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建立一个用于评估与复发缓解型多发性硬化症相关的生活质量感知的评估量表及可行性研究。

Establishing an evaluation scale for the perception of quality of life related to relapsing-remitting forms of multiple sclerosis and feasibility study.

机构信息

Department of Neurology, Besançon University Hospital, France.

出版信息

Int J Neurosci. 2012 Jan;122(1):9-16. doi: 10.3109/00207454.2011.613549. Epub 2011 Sep 26.

Abstract

Relapses are particularly stressful for patients with multiple sclerosis (MS). The impact of relapses on the quality of life (QoL) of patients has been described in the literature. Several QoL scales have already been validated for MS. However, none of them focuses specifically on how patients perceive relapse periods. The objective of this research was to establish a self-questionnaire to evaluate QoL related to MS and relapses: the PERSEPP scale. This scale is based on individual semidirective interviews with patients with a relapsing-remitting form of MS, health workers, and focus groups. The thematic content analysis of these interviews allowed us to obtain 574 items related to various dimensions of QoL. After selecting items in several stages, we drew up the PERSEPP scale with 37 items and five additional modules. A preliminary feasibility study was conducted with 40 patients to assess the PERSEPP scale. The feasibility study showed a good acceptability and a good understanding of the items of the PERSEPP scale. This article deals with the selection of items and the acceptability study. Psychometric validation of this scale, involving 305 patients, is currently in progress in various hospitals in France.

摘要

复发对多发性硬化症(MS)患者来说特别有压力。文献中已经描述了复发对患者生活质量(QoL)的影响。已经有几种 QoL 量表被验证用于 MS。然而,它们都没有特别关注患者如何感知复发期。这项研究的目的是建立一个自我问卷来评估与 MS 和复发相关的 QoL:PERSEPP 量表。该量表基于对患有复发缓解型 MS 的患者、卫生工作者和焦点小组的个别半直接访谈。对这些访谈的主题内容分析使我们获得了与 QoL 各个维度相关的 574 个项目。经过几个阶段的项目选择,我们制定了包含 37 个项目和五个附加模块的 PERSEPP 量表。对 40 名患者进行了初步可行性研究,以评估 PERSEPP 量表。可行性研究表明,PERSEPP 量表的项目具有很好的可接受性和理解性。本文涉及项目选择和可接受性研究。该量表的心理测量学验证目前正在法国的多个医院进行,涉及 305 名患者。

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