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更年期症状与生活质量:女性健康问卷的效度

Climacteric symptoms and quality of life: validity of women's health questionnaire.

作者信息

Silva Filho Carlos Rodrigues da, Baracat Edmundo Chad, Conterno Lucieni de Oliveira, Haidar Mauro Abi, Ferraz Marcos Bosi

机构信息

Departamento de Medicina, Faculdade de Medicina de Marília, Marília, SP, Brasil.

出版信息

Rev Saude Publica. 2005 Jun;39(3):333-9. doi: 10.1590/s0034-89102005000300002. Epub 2005 Jun 30.

DOI:10.1590/s0034-89102005000300002
PMID:15997307
Abstract

OBJECTIVE

To evaluate the reliability and validity of the Portuguese version of the Women's Health Questionnaire.

METHODS

In order to evaluate the Women's Health Questionnaire (WHQ), an analytical cross-sectional study was carried out at the women's menopause outpatient clinic of a university hospital in São Paulo, Brazil. There were studied 87 women in perimenopause or menopause, defined as experiencing at least one year's absence of menstrual flow. The following variables were collected: demographic data, clinical variables (Kupperman index and correlate numeric scale) and quality of life indexes (SF-36 and utility).

RESULTS

The WHQ proved to be a questionnaire easily translated into Portuguese and well-adjusted to Brazilian women. The internal consistency of the overall WHQ was excellent (Cronbach alpha =0.83; 95% CI: 0.71-0.91). Test-retest reliability was also excellent (intraclass correlation coefficient [ICC]=0.92; 95% IC: 0.86-0.96) and had good absolute agreement (0.84; 95% CI: 0.71-0.92). A satisfactory clinical validity was observed. The construct validity was corroborated by clear associations with others scales. A good index of responsiveness after the intervention was reached.

CONCLUSIONS

The Portuguese version of the WHQ is of easy and fast administration and understanding. Its measuring properties were related, allowing its use in the evaluation of Brazilian climacteric women's quality of life for various purposes.

摘要

目的

评估《女性健康问卷》葡萄牙语版本的信度和效度。

方法

为评估《女性健康问卷》(WHQ),在巴西圣保罗一家大学医院的女性更年期门诊进行了一项分析性横断面研究。研究对象为87名处于围绝经期或绝经后的女性,定义为至少一年无月经来潮。收集了以下变量:人口统计学数据、临床变量(库珀曼指数及相关数字量表)和生活质量指标(SF-36和效用)。

结果

WHQ被证明是一份易于翻译成葡萄牙语且非常适合巴西女性的问卷。整个WHQ的内部一致性极佳(克朗巴赫α系数=0.83;95%置信区间:0.71-0.91)。重测信度也极佳(组内相关系数[ICC]=0.92;95%置信区间:0.86-0.96),且具有良好的绝对一致性(0.84;95%置信区间:0.71-0.92)。观察到令人满意的临床效度。通过与其他量表的明确关联证实了结构效度。干预后达到了良好的反应性指标。

结论

WHQ的葡萄牙语版本易于管理和理解。其测量属性相关,可用于多种目的的巴西更年期女性生活质量评估。

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