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测量腕部损伤后的结果:患者自评腕部评估(PRWE-Swe)瑞典语版本的翻译与验证。

Measuring outcome after wrist injury: translation and validation of the Swedish version of the patient-rated wrist evaluation (PRWE-Swe).

机构信息

Department of Clinical Science and Education, Orthopeadics Section, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.

出版信息

BMC Musculoskelet Disord. 2011 Jul 22;12:171. doi: 10.1186/1471-2474-12-171.

DOI:10.1186/1471-2474-12-171
PMID:21781287
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3152541/
Abstract

BACKGROUND

There is a need for outcome measurement instruments for evaluation of disability after trauma. The Patient-Rated Wrist Evaluation (PRWE) is a self-administered region-specific outcome measuring instrument developed for use in evaluating disability and pain of the wrist. The aim of this study is to translate and to cross-culturally adapt the PRWE for use in a Swedish patient population. Moreover, we aim at investigating the PRWE in terms of validity, reliability and responsiveness.

METHODS

We performed a translation and cross-cultural adaptation of the PRWE to Swedish (PRWE-Swe), utilising the process recommended by the American Association of Orthopedic Surgeons. A total of 124 patients with an injury to the wrist were included in the study. They filled in the PRWE and the DASH questionnaires at two separate occasions.

RESULTS

Reliability of the PRWE in terms of internal consistency (Cronbach's alpha 0.97) and test-retest stability (intraclass correlation coefficient 0.93) were excellent. Face validity and content validity were judged as good. Criterion validity assessed as the correlation between the PRWE and the DASH was also good (Spearman's rho = 0.9). Responsiveness measured by the standardized response mean (SRM) was good with an SRMPRWE of 1.29.

CONCLUSION

This Swedish version of the PRWE is a short and easily understood self-administered questionnaire with good validity, reliability, and responsiveness. Our results confirm that the PRWE is a valuable tool in evaluating the results after treatment of a wrist injury.

摘要

背景

需要有用于评估创伤后残疾的结果测量工具。患者腕部评估(PRWE)是一种自我管理的特定区域的结果测量工具,用于评估腕部的残疾和疼痛。本研究的目的是将 PRWE 翻译成瑞典语并进行跨文化适应性调整,以便在瑞典患者人群中使用。此外,我们还旨在调查 PRWE 在有效性、可靠性和反应性方面的表现。

方法

我们按照美国骨科协会推荐的流程对 PRWE 进行了翻译和跨文化适应性调整,形成了瑞典语版 PRWE(PRWE-Swe)。共有 124 名腕部受伤的患者参与了本研究。他们在两次不同的就诊时填写了 PRWE 和 DASH 问卷。

结果

PRWE 在内部一致性方面(Cronbach's alpha 0.97)和重测稳定性方面(组内相关系数 0.93)的可靠性非常好。表面有效性和内容有效性被评为良好。作为标准相关性评估的 PRWE 与 DASH 之间的相关性也很好(Spearman's rho = 0.9)。以标准化反应均值(SRM)衡量的反应性良好,SRMPRWE 为 1.29。

结论

瑞典语版 PRWE 是一种简短且易于理解的自我管理问卷,具有良好的有效性、可靠性和反应性。我们的结果证实 PRWE 是评估腕部损伤治疗结果的一种有价值的工具。

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A modified QuickDASH-9 provides a valid outcome instrument for upper limb function.改良版 QuickDASH-9 为上肢功能提供了一种有效的结果评估工具。
BMC Musculoskelet Disord. 2009 Dec 18;10:161. doi: 10.1186/1471-2474-10-161.
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Evaluation of a Swedish version of the patient-rated wrist evaluation outcome questionnaire: good responsiveness, validity, and reliability, in 99 patients recovering from a fracture of the distal radius.对瑞典语版患者自评腕关节评估结果问卷的评估:在99例桡骨远端骨折康复患者中具有良好的反应性、效度和信度。
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Acta Orthop Belg. 2008 Oct;74(5):575-81.
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Outcome evaluation measures for wrist and hand: which one to choose?手腕和手部的结果评估指标:该如何选择?
Int Orthop. 2008 Feb;32(1):1-6. doi: 10.1007/s00264-007-0368-z. Epub 2007 May 30.
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Development of the QuickDASH: comparison of three item-reduction approaches.快速DASH量表的开发:三种条目缩减方法的比较
J Bone Joint Surg Am. 2005 May;87(5):1038-46. doi: 10.2106/JBJS.D.02060.
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Injury. 2005 Apr;36(4):468-76. doi: 10.1016/j.injury.2004.06.014.
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Responsiveness of the disability of the arm, shoulder, and hand (DASH) and patient-rated wrist/hand evaluation (PRWHE) in evaluating change after hand therapy.上肢、肩部与手部功能障碍量表(DASH)及患者自评腕/手评估量表(PRWHE)在评估手部治疗后变化中的反应性。
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The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: reliability and validity of the Swedish version evaluated in 176 patients.手臂、肩部和手部功能障碍(DASH)结果问卷:在176例患者中评估瑞典语版本的信度和效度。
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