[用于评估脊髓损伤患者尿失禁相关生活质量的国王健康问卷西班牙语版本的验证]

[Validation of the Spanish version of the King's Health questionnaire for evaluating quality of life related to urinary incontinence in patients with spinal cord injury].

作者信息

Romero-Cullerés Georgia, Sánchez-Raya Judith, Conejero-Sugrañes Joan, González-Viejo Miguel Ángel

机构信息

Servicio de Medicina Física y Rehabilitación, Fundación Althaia, Manresa, Barcelona, Spain.

出版信息

Med Clin (Barc). 2011 Oct 22;137(11):491-4. doi: 10.1016/j.medcli.2010.11.034. Epub 2011 Apr 9.

DOI:10.1016/j.medcli.2010.11.034

PMID:21481427

Abstract

BACKGROUND AND OBJECTIVE

To determine the validity of the Spanish version of the King's Health Questionnaire (KHQ) in patients with spinal cord injury.

PATIENTS AND METHODS

A cross-sectional study, including a total of 120 patients with spinal cord injury. The feasibility, cross-cultural validity, and internal consistency of the KHQ were evaluated.

RESULTS

The dimensions with the highest scores were: impact of urinary symptoms, personal relations, and physical limitations. The following groups presented a significantly poorer HRQoL: persons of advanced age in personal relations (P=0.042), women in limitations of daily life activities (P=0.009) and in the impact of urinary incontinence (P<0.01), paraplegic patients in personal relations, and patients with incomplete cord lesions in sleeping and energy (P<0.01). Patients with an external condom catheter presented a better HRQoL with significant differences in the dimension, limitations of daily life activities (P=0.04). The KHQ showed good internal consistency (Cronbach alpha 0.91).

CONCLUSION

KHQ is a valid instrument for evaluating HRQoL related with urinary incontinence in patients with spinal cord injury.

摘要

背景与目的

确定西班牙文版国王健康问卷（KHQ）在脊髓损伤患者中的有效性。

患者与方法

一项横断面研究，共纳入120例脊髓损伤患者。对KHQ的可行性、跨文化效度和内部一致性进行评估。

结果

得分最高的维度为：泌尿系统症状影响、人际关系和身体限制。以下几组患者的健康相关生活质量明显较差：人际关系方面的高龄者（P=0.042）、日常生活活动受限方面的女性（P=0.009）和尿失禁影响方面的女性（P<0.01）、人际关系方面的截瘫患者、睡眠和精力方面脊髓损伤不完全的患者（P<0.01）。使用外部避孕套导尿管的患者健康相关生活质量较好，在日常生活活动受限维度存在显著差异（P=0.04）。KHQ显示出良好的内部一致性（克朗巴哈α系数为0.91）。