密歇根手问卷的简短 12 项版本的开发。
Development of a brief, 12-item version of the Michigan Hand Questionnaire.
机构信息
Ann Arbor, Mich. From the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; the Center for Statistical Consultation and Research, University of Michigan; and the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical Center.
出版信息
Plast Reconstr Surg. 2011 Jul;128(1):208-220. doi: 10.1097/PRS.0b013e318218fc51.
BACKGROUND
The Michigan Hand Questionnaire is one of the most widely used hand-specific surveys that measure health status relevant to patients with acute and chronic hand disorders. However, item redundancy exists in the original version, and an abbreviated survey could minimize responder burden and offer broader applicability.
METHODS
Patients (n = 422) with four specific hand conditions--rheumatoid arthritis (n = 162), thumb carpometacarpal osteoarthritis (n = 31), carpal tunnel syndrome (n = 97), and distal radius fracture (n = 132)--completed the Michigan Hand Questionnaire at two time points. Correlation analysis identified two items from each of six domains (i.e., function, activities of daily living, work, pain, aesthetics, and satisfaction). The Brief Michigan Hand Questionnaire score was calculated as the sum of the responses to the 12 items. Psychometric analysis was performed to describe the reliability, validity, and responsiveness of the Brief Michigan Hand Questionnaire.
RESULTS
The Brief Michigan Hand Questionnaire includes 12 items that were highly correlated with the summary Michigan Hand Questionnaire score (r = 0.99, p < 0.001). The Brief Michigan Hand Questionnaire scores were highly correlated between the two time periods (r = 0.78, p < 0.001) and by disease type. Responsiveness of the Brief Michigan Hand Questionnaire was high for all diseases and similar to that of the original Michigan Hand Questionnaire.
CONCLUSIONS
The 12-item Brief Michigan Hand Questionnaire is an efficient and versatile outcomes instrument specific to hand disability that retains the psychometric properties of the original Michigan Hand Questionnaire. The Brief Michigan Hand Questionnaire is an important tool with which to measure patient outcomes and the quality of care in hand surgery.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Diagnostic, I.(Figure is included in full-text article.).
背景
密歇根手问卷是最广泛使用的手部特定问卷之一，用于测量与急性和慢性手部疾病相关的健康状况。然而，原始版本存在项目冗余，缩短后的问卷可以减轻应答者的负担，并具有更广泛的适用性。
方法
422 名患有四种特定手部疾病的患者（类风湿关节炎患者 162 名，拇指腕掌关节炎患者 31 名，腕管综合征患者 97 名，桡骨远端骨折患者 132 名）在两个时间点完成了密歇根手问卷。相关性分析从六个领域（即功能、日常生活活动、工作、疼痛、美观和满意度）中的每个领域中确定了两个项目。计算了 12 个项目的总和作为简明密歇根手问卷评分。进行心理测量分析以描述简明密歇根手问卷的可靠性、有效性和反应性。
结果
简明密歇根手问卷包含 12 个项目，与密歇根手问卷总分高度相关（r = 0.99，p < 0.001）。简明密歇根手问卷评分在两个时间段之间高度相关（r = 0.78，p < 0.001），且与疾病类型相关。所有疾病的简明密歇根手问卷的反应性均较高，与原始密歇根手问卷相似。
结论
12 项简明密歇根手问卷是一种针对手部残疾的高效、通用的结果评估工具，保留了原始密歇根手问卷的心理测量特性。简明密歇根手问卷是一种重要的工具，可用于测量手部手术患者的结果和护理质量。
临床问题/证据水平：诊断，I.（全文包含图表。）
Zotero 插件