Goldstein David P, Ringash Jolie, Irish Jonathan C, Gilbert Ralph, Gullane Patrick, Brown Dale, Xu Wei, Del Bel Ryan, Chepeha Douglas, Davis Aileen M
Department of Otolaryngology-Head and Neck Surgery, University Health Network, Princess Margaret Cancer Center, University of Toronto, Toronto, Ontario, Canada.
Head Neck. 2015 Feb;37(2):234-42. doi: 10.1002/hed.23593. Epub 2014 Sep 26.
In this cross-sectional study, the sensibility, test-retest reliability, and validity of the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire were assessed in patients who underwent neck dissection.
Sensibility was assessed with a questionnaire. Test-retest reliability was performed with completion of the DASH questionnaire 2 weeks after initial completion; validity, by evaluating differences in scores between patients undergoing different types of neck dissections and correlating DASH scores with Neck Dissection Impairment Index (NDII) scores.
The DASH questionnaire met sensibility criteria. For test-retest reliability analysis, the intraclass coefficient was 0.91. The DASH questionnaire showed differences between patients who underwent accessory nerve-sacrifice and nerve-sparing neck dissection. DASH questionnaire scores strongly correlated with NDII scores (r = -0.86).
Although this study provides preliminary data on some psychometric properties of the DASH questionnaire in patients who have undergone a neck dissection, further assessment of responsiveness and other properties are required.
在这项横断面研究中，对接受颈部清扫术的患者评估了上肢、肩部和手部功能障碍（DASH）问卷的敏感性、重测信度和效度。
通过问卷评估敏感性。在首次完成DASH问卷2周后再次完成问卷以进行重测信度评估；通过评估接受不同类型颈部清扫术的患者之间的得分差异，并将DASH得分与颈部清扫损伤指数（NDII）得分相关联来评估效度。
DASH问卷符合敏感性标准。对于重测信度分析，组内相关系数为0.91。DASH问卷显示接受副神经牺牲性和保留神经的颈部清扫术的患者之间存在差异。DASH问卷得分与NDII得分高度相关（r = -0.86）。
尽管本研究提供了关于DASH问卷在接受颈部清扫术患者中的一些心理测量特性的初步数据，但仍需要进一步评估其反应性和其他特性。
