Ozer Huseyin T E, Sarpel Tunay, Gulek Bozkurt, Alparslan Z Nazan, Erken Eren
Department of Medicine, Rheumatology-Immunology Division, Faculty of Medicine, Cukurova University, Balcali, Adana, 01330, Turkey.
Clin Rheumatol. 2006 Mar;25(2):136-9. doi: 10.1007/s10067-005-1129-2. Epub 2006 Feb 14.
The objective of this study was to investigate the reliability and validity of the Turkish version of the Bath Ankylosing Spondylitis (AS) Patient Global Score (BAS-G). Seventy-one consecutive patients with AS were enrolled into the study. Patients were requested to fill in the questionnaire on the day of admission (first visit), on a second occasion within 24 h after admission (second visit) for test-retest reliability analysis, and on a third occasion for assessing sensitivity to change. Construct validity was assessed by correlation analysis with the Bath AS Functional Index (BASFI), Dougados Functional Index (DFI), Dougados Articular Index (DAI), physical examination findings, and several other parameters. Test-retest reliability analysis of individual BAS-G scores at initial and second visits showed good intraclass correlations [n=46, intraclass correlation=0.928 (0.870-0.960) and intraclass correlation=0.853 (0.725-0.920), for 1-week and 6-month scores, respectively]. Both 1-week and 6-month scores showed moderate correlations with the BASFI (r=0.586 and r=0.503, respectively, P=0.000 for both). The 1-week score also showed moderate correlation with the DFI (r=0.530, P=0.000). The 1-week score showed weak correlations with finger-to-floor distance (r=0.263, P=0.027), chest expansion (r=-0.245, P=0.039), and DAI (r=0.271, P=0.036). Change in the 1-week score at the third visit showed good correlation with the BASFI score (r=0.670, P=0.000, n=36) and moderate correlation with the DFI (r=0.440, P=0.017, n=29). The Turkish version of the BAS-G has good reliability and validity. It is a good tool for assessing patients with AS or other rheumatic diseases in clinical practice and research.
本研究的目的是调查土耳其语版巴斯强直性脊柱炎（AS）患者整体评分（BAS - G）的可靠性和有效性。连续纳入71例AS患者进行研究。要求患者在入院当天（首次就诊）、入院后24小时内的第二次就诊时（第二次就诊）填写问卷以进行重测信度分析，并在第三次就诊时评估对变化的敏感性。通过与巴斯AS功能指数（BASFI）、杜加多斯功能指数（DFI）、杜加多斯关节指数（DAI）、体格检查结果及其他几个参数进行相关性分析来评估结构效度。首次和第二次就诊时个体BAS - G评分的重测信度分析显示组内相关性良好[n = 46，1周和6个月评分的组内相关性分别为0.928（0.870 - 0.960）和0.853（0.725 - 0.920）]。1周和6个月评分与BASFI均呈中度相关（分别为r = 0.586和r = 0.503，P均为0.000）。1周评分与DFI也呈中度相关（r = 0.530，P = 0.000）。1周评分与指尖距地距离（r = 0.263，P = 0.027）、胸廓活动度（r = - 0.245，P = 0.039）和DAI（r = 0.271，P = 0.036）呈弱相关。第三次就诊时1周评分的变化与BASFI评分呈良好相关（r = 0.670，P = 0.000，n = 36），与DFI呈中度相关（r = 0.440，P = 0.017，n = 29）。土耳其语版BAS - G具有良好的可靠性和有效性。它是临床实践和研究中评估AS或其他风湿性疾病患者的良好工具。
