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九种不同的用于评估腰痛所致残疾的自评问卷的批判性比较。

Critical comparison of nine different self-administered questionnaires for the evaluation of disability caused by low back pain.

作者信息

Rocchi M B L, Sisti D, Benedetti P, Valentini M, Bellagamba S, Federici A

机构信息

Institute of Biomathematics, University of Urbino Carlo Bo, Urbino, Italy.

出版信息

Eura Medicophys. 2005 Dec;41(4):275-81.

PMID:16474281
Abstract

AIM

The aim of this study was to critically compare 9 self-administered questionnaires designed to evaluate disability caused by back pain.

METHODS

The questionnaires were analyzed considering and comparing their psychometric characteristics (reliability, validity, responsiveness, minimal clinically relevant difference), together with other practical and technical aspects (number of items, number and kind of domains, scaling of items, scoring, time to complete, validated translations, etc.). Data were obtained from scientific literature.

RESULTS

Only 3 out of 9 analyzed instruments (i.e., the Oswestry Low Back Pain Disability Questionnaire, the Quebec Back Pain Disability Scale, and the Roland-Morris Low Back Pain Disability Questionnaire) appear fully validated from a psychometric standpoint.

CONCLUSIONS

On the basis of psychometric evaluations as well as feasibility considerations, the authors suggest using either the Roland-Morris or Oswestry questionnaire as the best assessment of the level of disability caused by back pain.

摘要

目的

本研究旨在严格比较9种旨在评估背痛所致残疾的自我管理问卷。

方法

对问卷进行分析,考量并比较其心理测量学特征(信度、效度、反应度、最小临床相关差异)以及其他实际和技术方面(条目数量、领域数量和种类、条目计分、评分、完成时间、经过验证的译文等)。数据来源于科学文献。

结果

从心理测量学角度来看,9种被分析的工具中只有3种(即奥斯威斯尔腰背痛残疾问卷、魁北克腰背痛残疾量表和罗兰-莫里斯腰背痛残疾问卷)得到了充分验证。

结论

基于心理测量学评估以及可行性考量,作者建议使用罗兰-莫里斯问卷或奥斯威斯尔问卷作为背痛所致残疾水平的最佳评估工具。

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