Norrish Catherine, Norrish Mark, Fass Uwe, Al-Salmani Majid, Lingam Ganji Shiva, Clark Fiona, Kallesh Hebal
Oman Medical College, Sohar, Oman.
Sohar Regional Teaching Hospital, Sohar, Oman.
Oman Med J. 2015 Jan;30(1):17-25. doi: 10.5001/omj.2015.04.
Our study aimed to develop a survey that could be used by nurses during regular cystic fibrosis (CF) clinic visits, providing clinicians with a standardized means of longitudinally assessing and monitoring symptom progression in their patients. In addition, the use of this survey would provide an opportunity for patient engagement and relationship building, thereby enhancing patient education and improving adherence to treatment. This is the first such survey designed specifically for use in Arab populations. .
The Cystic Fibrosis Symptom Progression Survey (CF-SPS) was developed using previously published patient reported outcomes relating to pulmonary exacerbations in CF. It contains 10 items that provide a patient-focused account of symptoms. The survey was translated into Arabic and was completed by 12 patients on 139 occasions over 22 months. The psychometric properties of the survey were evaluated, as was the relationship between the survey findings and other known clinical measures of health status in CF. .
The CF-SPS performs well as a psychometrically valid clinical tool, with good internal consistency as determined by Cronbach's alpha analysis. Our results suggest that the CF-SPS is able to identify significant declines in health status in line with routine clinical patient assessment (chest sounds, body mass index and admissions). As such it is a useful tool that can support clinical decision making in the care of Arabic speaking CF patients. .
We recommend the CF-SPSa (Arabic version) as a valid tool for the longitudinal monitoring of symptom progression in CF in Arabic speaking populations.
我们的研究旨在开发一种可供护士在常规囊性纤维化(CF)门诊就诊时使用的调查问卷,为临床医生提供一种标准化方法,用于纵向评估和监测患者的症状进展。此外,使用该调查问卷将为患者参与和建立医患关系提供机会,从而加强患者教育并提高治疗依从性。这是首个专门为阿拉伯人群设计的此类调查问卷。
囊性纤维化症状进展调查问卷(CF-SPS)是利用先前发表的与CF肺部加重相关的患者报告结局开发的。它包含10个项目,以患者为中心描述症状。该调查问卷被翻译成阿拉伯语,12名患者在22个月内共139次完成了填写。对该调查问卷的心理测量特性进行了评估,同时也评估了调查结果与CF其他已知健康状况临床指标之间的关系。
CF-SPS作为一种心理测量有效的临床工具表现良好,通过克朗巴哈α分析确定具有良好的内部一致性。我们的结果表明,CF-SPS能够识别出与常规临床患者评估(胸部听诊、体重指数和住院情况)一致的健康状况显著下降。因此,它是一种有用工具,可支持对说阿拉伯语的CF患者的护理中的临床决策。
我们推荐CF-SPSa(阿拉伯语版)作为纵向监测说阿拉伯语人群CF症状进展的有效工具。