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慢性呼吸问卷在哥伦比亚慢性阻塞性肺疾病人群中的验证

Validation of the chronic respiratory questionnaire in the Colombian population with chronic obstructive pulmonary disease.

作者信息

Estrada Álvarez Jorge M, Ossa García Ximena, del Quijano del Gordo Carmen I, Bustos Luis, Urina Diana P, Pérez Celso F, Ossa John E, Moreno Rojas Edwin

机构信息

Fundación Universitaria del Área Andina, Pereira, Colombia,

出版信息

Qual Life Res. 2015 Aug;24(8):2039-44. doi: 10.1007/s11136-015-0939-1. Epub 2015 Feb 12.

Abstract

OBJECTIVE

To assess the validity and reliability of the chronic respiratory questionnaire (CRQ) in the measurement of HRQL in the Colombian population with COPD.

STUDY DESIGN AND SETTING

A cross-sectional study was conducted with a sample of 200 patients diagnosed with COPD according to GOLD criteria. Convergence validity was evaluated by correlating the questionnaire results with other clinical variables such as exercise tolerance, forced expiratory volume at the first second (FEV1), and depression levels.

RESULTS

HRQL measured through the CRQ correlated significantly with the 6-min walk test (r = 0.34), just as the dimensions fatigue (r = 0.37) and dyspnoea correlated with the FEV1 test (r = 0.21) and the dimensions emotional function and disease management with depression levels (r = -0.79). The Generalized Structured Component Analysis (GSCA) with the prespecified model is showed, and the total variance explained by the items in the model was 61.5 % (FIT = 0.615), unweighted least squares (GFI = 0.998), and standardised root mean square (SRMR = 0.084), indicating that the model fits adequately.

CONCLUSION

The CRQ presents evidence of adequate validity and reliability in the Colombian population. Its use is recommended to measure HRQL in patients with COPD, although future validations will be needed to identify the property of sensitivity to change.

摘要

目的

评估慢性呼吸问卷(CRQ)在测量哥伦比亚慢性阻塞性肺疾病(COPD)患者健康相关生活质量(HRQL)方面的有效性和可靠性。

研究设计与设置

对200例根据全球慢性阻塞性肺疾病倡议(GOLD)标准诊断为COPD的患者进行了横断面研究。通过将问卷结果与其他临床变量(如运动耐力、第一秒用力呼气量(FEV1)和抑郁水平)进行相关性分析来评估收敛效度。

结果

通过CRQ测量的HRQL与6分钟步行试验显著相关(r = 0.34),同样,疲劳维度(r = 0.37)和呼吸困难与FEV1试验相关(r = 0.21),情绪功能和疾病管理维度与抑郁水平相关(r = -0.79)。展示了具有预先指定模型的广义结构成分分析(GSCA),模型中各项目解释的总方差为61.5%(拟合优度 = 0.615),非加权最小二乘法(拟合优度指数 = 0.998),以及标准化均方根残差(SRMR = 0.084),表明模型拟合良好。

结论

CRQ在哥伦比亚人群中显示出足够的有效性和可靠性证据。尽管未来需要进一步验证以确定其对变化的敏感性,但建议使用CRQ来测量COPD患者的HRQL。

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