Service d'Anesthésie Réanimation Pr BRUDER, Hôpital TIMONE Adulte, 264 rue Saint Pierre, 13385 Marseille Cedex 05, France.
Health Qual Life Outcomes. 2013 Oct 7;11:166. doi: 10.1186/1477-7525-11-166.
Most patients are anxious before surgery. The level of preoperative anxiety depends on several factors and merits an objective evaluation. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) is a self-report questionnaire comprising six questions that have been developed and validated to evaluate the preoperative anxiety of patients. This global index assesses three separate areas: anxiety about anaesthesia, anxiety about surgery, and the desire for information. The purpose of this study was to translate the APAIS into French and to evaluate the psychometric properties of the French version of the APAIS.
The process consisted of two steps. The first step involved the production of a French version of the APAIS that was semantically equivalent to the original version. In the second step, we evaluated the psychometric properties of the French version, including the internal consistency and reliability, the differential item functioning, and the external validity. Participants older than 18, undergoing elective surgery (except obstetric), able to understand and read French, and able to complete a self-report questionnaire were eligible for inclusion in the study. A forward-backward translation was performed. The psychometric evaluation covered three domains: internal validity, external validity, and acceptability. Within 4-48 h after surgery, the patients were asked to complete the "Evaluation du Vécu de l'ANesthésie" questionnaire" (EVAN) questionnaire, which is a validated, multi-dimensional questionnaire that assesses the patient's experiences in the perioperative period.
A database with 175 patients was created. The principal component factor analysis revealed the same three-dimensional structure as the original scale. The confirmatory factor analysis showed a strong fit with a root mean square error of approximation of 0.069 and a comparative fit index of 1.00. The amount of differential item functioning (DIF) between the subgroups of patients (i.e., based on age, gender, type of anaesthesia or surgery, premedication, ASA physical status, and ambulatory course) was low. The APAIS was strongly correlated with the dimensions of the EVAN. Each dimension had a low proportion of missing values (ranging from 0.6 to 2.9%), which indicates good acceptability of the questionnaire.
The French version of the APAIS is valid and reliable. The availability of this tool enables the evaluation of anxiety in French patients undergoing anaesthesia.
大多数患者在手术前都会感到焦虑。术前焦虑的程度取决于几个因素，值得进行客观评估。阿姆斯特丹术前焦虑和信息量表（APAIS）是一个自我报告问卷，由六个问题组成，经过开发和验证，用于评估患者的术前焦虑。这个综合指标评估了三个独立的领域：对麻醉的焦虑、对手术的焦虑和对信息的渴望。本研究的目的是将 APAIS 翻译成法语，并评估 APAIS 法语版的心理测量特性。
该过程包括两个步骤。第一步是制作语义等效于原始版本的 APAIS 法语版。在第二步中，我们评估了法语版的心理测量特性，包括内部一致性和可靠性、差异项目功能和外部有效性。符合以下条件的参与者可纳入研究：年龄大于 18 岁，接受择期手术（产科除外），能够理解和阅读法语，并且能够完成自我报告问卷。进行了正向-反向翻译。心理测量评估涵盖三个领域：内部有效性、外部有效性和可接受性。在手术后 4-48 小时内，患者被要求填写“麻醉体验评估”（EVAN）问卷，这是一个经过验证的多维问卷，评估患者围手术期的体验。
创建了一个包含 175 名患者的数据库。主成分因子分析显示出与原始量表相同的三维结构。验证性因子分析显示出很强的拟合度，均方根误差逼近值为 0.069，比较拟合指数为 1.00。患者亚组（即基于年龄、性别、麻醉或手术类型、术前用药、ASA 身体状况和门诊过程）之间的差异项目功能（DIF）量较低。APAIS 与 EVAN 的维度高度相关。每个维度的缺失值比例都较低（范围为 0.6 至 2.9%），这表明问卷具有良好的可接受性。
APAIS 法语版是有效和可靠的。该工具的可用性使我们能够评估接受麻醉的法国患者的焦虑程度。
