一份全球盆底症状困扰调查问卷的验证
Validation of a global pelvic floor symptom bother questionnaire.
作者信息
Peterson Thais V, Karp Deborah R, Aguilar Vivian C, Davila G Willy
机构信息
Department of Gynecology, Section of Urogynecology and Reconstructive Pelvic Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL 33331, USA.
出版信息
Int Urogynecol J. 2010 Sep;21(9):1129-35. doi: 10.1007/s00192-010-1148-7. Epub 2010 May 11.
INTRODUCTION AND HYPOTHESIS
This study aimed to validate a symptom questionnaire to assess presence and patient bother as related to common pelvic floor disorders.
METHODS
The validation of the Pelvic Floor Bother Questionnaire (PFBQ) included evaluation of internal reliability, test-retest reliability, and validity of the items.
RESULTS
A total of 141 patients with mean age of 61.8 +/- 13.2 were included in the study. Twenty-four percent of patients complained of stress urinary incontinence, 14.9% mixed incontinence, 14.9% urge incontinence, 10% fecal incontinence, 5.7% obstructed defecation, 28.4% pelvic organ prolapse, and 2.1% dyspareunia. The PFBQ demonstrated good reliability (alpha = 0.61-0.74; ICC = 0.94). There was a strong agreement beyond chance observed for each question (k = 0.77-0.91). PFBQ correlated with stage of prolapse (rho = 0.73, p < 0.0001), number of urinary and fecal incontinence episodes (rho = 0.81, p < 0.0001; rho = 0.54, p < 0.0001), and obstructed defecation (rho = 0.55, p < 0.0001).
CONCLUSION
The PFBQ is a useful tool that can be easily used for identification and severity or bother assessment of various pelvic floor symptoms.
引言与假设
本研究旨在验证一份症状问卷，以评估与常见盆底功能障碍相关的症状及患者困扰程度。
方法
盆底困扰问卷（PFBQ）的验证包括内部信度、重测信度及各项目效度的评估。
结果
共有141名患者纳入研究，平均年龄为61.8±13.2岁。24%的患者主诉压力性尿失禁，14.9%为混合性尿失禁，14.9%为急迫性尿失禁，10%为大便失禁，5.7%为排便障碍，28.4%为盆腔器官脱垂，2.1%为性交困难。PFBQ显示出良好的信度（α=0.61-0.74；组内相关系数=0.94）。每个问题的观察结果均有很强的一致性（kappa值=0.77-0.91）。PFBQ与脱垂分期相关（rho=0.73，p<0.0001），与尿失禁和大便失禁发作次数相关（rho=0.81，p<0.0001；rho=0.54，p<0.0001），与排便障碍相关（rho=0.55，p<0.0001）。
结论
PFBQ是一种有用的工具，可轻松用于识别各种盆底症状及其严重程度或困扰程度评估。
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