日本手部外科学会版上肢、肩部和手部功能障碍问卷的验证
Validation of the Japanese Society for Surgery of the Hand version of the Disability of the Arm, Shoulder, and Hand questionnaire.
作者信息
Imaeda Toshihiko, Toh Satoshi, Nakao Yasushi, Nishida Jun, Hirata Hitoshi, Ijichi Masateru, Kohri Chizuko, Nagano Akira
机构信息
Department of Public Health, Fujita Health University School of Medicine, Tokoake, Japan.
出版信息
J Orthop Sci. 2005 Jul;10(4):353-9. doi: 10.1007/s00776-005-0917-5.
BACKGROUND
The Disability of the Arm, Shoulder and Hand (DASH) questionnaire is a region-specific self-administered questionnaire that consists of a disability/symptom (DASH-DS) scale, and two optional modules, the work (DASH-W) and the sport/music (DASH-SM) modules. The DASH was cross-culturally adapted and developed by the Impairment Evaluation Committee, Japanese Society for Surgery of the Hand. The purpose of this study was to test the reliability, validity, and responsiveness of the Japanese version of DASH (DASH-JSSH).
METHODS
A series of 72 patients with upper extremity disorders completed the DASH-JSSH, the medical outcomes study 36-item short-form health survey (SF-36), and the Visual Analog Scale (VAS) for pain. Thirty-eight of the patients were reassessed for test-retest reliability 1 or 2 weeks later. Reliability was investigated by reproducibility and internal consistency. To analyze the validity, a principal component analysis and correlation coefficients between the DASH-JSSH and the SF-36 were obtained. Responsiveness was examined by calculating the standardized response mean (mean change/SD) and effect size (mean change/SD of baseline value) after carpal tunnel release of the 17 patients with carpal tunnel syndrome.
RESULTS
Cronbach's alpha coefficients in the DASH-DS and DASH-W were 0.962 and 0.967, respectively. The intraclass correlation coefficients for the same were 0.82 and 0.85, respectively. The unidimensionality of the DASH-DS and DASH-W were confirmed. The correlations between the DASH-DS score and the subscale of the SF-36 scale ranged from -0.29 to -0.73. The correlation coefficient between the DASH-DS and the DASH-W was 0.79. The standardized response mean/effect size of DASH-DS, DASH-W, and VAS for pain were -0.48/-0.26, -0.68/-0.41, and -0.40/-0.40, respectively. DASH-DS and DASH-W were as moderately sensitive as VAS for pain.
CONCLUSION
The DASH-DS and DASH-W Japanese version have evaluation capacities equivalent to those of the original and other language versions of the DASH.
背景
手臂、肩部和手部功能障碍（DASH）问卷是一种针对特定区域的自填式问卷，由残疾/症状（DASH-DS）量表以及两个可选模块，即工作（DASH-W）模块和运动/音乐（DASH-SM）模块组成。DASH问卷由日本手部外科学会损伤评估委员会进行跨文化改编和开发。本研究的目的是测试日语版DASH（DASH-JSSH）的信度、效度和反应度。
方法
72例上肢疾病患者完成了DASH-JSSH、医学结局研究36项简短健康调查（SF-36）以及疼痛视觉模拟量表（VAS）。其中38例患者在1或2周后接受重新评估以测试重测信度。通过可重复性和内部一致性来研究信度。为分析效度，进行了主成分分析，并得出DASH-JSSH与SF-36之间的相关系数。通过计算17例腕管综合征患者腕管松解术后的标准化反应均值（平均变化/标准差）和效应量（平均变化/基线值标准差）来检验反应度。
结果
DASH-DS和DASH-W的Cronbach's alpha系数分别为0.962和0.967。二者的组内相关系数分别为0.82和0.85。证实了DASH-DS和DASH-W的单维性。DASH-DS评分与SF-36量表各子量表之间的相关性在-0.29至-0.73之间。DASH-DS与DASH-W之间的相关系数为0.79。DASH-DS、DASH-W和疼痛VAS的标准化反应均值/效应量分别为-0.48/-0.26、-0.68/-0.41和-0.40/-0.40。DASH-DS和DASH-W对疼痛的敏感性与VAS相当。
结论
日语版DASH-DS和DASH-W具有与DASH原始版本及其他语言版本相当的评估能力。
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