荷兰语版盆底器官脱垂生活质量（P-QoL）问卷的效度、信度和反应度
Validity, reliability and responsiveness of a Dutch version of the prolapse quality-of-life (P-QoL) questionnaire.
作者信息
Claerhout Filip, Moons Philip, Ghesquiere Sophie, Verguts Jasper, De Ridder Dirk, Deprest Jan
机构信息
Pelvic Floor Unit, University Hospitals Leuven, Katholieke Universiteit Leuven, Leuven, Belgium.
出版信息
Int Urogynecol J. 2010 May;21(5):569-78. doi: 10.1007/s00192-009-1081-9. Epub 2010 Jan 16.
INTRODUCTION AND HYPOTHESIS
We aimed to test validity, reliability and responsiveness of a Dutch version of a prolapse quality-of-life questionnaire (P-QoL).
METHODS
P-QoL was translated into Dutch and adjusted by a panel of five experts. The scores of the final version were compared between symptomatic (n = 160) and asymptomatic (n = 80) patients and with findings on vaginal examination (pelvic organ prolapse quantification (POP-Q)). In terms of reliability, Cronbach's alpha was calculated, and a test-retest (n = 20) was performed. Responsiveness to treatment was assessed by comparing pre- and postoperative scores in 45 patients.
RESULTS
Total scores for each P-QoL domain were different between symptomatic and asymptomatic women (p < 0.001). Severity according to P-QoL correlated well with POP-Q findings. Cronbach's alphas showed internal consistency within the domains. Test-retest reliability was high. Pre- and postoperative scores for each domain were significantly different (p < 0.001).
CONCLUSION
The Dutch version of P-QoL is valid, reliable and responsive to assess quality-of-life and symptoms in Dutch-speaking patients with urogenital prolapse.
引言与假设
我们旨在测试荷兰语版盆底器官脱垂生活质量问卷（P-QoL）的有效性、可靠性及反应性。
方法
P-QoL被翻译成荷兰语并经五名专家组成的小组调整。比较了有症状患者（n = 160）和无症状患者（n = 80）的最终版本得分，并与阴道检查结果（盆腔器官脱垂量化（POP-Q））进行比较。在可靠性方面，计算了Cronbach's α系数，并进行了重测（n = 20）。通过比较45例患者术前和术后得分评估对治疗的反应性。
结果
有症状和无症状女性的每个P-QoL领域的总分不同（p < 0.001）。根据P-QoL得出的严重程度与POP-Q结果相关性良好。Cronbach's α系数显示各领域内部具有一致性。重测可靠性高。每个领域的术前和术后得分有显著差异（p < 0.001）。
结论
荷兰语版P-QoL在评估荷兰语区泌尿生殖系统脱垂患者的生活质量和症状方面是有效、可靠且有反应性的。
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