Holmanová Elena, Ziaková Katarína
Institute of Nursing, Jesseniuss Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia.
J Clin Nurs. 2009 May;18(9):1276-86. doi: 10.1111/j.1365-2702.2008.02602.x. Epub 2008 Dec 11.
This paper reports a study to test validity and internal consistency of the audit diabetes-dependent quality of life questionnaire in the Slovak population and to evaluate its usefulness in the context of education of people with diabetes.
The individualised instruments designed to measure individuals' perceptions of the impact of diabetes on their quality of life may be helpful to identify individuals' preferences, motivational deficits in diabetes management and to tailor individual treatment strategies.
Survey.
After linguistic validation, the structure of the questionnaire was tested using factor analysis on 104 patients who were recruited from the National Institute of Endocrinology and Diabetology in Lubochna. Internal consistency was evaluated by computing Cronbach's alpha. Clinical variables related to the quality of life were analysed using one-way ANOVA, multifactor ANOVA, Pearson's and Spearman's rank correlation coefficients.
A one-dimensional scale structure was supported and internal consistency was high (alpha = 0.93). Variance in impact of diabetes on quality of life was explained by age, presence of late complications and type of insulin regimen.
The audit diabetes-dependent quality of life is culturally appropriate, valid and reliable in the sample of Slovak patients attending the educational programme. Our results agreed with previous European and Asian studies supporting its usefulness in the context of diabetes self-management education.
Individualised diabetes-specific quality of life measures allow better understanding of patients' treatment preferences and, consequently, more effective prioritizing and targeting of appropriate educational interventions. This instrument may be useful in routine clinical practice and as an outcome measure for international clinical research trials evaluating effectiveness of educational programmes.
本文报告一项研究，旨在测试糖尿病相关生活质量调查问卷在斯洛伐克人群中的有效性和内部一致性，并评估其在糖尿病患者教育背景下的实用性。
旨在测量个体对糖尿病对其生活质量影响的认知的个体化工具，可能有助于识别个体的偏好、糖尿病管理中的动机缺陷，并制定个体化治疗策略。
调查。
在进行语言验证后，对从卢博奇纳国家内分泌与糖尿病研究所招募的104名患者使用因子分析测试问卷结构。通过计算克朗巴哈系数评估内部一致性。使用单因素方差分析、多因素方差分析、皮尔逊和斯皮尔曼等级相关系数分析与生活质量相关的临床变量。
支持一维量表结构，内部一致性较高（α = 0.93）。糖尿病对生活质量影响的差异可由年龄、晚期并发症的存在情况和胰岛素治疗方案类型来解释。
在参加教育项目的斯洛伐克患者样本中，糖尿病相关生活质量调查问卷在文化上是合适的、有效且可靠的。我们的结果与之前欧洲和亚洲的研究一致，支持其在糖尿病自我管理教育背景下的实用性。
个体化的糖尿病特异性生活质量测量方法有助于更好地理解患者的治疗偏好，从而更有效地对适当的教育干预进行优先排序和针对性安排。该工具可能在常规临床实践中有用，也可作为评估教育项目效果的国际临床研究试验的结果指标。
