Shaw C, Matthews R J, Perry S I, Williams K, Spiers N, Assassa R P, McGrother C, Dallosso H, Jagger C, Mayne C, Clarke M
Department of General Practice, University of Wales College of Medicine, Maelfa, Llanedeyrn, Cardiff, Wales, United Kingdom.
Neurourol Urodyn. 2004;23(3):229-36. doi: 10.1002/nau.20017.
To develop a condition specific quality of life measure for males and females with urinary storage symptoms of urgency, frequency, nocturia and incontinence.
A sample of community dwelling males and females aged 40 years or more who were taking part in an epidemiological study provided data for development and validation of the scale. Questions were developed from literature review and discussions with clinicians and patients. Inclusion of items was dependent on levels of missing data and principal components analysis. Validity was assessed by comparison with the Hospital Anxiety and Depression Scale, the Bradburn Negative Affect Scale and single questions concerning the problematic nature of symptoms. Construct validity was assessed by comparing cases and non-cases, and patients with different symptom patterns. Test-retest and inter-rater reliability statistics were calculated for individual items. Responsiveness to change was measured in subjects taking part in a randomised controlled trial of a nursing intervention.
The scale showed high levels of internal consistency and measures of construct validity were as hypothesised. Test-retest and inter-rater reliability was moderate to excellent. The distribution of scores was skewed with low levels of impact but the questionnaire was responsive to conservative treatments in patients receiving a nursing intervention.
The questionnaire proved to be a valid and reliable interviewer administered instrument for measuring impact of urinary symptoms.
为患有尿急、尿频、夜尿症和尿失禁等储尿症状的男性和女性制定一种针对特定病情的生活质量测量方法。
参与一项流行病学研究的40岁及以上社区居住男性和女性样本为该量表的开发和验证提供了数据。问题是通过文献综述以及与临床医生和患者的讨论得出的。项目的纳入取决于缺失数据的水平和主成分分析。通过与医院焦虑抑郁量表、布拉德伯恩消极情绪量表以及关于症状问题性质的单个问题进行比较来评估效度。通过比较病例组和非病例组以及具有不同症状模式的患者来评估结构效度。计算了各个项目的重测信度和评分者间信度统计数据。在参与护理干预随机对照试验的受试者中测量对变化的反应性。
该量表显示出高度的内部一致性，结构效度测量结果与假设一致。重测信度和评分者间信度为中等至优秀。分数分布呈偏态，影响程度较低，但该问卷对接受护理干预的患者的保守治疗有反应。
该问卷被证明是一种有效且可靠的由访谈者实施的工具，用于测量泌尿症状的影响。
