Baessler Kaven, O'Neill Sheila M, Maher Christopher F, Battistutta Diana
Department of Gynaecology, Pelvic Floor Centre Charité, Berlin, Germany.
Menopause. 2008 Sep-Oct;15(5):973-7. doi: 10.1097/gme.0b013e3181671b89.
The aim of this study was to design and validate an interviewer-administered pelvic floor questionnaire suitable for community-dwelling women to assess female bladder, bowel, and sexual function; pelvic organ prolapse; and condition-specific quality-of-life issues.
The questionnaire was developed and administered during interviews of 493 community-dwelling women aged 40 to 79 years originally recruited from an age-stratified random sample from the electoral roll who were involved in a longitudinal study of aging in women. Full psychometric testing was performed. To assess discriminant validity, 55 consecutive patients attending a tertiary referral urogynecology clinic served as a comparison group.
Face validity: The interviewer-administered questionnaire was easily administered and missing data did not exceed 2%. Discriminant validity: The questionnaire clearly discriminated the community population from the urogynecology patients in all pelvic floor domains. Convergent validity: The bladder function domain score correlated with the validated short version of the Urogenital Distress Inventory score. Bowel function scores correlated highly with corresponding items in an established bowel questionnaire. Prolapse symptoms correlated significantly with the pelvic organ prolapse quantification. Sexual function score (n = 257) correlated with the validated McCoy Female Sexuality Questionnaire score. Reliability: Cronbach's alpha for the bladder, bowel, prolapse, and sexual function domains was adequate (alpha >or= 0.7). Kappa values in the test-retest analyses varied between 0.63 and 1.0 (test-retest reproducibility).
The interviewer-administered questionnaire assesses all aspects of pelvic floor function including condition-specific quality-of-life issues in a reliable and valid fashion. It is suitable for researchers investigating pelvic floor function.
本研究旨在设计并验证一份由访谈者实施的盆底问卷，该问卷适用于社区居住的女性，用于评估女性膀胱、肠道和性功能；盆腔器官脱垂；以及特定疾病的生活质量问题。
该问卷是在对493名年龄在40至79岁的社区居住女性进行访谈期间编制并实施的，这些女性最初是从选民名单中按年龄分层随机抽样招募而来，参与了一项关于女性衰老的纵向研究。进行了全面的心理测量测试。为评估区分效度，将连续55名前往三级转诊泌尿妇科诊所就诊的患者作为对照组。
表面效度：由访谈者实施的问卷易于实施，缺失数据不超过2%。区分效度：该问卷在所有盆底领域都能清晰地区分社区人群和泌尿妇科患者。聚合效度：膀胱功能领域得分与经过验证的泌尿生殖系统困扰量表简版得分相关。肠道功能得分与一份既定肠道问卷中的相应项目高度相关。脱垂症状与盆腔器官脱垂量化显著相关。性功能得分（n = 257）与经过验证的麦科伊女性性功能问卷得分相关。信度：膀胱、肠道、脱垂和性功能领域的克朗巴赫α系数足够（α≥0.7）。重测分析中的kappa值在0.63至1.0之间（重测可重复性）。
由访谈者实施的问卷以可靠且有效的方式评估盆底功能的各个方面，包括特定疾病的生活质量问题。它适用于研究盆底功能的研究人员。
