Suzuki M, Kurimoto S, Shinohara T, Tatebe M, Imaeda T, Hirata H
Department of Hand Surgery, Nagoya University Graduate, School of Medicine, 65 Tsurumai-Cho, Showa-ku, Nagoya, 466-8550, Japan.
J Bone Joint Surg Br. 2010 Jul;92(7):963-9. doi: 10.1302/0301-620X.92B7.23410.
We have developed an illustrated questionnaire, the Hand20, comprising 20 short and easy-to-understand questions to assess disorders of the upper limb. We have examined the usefulness of this questionnaire by comparing reliability, validity, responsiveness and the level of missing data with those of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. A series of 431 patients with disorders of the upper limb completed the Hand20 and the Japanese version of the DASH (DASH-JSSH) questionnaire. The norms for Hand20 scores were determined in another cross-sectional study. Most patients had no difficulty in completing the Hand20 questionnaire, whereas the DASH-JSSH had a significantly higher rate of missing data. The standard score for the Hand20 was smaller than the reported norms for the DASH. Our study showed that the Hand20 questionnaire provided validation comparable with that of the DASH-JSSH. Explanatory illustrations and short questions which were easy-to-understand led to better rates of response and fewer missing data, even in elderly individuals with cognitive deterioration.
我们开发了一份带插图的问卷——Hand20，它包含20个简短且易于理解的问题，用于评估上肢疾病。我们通过将该问卷的信度、效度、反应度和缺失数据水平与上肢、肩部和手部功能障碍（DASH）问卷进行比较，检验了这份问卷的实用性。431例上肢疾病患者完成了Hand20问卷和DASH问卷的日语版（DASH-JSSH）。在另一项横断面研究中确定了Hand20评分的规范。大多数患者完成Hand20问卷没有困难，而DASH-JSSH问卷的缺失数据率显著更高。Hand20的标准评分低于报道的DASH规范。我们的研究表明，Hand20问卷提供了与DASH-JSSH相当的效度验证。即使在认知功能减退的老年人中，解释性插图和易于理解的简短问题也能带来更高的回答率和更少的缺失数据。
