Sung Vivian W, Kauffman Nicole, Raker Christina A, Myers Deborah L, Clark Melissa A
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Warren Alpert Medical School, Brown University, Providence, RI, USA.
Am J Obstet Gynecol. 2008 May;198(5):575.e1-6. doi: 10.1016/j.ajog.2007.12.035. Epub 2008 Mar 7.
This study was undertaken to modify and validate the Satisfaction with Decision Scale and Decision Regret Scale for women who have undergone surgery for pelvic floor disorders.
We adapted the Satisfaction with Decision Scale and Decision Regret Scale for women with pelvic floor disorders. Forty-five women who underwent surgery for pelvic floor disorders were enrolled postoperatively and completed the Satisfaction with Decision Scale-Pelvic Floor Disorders and Decision Regret Scale-Pelvic Floor Disorders on 2 occasions, 1 week apart.
Face and content validity of the Satisfaction with Decision Scale-Pelvic Floor Disorders and Decision Regret Scale-Pelvic Floor Disorders were confirmed by patient interviews and expert panel. The Satisfaction with Decision Scale-Pelvic Floor Disorders and Decision Regret Scale-Pelvic Floor Disorders were internally consistent (Cronbach's alpha: .95 and .88, respectively) and reproducible (intraclass correlations: 0.82 and 0.84, respectively). Larger improvements between preoperative and postoperative Pelvic Floor Distress Inventory-20 and Pelvic Floor Impact Questionnaire-7 scores were positively correlated with the Satisfaction with Decision Scale-Pelvic Floor Disorders (r = 0.42 and 0.49, respectively), and negatively correlated with the Decision Regret Scale-Pelvic Floor Disorders (r = -0.60 and -0.63, respectively). The Satisfaction with Decision Scale-Pelvic Floor Disorders and Decision Regret Scale-Pelvic Floor Disorders were negatively correlated with each other (r = -0.55).
The Satisfaction with Decision Scale-Pelvic Floor Disorders and Decision Regret Scale-Pelvic Floor Disorders are reliable and valid decision-making outcome measures for women with pelvic floor disorders.
本研究旨在对盆底功能障碍手术女性的决策满意度量表和决策后悔量表进行修订和验证。
我们对盆底功能障碍女性的决策满意度量表和决策后悔量表进行了改编。45例接受盆底功能障碍手术的女性在术后入组，并在术后1周内分两次完成盆底功能障碍决策满意度量表和盆底功能障碍决策后悔量表。
通过患者访谈和专家小组确认了盆底功能障碍决策满意度量表和盆底功能障碍决策后悔量表的表面效度和内容效度。盆底功能障碍决策满意度量表和盆底功能障碍决策后悔量表具有内部一致性（Cronbach's α系数分别为0.95和0.88）和可重复性（组内相关系数分别为0.82和0.84）。术前和术后盆底功能障碍困扰量表-20和盆底功能影响问卷-7得分的较大改善与盆底功能障碍决策满意度量表呈正相关（r分别为0.42和0.49），与盆底功能障碍决策后悔量表呈负相关（r分别为-0.60和-0.63）。盆底功能障碍决策满意度量表和盆底功能障碍决策后悔量表彼此呈负相关（r = -0.55）。
盆底功能障碍决策满意度量表和盆底功能障碍决策后悔量表是评估盆底功能障碍女性决策结果的可靠且有效的指标。
