Guzmán Sabogal Yahira Rossini, Pla Vidal Jorge, Sánchez Pedraza Ricardo, Ortuño Sánchez-Pedreño Felipe, Gómez Guevara María Catalina
Psychiatry Department, Universidad de La Sabana, Chía, Colombia.
Psychiatry Department, Universidad de Navarra, Pamplona, Spain.
BMC Neurol. 2016 Nov 28;16(1):246. doi: 10.1186/s12883-016-0770-5.
The health-related quality of life in stroke patients (HRQOLISP-40, short version) survey was developed in Nigeria and constitutes a 40-item, multidimensional, self-administrated questionnaire. We assessed the validity and reliability of the HRQOLISP-40 Spanish version for stroke patients in Colombia.
The analysis included factor analysis, confirmatory factor analysis, Rasch analysis, convergent validity, internal consistency (261 stroke patients), test-retest reliability (73 patients assessed at two different times) and sensitivity to change (46 patients assessed before and after a rehabilitation intervention).
We found an 8-domain structure. None of the items had a significant impact on the global alpha value in order to be removed. Lin's concordance correlation coefficient indicated test-retest reliability (Rho IC: 0.76 to 0.95), suggesting an adequate stability of the instrument. Regarding sensitivity to change differences, they were only significant in the psychological and eco-social domains (p <0.05). When comparing SF-36 with HRQOLISP-40, all the correlation coefficients values were significantly different from zero, except those related to vitality. The highest scores were found in the physical and physical functioning domains, with a value of 0.722.
The HRQOLISP-40 scale is valid and reliable for assessing patients' quality of life after a stroke. Validating quality of life assessment instruments is necessary in order to improve the effectiveness of rehabilitation programs for Colombian stroke patients.
中风患者健康相关生活质量（HRQOLISP - 40，简版）调查是在尼日利亚开展的，由一份40项的多维自填式问卷构成。我们评估了HRQOLISP - 40西班牙语版对哥伦比亚中风患者的有效性和可靠性。
分析包括因子分析、验证性因子分析、拉施分析、收敛效度、内部一致性（261名中风患者）、重测信度（73名患者在两个不同时间进行评估）以及对变化的敏感性（46名患者在康复干预前后进行评估）。
我们发现了一个8维度结构。没有任何项目对整体阿尔法值有显著影响而需要被删除。林氏一致性相关系数表明了重测信度（Rho IC：0.76至0.95），表明该工具具有足够的稳定性。关于对变化差异的敏感性，仅在心理和生态社会领域有显著差异（p <0.05）。将SF - 36与HRQOLISP - 40进行比较时，除了与活力相关的那些外，所有相关系数值均显著不同于零。在身体和身体功能领域得分最高，值为0.722。
HRQOLISP - 40量表对于评估中风后患者的生活质量是有效且可靠的。为提高针对哥伦比亚中风患者的康复项目的有效性，验证生活质量评估工具是必要的。
