1 Department of Orthopaedics and Traumatology, Queen Mary Hospital, Hong Kong 2 Department of Nursing Studies, The University of Hong Kong, Hong Kong 3 Podiatry Clinic, Queen Mary Hospital, Hong Kong 4 Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong.
Patient. 2008 Apr 1;1(2):137-45. doi: 10.2165/01312067-200801020-00009.
The need to assess quality of life (QOL) in patients with a diabetic foot ulcer (DFU) has been well documented. However, no appropriate instrument was available for the Chinese population.
The Diabetic Foot Ulcer Scale - Short Form (DFS-SF) is a reliable and valid 29-item instrument comprising six scales, which is used for assessing QOL in patients with DFU. This study aimed to translate the DFS-SF into Chinese and evaluate its psychometric performance.
The Chinese DFS-SF went through the full linguistic validation process and was evaluated in 60 Hong Kong Chinese patients with current or healed DFU.
The internal consistency of all scales of the Chinese DFS-SF was consistently high (Cronbach's alpha ranged from 0.8 to 0.92). Item convergent and discriminant validity was satisfactory (median corrected item-scale correlation ranged from 0.63 to 0.84). Moreover, the instrument also demonstrated good construct validity when correlated with the SF-36. Sensitivity was shown between patients with healed DFU and those whose DFU was not healed, those with different types of foot ulcer, those with different Wagner grade, and those with differing episodes of DFU.
The newly translated Chinese DFS-SF may be used to assess the impact of DFU in Chinese patients.
评估糖尿病足溃疡（DFU）患者生活质量（QOL）的需求已有充分记录。然而，针对中文人群，尚无合适的工具。
糖尿病足溃疡量表-简表（DFS-SF）是一种可靠且有效的 29 项工具，包含六个量表，用于评估 DFU 患者的 QOL。本研究旨在将 DFS-SF 翻译为中文，并评估其心理测量性能。
中文 DFS-SF 经历了完整的语言验证过程，并在 60 名患有当前或已愈合 DFU 的香港中文患者中进行了评估。
中文 DFS-SF 的所有量表的内部一致性均较高（Cronbach's alpha 范围为 0.8 至 0.92）。项目收敛和判别效度令人满意（中位数校正后的项目-量表相关性范围为 0.63 至 0.84）。此外，该工具与 SF-36 相关时也表现出良好的结构效度。在愈合的 DFU 患者和未愈合的 DFU 患者、不同类型的足部溃疡患者、不同 Wagner 分级的患者以及 DFU 发作次数不同的患者之间，存在明显的差异。
新翻译的中文 DFS-SF 可用于评估 DFU 对中国患者的影响。
