Grazio Simeon, Grubisić Frane, Nemcić Tomislav, Matijević Valentina, Skala Hana
Klinika za reumatologiju, fizikalnu medicinu i rehabilitaciju, Referentni centar MZSS RH za spondiloartropatije, Klinicka bolnica "Sestre milosrdnice", Vinogradska 29, 10000 Zagreb.
Reumatizam. 2009;56(2):63-76.
The aim of the study was to investigate the reliability and the validity of the Croatian version of the Bath Ankylosing Spondylitis Functional Index (BASFI) and Bath Ankylosing Spondylitis Disease Activity index (BASDAI) in patients with ankylosing spondylitis (AS). Patients with established diagnosis of AS participated in the study. Fifty-two and 48 patients were included for the evaluation of BASFI and BASDAI, respectively. For translation international translation steps were followed. For reliability patients recompleted both indices on the following day. To assess validity following parameters were obtained: spinal mobility in sagittal plane, chest expansion index, erythrocyte sedimentation rate, serum C-reactive protein, level of pain and patient's global health. Apart from descriptive statistics Spearman's rho coefficient was used. Correlation between BASFI and BASDAI score was 0.621. The mean BASFI scores on two occasions (within 24 hours) were 4.82 +/- 2.67 versus 4.88 +/- 2.52 (r = 0.961; p < 0.01), and for BASDAI scores were 5.46 +/- 2.30 versus 5.32 +/- 2.19, respectively (r = 0.959; p < 0.01). Stability index for both indices was 0.98. High correlation was found for each repeated question of BASFI and BASDAI. For both indices congruent validity demonstrated the best correlation with cervical and thoracic mobility. Also, the correlation was observed for BASFI with spinal mobility in lumbar region and with chest expansion index, and for BASDAI with the level of pain. Our findings indicate that Croatian version ofBASFI and BASDAI is reliable and valid. Therefore, it can be used in clinical research as well as in clinical practice.
本研究旨在调查克罗地亚语版的巴斯强直性脊柱炎功能指数（BASFI）和巴斯强直性脊柱炎疾病活动指数（BASDAI）在强直性脊柱炎（AS）患者中的可靠性和有效性。已确诊AS的患者参与了本研究。分别有52例和48例患者纳入BASFI和BASDAI评估。翻译遵循国际翻译步骤。为评估可靠性，患者在次日重新完成这两个指数的评估。为评估有效性，获取了以下参数：矢状面脊柱活动度、胸廓扩张指数、红细胞沉降率、血清C反应蛋白、疼痛程度和患者整体健康状况。除描述性统计外，还使用了斯皮尔曼等级相关系数。BASFI和BASDAI评分之间的相关性为0.621。两次（24小时内）BASFI的平均评分分别为4.82±2.67和4.88±2.52（r = 0.961；p < 0.01），BASDAI的平均评分分别为5.46±2.30和5.32±2.19（r = 0.959；p < 0.01）。两个指数的稳定性指数均为0.98。发现BASFI和BASDAI的每个重复问题之间都有高度相关性。对于这两个指数，同质性效度显示与颈椎和胸椎活动度的相关性最佳。此外，观察到BASFI与腰椎区域脊柱活动度和胸廓扩张指数相关，BASDAI与疼痛程度相关。我们的研究结果表明，克罗地亚语版的BASFI和BASDAI是可靠且有效的。因此，它可用于临床研究以及临床实践。
