慢性阻塞性肺疾病评估测试波斯语版本在伊朗慢性阻塞性肺疾病患者健康状况测量中的评估

Evaluation of the Persian Transcript of the COPD Assessment Test in the Measurement of COPD Health Status in Iranian COPD Patients.

作者信息

Azargon Alireza, Gholami Mohammadreza, Farhadi Ali, Hadi Chegni Maryam, Zendedel Abolfazl

机构信息

School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.

出版信息

Glob J Health Sci. 2015 Oct 20;8(5):225-30. doi: 10.5539/gjhs.v8n5p225.

DOI:10.5539/gjhs.v8n5p225

PMID:26652077

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4877241/

Abstract

AIM

Chronic obstructive pulmonary disease is a completely irreversible obstructive airway disease. The COPD assessment test (CAT) is one of the standard methods for the clinical assessment of the disease, which is translated into Persian. This study investigated the reliability of the test and its relationship with the severity of the disease.

METHODS

In this cross-sectional study, 120 patients filled out the Persian transcript of the test. After two weeks, the patients filled out the CAT test again. Obstruction severity was determined for all the patients using spirometry, and the patients were categorized into four groups according to the Global Initiative for Chronic Obstructive Lung Disease criteria. The relationship between the test scores and the disease severity wan validated.

RESULTS

The mean age of the patients was 51.5 years. The Cronbach's alpha coefficient of the Persian transcript of the test was 0.872 in the first time, and 0.885 in the second time. Intragroup reliability, test re-test and intragroup correlations were significant for all the questions (<0.001). The relationship between the test mean score and obstruction severity was significant, and the correlation between disease categorization in accordance with obstruction severity and categorization according to the test score was significant as well.

CONCLUSION

The Persian transcript of the assessment test for COPD was reliable and is directly related to the disease severity according to airflow limitation.

摘要

目的

慢性阻塞性肺疾病是一种完全不可逆的阻塞性气道疾病。慢性阻塞性肺疾病评估测试（CAT）是该疾病临床评估的标准方法之一，已被翻译成波斯语。本研究调查了该测试的可靠性及其与疾病严重程度的关系。

方法

在这项横断面研究中，120名患者填写了该测试的波斯语版本。两周后，患者再次填写CAT测试。使用肺活量测定法确定所有患者的阻塞严重程度，并根据慢性阻塞性肺疾病全球倡议标准将患者分为四组。验证了测试分数与疾病严重程度之间的关系。

结果

患者的平均年龄为51.5岁。该测试波斯语版本的Cronbach's alpha系数第一次为0.872，第二次为0.885。所有问题的组内信度、重测信度和组内相关性均具有显著性（<0.001）。测试平均分数与阻塞严重程度之间的关系具有显著性，根据阻塞严重程度进行的疾病分类与根据测试分数进行的分类之间的相关性也具有显著性。