Rogers Rebecca G, Coates Kimberly W, Kammerer-Doak Dorothy, Khalsa Satkirin, Qualls Clifford
Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, 2211 Lomas Blvd NE, Albuquerque, NM 87131, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2003 Aug;14(3):164-8; discussion 168. doi: 10.1007/s00192-003-1063-2. Epub 2003 Jul 25.
The aim of this study was to develop the short form of a condition-specific, reliable, validated and self-administered instrument to evaluate sexual function in women with pelvic organ prolapse and/or urinary incontinence. The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire -12 (PISQ-12) was developed from the data of 99 of 182 women surveyed to create the long form (PISQ-31). An additional 46 patients were recruited for further validation. All subsets regression analysis identified 12 items likely to predict PISQ-31 scores. Short form scores underwent correlation analysis with long form, Incontinence Impact Questionnaire - 7 (IIQ-7), Sexual History Form -12 (SHF-12) and Symptom Questionnaire (SQ) scores. Test-retest reliability was checked with a subset of 20 patients. All subsets regression analysis with R>0.92 identified 12 items that predicted PISQ-31 scores. Short form scores were highly correlated with long form scores ( R=0.75-0.95). Correlations of the PISQ-12 with SHF-12 ( R=-0.66 and -0.68) and IIQ-7 ( R=-0.38 and -0.54) scores were similar to correlation of the PISQ-31 with these other measures. Reliability was moderate to high, with weighted kappa values from 0.56 to 0.93. PISQ-12 scores were lower in patients with low sexual function as measured on the SHF-12 ( P <0.001), and lower in women with depression as measured on the SQ ( P <0.001). The PISQ-12 is a validated and reliable short form that evaluates sexual function in women with urinary incontinence and/or pelvic organ prolapse and predicts PISQ-31 scores. It is able to distinguish women with poor sexual function as measured on the SHF-12.
本研究的目的是开发一种特定疾病的简短、可靠、经过验证且可自我管理的工具，以评估盆腔器官脱垂和/或尿失禁女性的性功能。盆腔器官脱垂/尿失禁性功能问卷-12（PISQ-12）是根据182名接受调查的女性中的99名的数据开发的，用于创建长版问卷（PISQ-31）。另外招募了46名患者进行进一步验证。所有子集回归分析确定了12个可能预测PISQ-31评分的项目。简短版评分与长版、尿失禁影响问卷-7（IIQ-7）、性病史问卷-12（SHF-12）和症状问卷（SQ）评分进行了相关性分析。对20名患者的子集进行了重测信度检查。所有R>0.92的子集回归分析确定了12个预测PISQ-31评分的项目。简短版评分与长版评分高度相关（R=0.75-0.95）。PISQ-12与SHF-12评分（R=-0.66和-0.68）以及IIQ-7评分（R=-0.38和-0.54）的相关性与PISQ-31与这些其他测量方法的相关性相似。信度为中度至高度，加权kappa值为0.56至0.93。根据SHF-12测量，性功能低下的患者PISQ-12评分较低（P<0.001），根据SQ测量，患有抑郁症的女性PISQ-12评分较低（P<0.001）。PISQ-12是一种经过验证且可靠的简短版问卷，可评估尿失禁和/或盆腔器官脱垂女性的性功能，并预测PISQ-31评分。它能够区分根据SHF-12测量的性功能差的女性。
