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德文版“患者自评腕关节评估(PRWE)”作为急性桡骨远端骨折患者腕部疼痛和功能障碍的疗效指标的可靠性和有效性。

Reliability and validity of the German version of "the Patient-rated Wrist Evaluation (PRWE)" as an outcome measure of wrist pain and disability in patients with acute distal radius fractures.

作者信息

Hemelaers Liesbeth, Angst Felix, Drerup Susann, Simmen Beat R, Wood-Dauphinee Sharon

机构信息

Department of Hand rehabilitation, Occupational Therapy, University Hospital Basel, Switzerland.

出版信息

J Hand Ther. 2008 Oct-Dec;21(4):366-76. doi: 10.1197/j.jht.2008.03.002. Epub 2008 Jul 10.

Abstract

The aim was to test the reliability and validity of the German version of the Patient-rated Wrist Evaluation (PRWE) for patients with acute distal radius fractures. To estimate the reliability and construct validity, 44 patients completed a questionnaire booklet containing the German PRWE, the Short Form-36 (SF-36), and the Disability of the Arm, Shoulder, and Hand (DASH) four to six weeks after the fracture, and the PRWE again seven days later. For reliability, the intraclass correlation coefficient (ICC) was 0.94 for the PRWE total score. Its internal consistency was 0.89 (Cronbach's alpha). The PRWE total score showed a moderate correlation with the DASH (0.62) and the SF-36 subscale bodily pain (0.58). Low correlations were found with other scales of the SF-36. Based on our results the German PRWE is a practical, reliable, and valid instrument and can be recommended to measure patient-rated pain and disability in German-speaking patients with acute distal radius fracture.

摘要

目的是测试德文版患者自评腕关节评估(PRWE)在急性桡骨远端骨折患者中的可靠性和有效性。为评估可靠性和结构效度,44例患者在骨折后四至六周完成了一本包含德文版PRWE、简短健康调查问卷36项版本(SF - 36)以及手臂、肩部和手部功能障碍(DASH)的问卷手册,并在七天后再次填写PRWE。就可靠性而言,PRWE总分的组内相关系数(ICC)为0.94。其内部一致性为0.89(克朗巴哈系数)。PRWE总分与DASH(0.62)和SF - 36身体疼痛分量表(0.58)呈中度相关。与SF - 36的其他分量表相关性较低。基于我们的研究结果,德文版PRWE是一种实用、可靠且有效的工具,可推荐用于评估德语区急性桡骨远端骨折患者的自评疼痛和残疾情况。

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