Yanik Burcu, Gürsel Yeşim Kurtaiş, Kutlay Sehim, Ay Saime, Elhan Atilla Halil
Department of Physical Medicine and Rehabilitation, School of Medicine, Ankara University, Ankara, Turkey.
Clin Rheumatol. 2005 Feb;24(1):41-7. doi: 10.1007/s10067-004-0968-6. Epub 2004 Sep 8.
The aim of this study was to adapt the Bath Ankylosing Spondylitis Functional Index (BASFI) to the Turkish population and investigate the reliability and the validity of the Turkish version. Seventy-six patients with ankylosing spondylitis (AS) were included in the study. The functional status of the patients was assessed by using the adapted Turkish version of the BASFI twice, at recruitment and 24 h later. For validity analysis, patients were also assessed by the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) evaluating disease activity, the Bath Ankylosing Spondylitis Global Score (BAS-G) indicating effect of the disease on patient's well-being, physician's assessment of the disease activity and pain intensity. Spinal mobility was assessed by the Bath Ankylosing Spondylitis Metrology Index (BASMI). Erythrocyte sedimentation rate (ESR) and serum C-reactive protein (CRP) levels of the patients were also recorded. The lumbar region and the sacroiliac joints were assessed by Stoke Ankylosing Spondylitis Spine Score (SASSS) and the hip joints were assessed by Bath Ankylosing Spondylitis Radiology Index hip (BASRI-h). The internal consistency was 0.89 (Cronbach's alpha), which showed a high reliability for the Turkish version of the BASFI. Test-retest reliability was good, with a high intraclass correlation coefficient between the two time points (ICC=0.93). Significant correlations were detected between the BASFI and the BASDAI, BAS-G, doctor's global assessment, and general pain intensity (r=0.62, p<0.001; r=0.47, p<0.001; r=0.55, p<0.001; r=0.47, p<0.001, respectively). The adaptation of the BASFI to the Turkish population was successful and it was found to be reliable and valid among Turkish patients. Thus, studies using the Turkish BASFI can be compared with international studies.
本研究的目的是使巴斯强直性脊柱炎功能指数(BASFI)适用于土耳其人群,并调查其土耳其语版本的信度和效度。76例强直性脊柱炎(AS)患者纳入本研究。在招募时和24小时后,使用改编后的土耳其语版BASFI对患者的功能状态进行了两次评估。为了进行效度分析,还通过评估疾病活动度的巴斯强直性脊柱炎疾病活动指数(BASDAI)、表明疾病对患者幸福感影响的巴斯强直性脊柱炎整体评分(BAS - G)、医生对疾病活动度和疼痛强度的评估对患者进行了评估。通过巴斯强直性脊柱炎测量指数(BASMI)评估脊柱活动度。还记录了患者的红细胞沉降率(ESR)和血清C反应蛋白(CRP)水平。通过斯托克强直性脊柱炎脊柱评分(SASSS)评估腰椎区域和骶髂关节,通过巴斯强直性脊柱炎髋关节放射学指数(BASRI - h)评估髋关节。内部一致性为0.89(克朗巴哈系数),这表明土耳其语版BASFI具有较高的信度。重测信度良好,两个时间点之间的组内相关系数较高(ICC = 0.93)。在BASFI与BASDAI、BAS - G、医生的整体评估以及一般疼痛强度之间检测到显著相关性(分别为r = 0.62,p < 0.001;r = 0.47,p < 0.001;r = 0.55,p < 0.001;r = 0.47,p < 0.001)。BASFI对土耳其人群的改编是成功的,并且在土耳其患者中发现其可靠且有效。因此,使用土耳其语BASFI的研究可以与国际研究进行比较。
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