşıkçı M, Palandöken Akın E editörler. Temel Hemşirelik; Esaslar, Kavramlar, İlkeler, Uygulamalar. 1. Baskı. İstanbul: İstanbul Tıp Kitapevi; 2021. p. 383-401.
  4. Şanlialp Zeyrek A, Takmak Ş, Kurban NK, Arslan S. Systematic review and meta-analysis: physical-procedural interventions used to reduce pain during intramuscular injections in adults. J Adv Nurs. 2019;75(12):3346-61. [Crossref]  [PubMed] 
  5. Sidar A, Dedeli Ö, İşkesen Aİ. Açık kalp cerrahisi öncesi ve sonrası hastaların kaygı ve ağrı distresi: Ağrı düzeyi ile ilişkisinin incelenmesi [The relationship between anxiety, pain distress and pain severity before and after open heart surgery in patients]. Yoğun Bakım Dergisi. 2013;4(1):1-8. [Crossref] 
  6. Özdağ S, İnkaya Vardar B. Kanser hastalarinin ağri ve kaygi yönetiminde sanal gerçeklik teknolojisi kullanımı [Use of virtual reality technology in pain and anxiety management of cancer patients]. Türkiye Sağlık Bilimleri ve Araştırmaları Dergisi. 2021;4(2):44-51. [Crossref] 
  7. Manav F. Kaygı kavramı [Concept of anxiety]. Toplum Bilimleri Dergisi. 2011;5(9):201-11. [Link] 
  8. Budak S. Psikoloji Sözlüğü. 1. Baskı. Ankara: Bilim ve Sanat Yayınları;2000. p.1-100.
  9. Dağ İ. Psikolojinin ışığında kaygı. Doğu Batı Düşünce Dergisi. 1999;2(6):181-9.
  10. Lethem J, Slade PD, Troup JD, Bentley G. Outline of a fear-avoidance model of exaggerated pain perception--I. Behav Res Ther. 1983;21(4):401-8. [Crossref]  [PubMed] 
  11. Vowles KE, Kruger ES, Bailey RW, Ashworth J, Hickman J, Sowden G, et al. The pain anxiety symptom scale: initial development and evaluation of 4 and 8 item short forms. J Pain. 2024;25(1):176-86. [Crossref]  [PubMed] 
  12. McCracken LM, Zayfert C, Gross RT. The pain anxiety symptoms scale: development and validation of a scale to measure fear of pain. Pain. 1992;50(1):67-73. [Crossref]  [PubMed] 
  13. McCracken LM, Dhingra L. A short version of the pain anxiety symptoms scale (PASS-20): preliminary development and validity. Pain Res Manag. 2002;7(1):45-50. [Crossref]  [PubMed] 
  14. Rogers AH, Gallagher MW, Garey L, Ditre JW, Williams MW, Zvolensky MJ. Pain anxiety symptoms scale-20: an empirical evaluation of measurement invariance across race/ethnicity, sex, and pain. Psychol Assess. 2020;32(9):818-28. [Crossref]  [PubMed] 
  15. Çelik N, Khorshid L. Kas içi enjeksiyona bağlı ağrıyı azaltma [Reducing the pain associated with intramuscular injection]. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2012;28(3):117-28.
  16. Çetinkaya F, Karabulut N. Batın ameliyatı olacak yetişkin hastalara ameliyat öncesi verilen eğitimin kaygı ve ağrı düzeyine etkisi [The impact on the level of anxiety and pain of the training before operation given to adult patients who will have abdominal operation]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2010;13(2): 20-6. [Link] 
  17. Bektas M, Kudubes AA. Psychometric characteristics of the Turkish version of the pain flexibility scale for children with cancer. J Pediatr Nurs. 2022;62:84-90. [Crossref]  [PubMed] 
  18. Ugurlu M, Karakas Ugurlu G, Erten S, Caykoylu A. Validity of Turkish form of pain catastrophizing scale and modeling of the relationship between pain-related disability with pain intensity, cognitive, and emotional factors. Psychiatry and Clinical Psychopharmacology. 2017;27(2):189-96. [Crossref] 
  19. Ünver S, Turan FN. Ağrı korkusu ölçeği-III'ün Türkçe geçerlilik ve güvenilirlik çalışması [Turkish validity and reliability study of fear of pain questionnaire-III]. Agri. 2018;30(1):18-27. [PubMed] 
  20. Ozsoy-Unubol T, Unal-Ulutatar C. Cross-cultural adaptation and validation of the Turkish version of centrality of pain scale in patients with fibromyalgia syndrome. Int J Rheum Dis. 2020;23(6):772-7. [Crossref]  [PubMed] 
  21. Alpar R. Uygulamalı istatistik ve geçerlik-güvenirlik: spor, sağlık ve eğitim bilimlerinden örneklerle. 1. Baskı. Ankara:Detay Yayıncılık;2010.
  22. Bae B-R. Structural equation modeling with Amos 24. Seoul:Chenngram Books;2017. p.76-309.
  23. DeVellis RF, Thorpe CT. Scale development: Theory and applications. 5th ed. Los Angels: Sage publications; 2021. p.1-103.
  24. Erkorkmaz Ü, Etikan İ, Demir O, Özdamar K, Sanisoğlu SY. Doğrulayıcı faktör analizi ve uyum indeksleri [Confirmatory factor analysis and fit indices]. Turkiye Klinikleri Journal of Medical Sciences. 2013;33(1):210-23. [Crossref] 
  25. Seçer İ. Psychological test development and adaptation process: SPSS and LISREL applications. 3rd ed. Ankara, Anı Publications, 2020.
  26. Erdoğan S, Nahcivan N, Esin MN. Hemşirelikte araştırma: süreç, ugulama ve kritik. 1. Baskı. İstanbul:Nobel Tıp Kitabevi; 2014. p.1-300.
  27. Pallant J. SPSS survival manual: A step by step guide to data analysis using IBM SPSS. 7th ed. New York:McGraw-hill education (UK); 2020. p.1-211. [Crossref] 
  28. Kline P. An easy guide to factor analysis. London, Routledge, 2014: 1-208. [Crossref] 
  29. Suygun ET, Celenay ST. Turkish Translation of the Patterns of Activity Measure-Pain in Patients with Chronic Low Back and Neck Pain: Validity and Reliability. Pain Manag Nurs. 2022;23(2):231-6. [Crossref]  [PubMed] 
  30. Aydın Sayılan A, Eşkin Bacaksız F, Seyhan Ak E, Kulakaç N, Macindo JRB. Adaptation of the pain management self-efficacy questionnaire into Turkish. Agri. 2022;34(2):91-9. English. [PubMed] 
  31. Mercan N, Ayhan D, Doğan R, Yüksel Ç. Turkish version of the experience of cognitive intrusion of pain scale (ECIPS): Validity and reliability study among patients with cancer. Humanistic Perspective. 2022;4(1):177-92. [Crossref] 
  32. Apaydin Cirik V, Bulut E, Aksoy B, Yalçin Cömert HS, Pate JW. The concept of pain inventory for children: The reliability and validity study of the Turkish version. J Pediatr Nurs. 2022;66:111-9. [Crossref]  [PubMed] 
  33. Şentürk İA, Aşkın Turan S, Şentürk E, İçen NK. Validation, reliability, and cross-cultural adaptation study of Graded Chronic Pain Scale Revised into Turkish in patients with primary low back pain. Pain Pract. 2022;22(3):306-21. [Crossref]  [PubMed] 
  34. Katran HB, Akyüz N. Phantom Limb Pain Rating Scale: A Scale Development Study. Journal of Basic and Clinical Health Sciences. 2024;8(2):413-22. [Crossref] 

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