McMillan Carolyn, Bradley Clare, Razvi Salman, Weaver Jolanta
Royal Holloway, University of London, Egham, Surrey, UK.
Value Health. 2006 Mar-Apr;9(2):132-9. doi: 10.1111/j.1524-4733.2006.00091.x.
There is a clinical impression of dissatisfaction with treatment for hypothyroidism among some patients. Psychometric properties of the new ThyTSQ questionnaire are evaluated. The questionnaire, measuring patients' satisfaction with their treatment for hypothyroidism, has two parts: the seven-item ThyTSQ-Present and four-item ThyTSQ-Past, measuring satisfaction with present and past treatment, respectively, on scales from 6 (very satisfied) to 0 (very dissatisfied).
The questionnaire was completed once by 103 adults with hypothyroidism, age (mean [SD]) 55.2 [14.4], range 23-84 years (all treated with thyroxine).
Completion rates were very high. Internal consistency reliability was excellent for both ThyTSQ-Present and ThyTSQ-Past (Cronbach's alpha = 0.91 and 0.90, respectively [N = 102 and 103]). Principal components analyses indicated that the seven items of the ThyTSQ-Present and the four items of the ThyTSQ-Past could be summed into separate Present Satisfaction and Past Satisfaction total scores. Mean Present Satisfaction was 32.5 (7.8), maximum range 0-42, and mean Past Satisfaction was 17.5 (6.1), maximum range 0-24, indicating considerable room for improvement. Patients were least satisfied with their present understanding of their condition, mean 4.2 (1.7) (maximum range 0-6), and with information provided about hypothyroidism around the time of diagnosis, mean 3.9 (1.8) (maximum range 0-6).
The ThyTSQ is highly acceptable to patients with hypothyroidism (excellent completion rates), and has established internal consistency reliability. It will assist health professionals in considering psychological outcomes when treating people with hypothyroidism, and is suitable for clinical trials and routine clinical monitoring.
部分患者对甲状腺功能减退症的治疗存在不满意的临床印象。对新的ThyTSQ问卷的心理测量特性进行评估。该问卷用于测量患者对甲状腺功能减退症治疗的满意度，分为两部分：七项的ThyTSQ-当前部分和四项的ThyTSQ-过去部分，分别测量对当前和过去治疗的满意度，评分范围为6分（非常满意）至0分（非常不满意）。
103名成年甲状腺功能减退症患者（年龄[均值（标准差）]55.2 [14.4]，范围23 - 84岁，均接受甲状腺素治疗）每人完成一次该问卷。
问卷完成率非常高。ThyTSQ-当前部分和ThyTSQ-过去部分的内部一致性信度均极佳（Cronbach's α分别为0.91和0.90 [N = 102和103]）。主成分分析表明，ThyTSQ-当前部分的七项和ThyTSQ-过去部分的四项可分别汇总为当前满意度总分和过去满意度总分。当前满意度均值为32.5（7.8），最大范围0 - 42，过去满意度均值为17.5（6.1），最大范围0 - 24，表明有很大的改进空间。患者对目前对自身病情的了解程度满意度最低，均值为4.2（1.7）（最大范围0 - 6），对诊断时提供的有关甲状腺功能减退症的信息满意度也最低，均值为3.9（1.8）（最大范围0 - 6）。
ThyTSQ问卷在甲状腺功能减退症患者中接受度很高（完成率极佳），并已确立了内部一致性信度。它将有助于健康专业人员在治疗甲状腺功能减退症患者时考虑心理结果，适用于临床试验和常规临床监测。
