目的 对博尔顿疼痛评估工具进行汉化，并检验其在认知障碍患者中的信效度。方法 经翻译、文化调试及预试验后，形成中文版博尔顿疼痛评估工具。便利抽样法选取2023年9~12月镇江市某三级甲等医院神经外科、神经内科收治的49例认知障碍患者进行正式调查，并检验其信度和效度。结果 中文版博尔顿疼痛评估工具包括发声/言语和面部表情等6个条目,以及照料者的意见和物理治疗时的疼痛两项附加内容。量表内容效度为0.920，量表总分与Wong-Baker总分呈正相关（r=0.787）；量表Cronbach’s α系数为0.717，评估者间信度为0.940。结论 中文版博尔顿疼痛评估工具具有良好的信度和效度，可为临床诊疗中认知障碍患者的疼痛评估提供参考工具。

Objective To translate the Bolton Pain Assessment Tool into Chinese and test its reliability and validity for patients with cognitive impairment.Methods After translation, cultural adaptation and pre-test,the Chinese version of Bolton Pain Assessment Tool was formed.The convenience sampling method was used to select a total of 49 patients with cognitive impairment admitted to the Department of Neurosurgery and Neurology of a tertiary A hospital in Zhenjiang City from September to December 2023 for formal investigation.The reliability and validity were tested.Results The Chinese version of Bolton Pain Assessment Tool contained 6 items, including vocal/verbal and facial expressions,and 2 additional items, including caregiver’s opinions and patients’ pain during physical therapy.The content validity of the scale was 0.920.The total score of the scale was positively correlated with the total score of Wong-Baker(r=0.787).The Cronbach’s α coefficient was 0.717 and the inter-rater reliability was 0.940.Conclusions The Chinese version of Bolton Pain Assessment Tool has good reliability and validity,and can provide a reference tool for pain assessment of patients with cognitive impairment in clinical diagnosis and treatment.

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