Moi A Litleré, Wentzel-Larsen T, Salemark L, Hanestad B
Department of Plastic Surgery and Burn Center, Haukeland University Hospital, N-5021, Bergen, Norway.
Burns. 2003 Sep;29(6):563-70. doi: 10.1016/s0305-4179(03)00146-3.
The abbreviated Burn Specific Health Scale (BSHS-A) is an 80-item questionnaire that has proven useful in measuring physical, mental, social and general health in burn survivors. The aim of this study was to adapt the BSHS-A into Norwegian, including assessing reliability and validity.
Standard procedures for forward and backward translation including discussions with professionals and patients to ensure conceptual equivalence were used. A pilot study (11 burn patients) confirmed that the Norwegian version (BSHS-N) was clear, understandable and easy to self-administer. Subsequently, 95 adults admitted to the Burn Center, Haukeland University Hospital, between 1995 and 2000 entered a validation study by completing the BSHS-N and the general health measure SF-36. Sixty-nine of the 95 (72%) responders completed a retest.
The overall internal consistency reliability (Cronbach's alpha=0.97) and the test-retest reliability (ICC=0.95) for the BSHS-N were satisfactory. Tests for criterion validity showed expected patterns for association between comparable domains in the BSHS-N and the SF-36, with correlations ranging from r=0.61 to 0.81. Tests for construct validity showed that patients with full thickness injury (P=0.003), patients hospitalised more than 10 days (P=0.003), patients undergoing more than two operations (P=0.001) and patients unemployed at the time of study (P<0.001), had significantly lower total scores than the rest of the patients.
BSHS-N seems to be a reliable and valid instrument for use in the Norwegian population. The translation and cross-cultural adaptation of this instrument allows for comparative international studies.
简化烧伤特异性健康量表（BSHS-A）是一份包含80个条目的问卷，已被证明可有效测量烧伤幸存者的身体、心理、社会和总体健康状况。本研究的目的是将BSHS-A改编为挪威语版本，包括评估其信度和效度。
采用了正向和反向翻译的标准程序，包括与专业人员和患者进行讨论以确保概念等效性。一项预试验（11名烧伤患者）证实挪威语版本（BSHS-N）清晰、易懂且易于自我施测。随后，1995年至2000年间入住豪克兰大学医院烧伤中心的95名成年人通过完成BSHS-N和一般健康测量量表SF-36进入效度研究。95名应答者中有69名（72%）完成了重测。
BSHS-N的总体内部一致性信度（Cronbach's α = 0.97）和重测信度（ICC = 0.95）令人满意。效标效度测试显示，BSHS-N和SF-36中可比领域之间的关联呈现预期模式，相关性范围为r = 0.61至0.81。结构效度测试表明，全层损伤患者（P = 0.003）、住院超过10天的患者（P = 0.003）、接受超过两次手术的患者（P = 0.001）以及研究时失业的患者（P < 0.001）的总分显著低于其他患者。
BSHS-N似乎是一种用于挪威人群的可靠且有效的工具。该工具的翻译和跨文化改编使得进行比较性国际研究成为可能。
