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荷兰语版SWAL-QoL的跨文化适应与验证

Cross-cultural adaptation and validation of the Dutch version of SWAL-QoL.

作者信息

Bogaardt H C A, Speyer R, Baijens L W J, Fokkens W J

机构信息

Department of Otorhinolaryngology/D2-313, Academic Medical Center, Amsterdam, The Netherlands.

出版信息

Dysphagia. 2009 Mar;24(1):66-70. doi: 10.1007/s00455-008-9174-z. Epub 2008 Jul 15.

DOI:10.1007/s00455-008-9174-z
PMID:18626697
Abstract

The aim of this work was to translate the 44-item SWAL-QoL into Dutch (SWAL-QoL-NL) and compare the validity of this questionnaire against Euroqol in a Dutch population with dysphagia. SWAL-QoL was translated according to international guidelines. SWAL-QoL-NL and Euroqol were completed by 152 patients in seven diagnosis groups. Internal consistency and correlations were calculated. Scores for nine subscales (General burden, Food selection, Eating duration, Fear of eating, Sleep, Fatigue, Mental health, Social functioning and a symptom score) ranged between 0.80 and 0.92 (Cronbach's alpha). Two subscales (Eating desire and Communication scored 0.67 and 0.60, respectively, and were removed from the questionnaire. The 14-item battery on clinical symptoms showed an internal consistency of 0.80, allowing the use of a sum score on group level in clinical research. Correlation of SWAL-QoL-NL subscales with the Euroqol was negligible to low (Pearson's correlations range = 0.09-0.36). The 39-item SWAL-QoL-NL proved to be a reliable tool to examine the impact of dysphagia on quality of life in a Dutch population. Internal consistency allows the use of nine subscales of SWAL-QoL-NL for comparisons on a group level (0.80 < alpha < 0.92) only. Also a Symptom score can be derived from the raw data.

摘要

这项工作的目的是将包含44个条目的吞咽生活质量问卷(SWAL-QoL)翻译成荷兰语(SWAL-QoL-NL),并在荷兰吞咽困难人群中比较该问卷与欧洲生活质量量表(Euroqol)的效度。SWAL-QoL是根据国际指南进行翻译的。SWAL-QoL-NL和Euroqol由七个诊断组的152名患者完成。计算了内部一致性和相关性。九个分量表(总体负担、食物选择、进食时间、进食恐惧、睡眠、疲劳、心理健康、社会功能和症状评分)的得分在0.80至0.92之间(克朗巴哈系数)。两个分量表(进食欲望和沟通,得分分别为0.67和0.60)从问卷中删除。关于临床症状的14项量表显示内部一致性为0.80,这使得在临床研究中可以在组水平上使用总分。SWAL-QoL-NL分量表与Euroqol的相关性可忽略不计至较低(皮尔逊相关系数范围 = 0.09 - 0.36)。39项的SWAL-QoL-NL被证明是一种可靠的工具,可用于检验吞咽困难对荷兰人群生活质量的影响。内部一致性仅允许在组水平上使用SWAL-QoL-NL的九个分量表进行比较(0.80 < α < 0.92)。此外,还可以从原始数据中得出症状评分。

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