Yu Doris S F, Thompson David R, Yu C M, Oldridge Neil B
The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
J Eval Clin Pract. 2008 Apr;14(2):326-35. doi: 10.1111/j.1365-2753.2007.00863.x.
Patient-reported outcomes such as health-related quality of life (HRQL) describe or characterize what patients have experienced as a result of their health care. However, treatment outcome comparisons among different pure or mixed populations of patients with myocardial infarction, angina or heart failure cannot be made using existing coronary heart disease (CHD)-specific HRQL instruments.
The aim of this study was to evaluate the psychometric properties of the Chinese version of the MacNew in a cohort of Hong Kong patients diagnosed with CHD.
Chinese translations of a CHD-specific HRQL instrument, the MacNew Heart Disease HRQL questionnaire (MacNew), the Short-form 36 Health Survey and the Hospital Anxiety and Depression Scale were administered to 365 Chinese-speaking patients with CHD at baseline and again 3 months later (n = 363). The Medical Outcomes Trust Scientific Advisory Committee criteria were used to examine the psychometric properties of the Chinese MacNew Heart Disease HRQL questionnaire.
The results warrant recommending the use of the MacNew as an outcome measure to enhance treatment evaluation in Chinese patients with CHD and a diagnosis of myocardial infarction, angina or heart failure, substantiating previous psychometric data on the MacNew in a number of different studies in patients speaking seven different languages.
The MacNew questionnaire may have value as a core CHD questionnaire for treatment outcome comparisons among pure or mixed populations of patients with myocardial infarction, angina or heart failure.
患者报告的结果，如健康相关生活质量（HRQL），描述或刻画了患者因医疗保健而经历的情况。然而，使用现有的特定于冠心病（CHD）的HRQL工具，无法对不同的单纯或混合的心肌梗死、心绞痛或心力衰竭患者群体的治疗结果进行比较。
本研究的目的是在一组被诊断为CHD的香港患者中评估中文版MacNew的心理测量特性。
在基线时，对365名说中文的CHD患者施测了特定于CHD的HRQL工具的中文译本、MacNew心脏病HRQL问卷（MacNew）、简短健康调查36项量表（Short-form 36 Health Survey）和医院焦虑抑郁量表（Hospital Anxiety and Depression Scale），3个月后再次施测（n = 363）。采用医学结局信托科学咨询委员会标准来检验中文版MacNew心脏病HRQL问卷的心理测量特性。
结果支持推荐使用MacNew作为一种结局测量工具，以加强对患有CHD且诊断为心肌梗死、心绞痛或心力衰竭的中国患者的治疗评估，证实了此前在多项针对说七种不同语言患者的不同研究中有关MacNew的心理测量数据。
MacNew问卷可能作为一种核心CHD问卷具有价值，可用于对单纯或混合的心肌梗死、心绞痛或心力衰竭患者群体的治疗结果进行比较。
