Kwon Hyouk-Soo, Lee So-Hee, Yang Min-Suk, Lee Sang-Min, Kim Sae-Hoon, Kim Deok-In, Sohn Seong-Wook, Park Chang-Han, Park Heung-Woo, Kim Sun-Sin, Cho Sang-Heon, Min Kyung-Up, Kim You-Young, Chang Yoon-Seok
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2008 Aug;23(4):621-7. doi: 10.3346/jkms.2008.23.4.621.
The Asthma Control Test (ACT) is a patient-completed questionnaire developed to assess asthma control. Health-related quality of life (HRQL) in asthmatics has shown relatively low correlations with parameters of asthma control and the relationship between the ACT and HRQL in asthmatics is yet unclear. Because revalidations of translated versions of questionnaires are critical for its utilization, we first sought to validate the Korean version of ACT and then to evaluate the relationship between the ACT and HRQL. Patients (n=117) completed the ACT and asthma-related quality of life questionnaire (AQLQ) at 3 physician visits. Pulmonary function was measured and an asthma specialist rated asthma control. The Korean version of ACT was found to be reliable, valid, and responsive to changes in asthma control over time up to three consecutive visits. ACT scores correlated significantly (p=0.001) with symptoms domain (r=0.72), activity domain (r=0.65), emotional domain (r=0.69), and environmental domain (r=0.67) of AQLQ. In conclusion, the Korean version of the ACT was found to be a reliable and valid tool for measuring asthma control, and to correlate well with AQLQ scores. Moreover, the ACT was responsive to changes in AQLQ scores over time.
哮喘控制测试（ACT）是一份由患者自行填写的问卷，旨在评估哮喘控制情况。哮喘患者的健康相关生活质量（HRQL）与哮喘控制参数之间的相关性相对较低，且ACT与哮喘患者HRQL之间的关系尚不清楚。由于问卷翻译版本的再验证对其应用至关重要，我们首先对ACT韩语版进行验证，然后评估ACT与HRQL之间的关系。117名患者在3次就诊时完成了ACT及哮喘相关生活质量问卷（AQLQ）。测量了肺功能，并由哮喘专科医生对哮喘控制情况进行评分。结果发现，ACT韩语版可靠、有效，且在连续三次就诊期间对哮喘控制随时间的变化有反应。ACT得分与AQLQ的症状领域（r = 0.72）、活动领域（r = 0.65）、情感领域（r = 0.69）和环境领域（r = 0.67）显著相关（p = 0.001）。总之，ACT韩语版是一种可靠、有效的测量哮喘控制情况的工具，与AQLQ得分相关性良好。此外，ACT对AQLQ得分随时间的变化有反应。
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