Baessler Kaven, O'Neill Sheila M, Maher Christopher F, Battistutta Diana
Department of Gynaecology, Pelvic Floor Centre Charité, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin, Germany.
Int Urogynecol J. 2010 Feb;21(2):163-72. doi: 10.1007/s00192-009-0997-4. Epub 2009 Sep 12.
The aim of this study was to validate a self-administered version of the already validated interviewer-administered Australian pelvic floor questionnaire.
The questionnaire was completed by 163 women attending an urogynecological clinic. Face and convergent validity was assessed. Reliability testing and comparison with the interviewer-administered version was performed in a subset of 105 patients. Responsiveness was evaluated in a subset of 73 women.
Missing data did not exceed 4% for any question. Cronbach's alpha coefficients were acceptable in all domains. Kappa coefficients for the test-retest analyses varied from 0.64-1.0. Prolapse symptoms correlated significantly with the pelvic organ prolapse quantification. Urodynamics confirmed the reported symptom stress incontinence in 70%. The self and interviewer-administered questionnaires demonstrated equivalence. Effect sizes ranged from 0.6 to 1.4.
This self-administered pelvic floor questionnaire assessed pelvic floor function in a reproducible and valid fashion and due to its responsiveness, can be used for routine clinical assessment and outcome research.
本研究旨在验证已获验证的由访谈者实施的澳大利亚盆底问卷的自我管理版本。
163名到泌尿妇科门诊就诊的女性完成了该问卷。评估了表面效度和收敛效度。对105名患者的子集进行了信度测试并与访谈者实施的版本进行了比较。对73名女性的子集评估了反应度。
任何问题的缺失数据均未超过4%。所有领域的克朗巴哈系数均可接受。重测分析的kappa系数在0.64至1.0之间。脱垂症状与盆腔器官脱垂量化显著相关。尿动力学证实70%的患者报告有症状性压力性尿失禁。自我管理问卷和访谈者实施问卷显示出等效性。效应量在0.6至1.4之间。
这份自我管理的盆底问卷以可重复且有效的方式评估了盆底功能，因其具有反应度，可用于常规临床评估和结局研究。
