Seki Taisuke, Hasegawa Yukiharu, Ikeuchi Kazuma, Ishiguro Naoki, Hiejima Yoshimitsu
Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan,
J Orthop Sci. 2013 Sep;18(5):782-7. doi: 10.1007/s00776-013-0436-8. Epub 2013 Jul 13.
The Japanese Orthopaedic Association hip disease evaluation questionnaire (JHEQ) was developed to evaluate the quality of life (QOL) in patients with hip disease. This questionnaire consists of three subscales: pain; movement; and mental. The purpose of this study was to assess the reliability and validity of the JHEQ for use as a clinical evaluation tool.
We investigated patients who visited the outpatient department at our hospital and affiliated hospital between April and May 2010. The study population comprised 286 patients (239 women) with a mean age of 56.8 years. The diagnosis was osteoarthritis of the hip in 230 patients, avascular osteonecrosis of the femoral head in 49 patients, and other conditions in 7 patients. The JHEQ questionnaire, the SF-36 questionnaire as a generic QOL scale, and the Oxford hip score (OHS) as a disease-specific scale, were filled out by the patient while waiting in the outpatient department.
Pearson's correlation coefficients of 0.6 were observed between JHEQ pain and SF-36 bodily pain (BP) subscales, and between JHEQ movement and SF-36 physical functioning (PF) subscales. The JHEQ mental subscale correlated with SF-36 social functioning (SF) and BP subscales. A strong negative correlation was seen between JHEQ pain and OHS pain subscales (r = -0.817). JHEQ movement subscale also showed a strong negative correlation with the OHS function subscale (r = -0.715). These results indicated the convergent validity of JHEQ. The internal consistency of pain, movement, and mental subscales of JHEQ was satisfactory, indicated by Cronbach's α coefficients of 0.92, 0.91, and 0.94, respectively. Each subscale also showed high test-retest reliability with intra-class correlation coefficients of 0.89, 0.93, and 0.85, respectively.
We determined the reliability and validity of JHEQ as a self-administered questionnaire that evaluates hip disease. JHEQ is useful as a tool for evaluating patients with hip disease.
日本骨科协会髋关节疾病评估问卷（JHEQ）旨在评估髋关节疾病患者的生活质量（QOL）。该问卷由三个分量表组成：疼痛、活动和心理。本研究的目的是评估JHEQ作为临床评估工具的可靠性和有效性。
我们调查了2010年4月至5月期间到我院及附属医院门诊就诊的患者。研究人群包括286例患者（239例女性），平均年龄56.8岁。诊断为髋关节骨关节炎230例，股骨头缺血性坏死49例，其他疾病7例。患者在门诊候诊时填写JHEQ问卷、作为通用生活质量量表的SF-36问卷以及作为疾病特异性量表的牛津髋关节评分（OHS）。
JHEQ疼痛分量表与SF-36身体疼痛（BP）分量表之间、JHEQ活动分量表与SF-36身体功能（PF）分量表之间的Pearson相关系数均为0.6。JHEQ心理分量表与SF-36社会功能（SF）和BP分量表相关。JHEQ疼痛分量表与OHS疼痛分量表之间存在强负相关（r = -0.817）。JHEQ活动分量表与OHS功能分量表也呈强负相关（r = -0.715）。这些结果表明了JHEQ的收敛效度。JHEQ疼痛、活动和心理分量表的内部一致性令人满意，Cronbach's α系数分别为0.92、0.91和0.94。每个分量表的重测信度也很高，组内相关系数分别为0.89、0.93和0.85。
我们确定了JHEQ作为评估髋关节疾病的自填式问卷的可靠性和有效性。JHEQ可作为评估髋关节疾病患者的有用工具。
