Mollaoğlu Mukadder, Durna Zehra, Bolayir Ertuğrul
Department of Medical Nursing, Cumhuriyet University Faculty of Health Sciences, Sivas, Turkey.
Department of Medical Nursing, Bahçeşehir University Faculty of Health Sciences, İstanbul, Turkey; İstanbul Bilim University Florence Nightingale Hospital, High School of Nursing, İstanbul, Turkey.
Noro Psikiyatr Ars. 2015 Sep;52(3):289-295. doi: 10.5152/npa.2015.8727. Epub 2015 Jul 7.
The purpose of this study was to evaluate reliability and validity of the 31-item Quality of Life in Epilepsy Inventory (QOLIE-31) in Turkish epileptic patients.
This study was performed methodologically. To standardize the inventory, using a standard "forward-backward" translation and cultural adaptation procedure the English version of the QOLIE-31 was translated to Turkish. Language equivalence of the scale was provided. The opinions of experts were considered regarding the content validity of the scale. Reliability of the scale was determined with the test-retest reliability, item-total correlation and internal consistency analysis. For the construct validity, QOLIE-31 was compared with Nottingham Health Profile (NHP) scale and pre validity was determined.
One hundred and forty-eight epileptic patients (62 females, 86 males), with a mean age of 32.5 (SD: 10.71) years were enrolled in the study. Content Validity Index of instrument was .85. Alpha reliability was .91. Item-total correlations were between .46 and .74 (p=.001). The mean score for the quality of life of epileptic patients was found to be moderate level (56.4; SD: 17.3). The mean score of Seizure Worry subscale was the lowest (48.9, SD: 29.82), while social function subscale (60.1, SD: 20.12) was found to be highest. As expected, correlations between QOLIE-31 and NHP subscales were fairly strong, particularly between those subscales with close or interdependent content. Thus, Emotional Well-Being correlated with NHP Emotional Reactions, Social Isolation and Pain; Social Function with NHP Social Isolation and Physical Mobility; Seizure Worry with NHP Social Isolation and Emotional Reactions; and Cognitive Function with NHP Energy, Emotional Reactions and Pain.
The Turkish version of the QOLIE-31 questionnaire has good structural characteristics, is a reliable and valid instrument and can be used for measuring the effect of epilepsy on the quality of life.
本研究旨在评估癫痫患者生活质量量表31项版本（QOLIE - 31）在土耳其癫痫患者中的信度和效度。
本研究采用方法学研究。为使量表标准化，使用标准的“前后向”翻译和文化适应程序将QOLIE - 31的英文版翻译成土耳其语。提供了量表的语言等效性。考虑了专家对量表内容效度的意见。通过重测信度、项目与总分相关性和内部一致性分析来确定量表的信度。对于结构效度，将QOLIE - 31与诺丁汉健康量表（NHP）进行比较并确定预效度。
148例癫痫患者（62例女性，86例男性）纳入研究，平均年龄32.5（标准差：10.71）岁。工具的内容效度指数为0.85。阿尔法信度为0.91。项目与总分相关性在0.46至0.74之间（p = 0.001）。癫痫患者的生活质量平均得分处于中等水平（56.4；标准差：17.3）。癫痫担忧子量表的平均得分最低（48.9，标准差：29.82），而社会功能子量表（60.1，标准差：20.12）得分最高。正如预期的那样，QOLIE - 31与NHP子量表之间的相关性相当强，特别是那些内容相近或相互依存的子量表之间。因此，情感幸福感与NHP的情绪反应、社会孤立和疼痛相关；社会功能与NHP的社会孤立和身体活动能力相关；癫痫担忧与NHP的社会孤立和情绪反应相关；认知功能与NHP的精力、情绪反应和疼痛相关。
QOLIE - 31问卷的土耳其语版本具有良好的结构特征，是一种可靠且有效的工具，可用于测量癫痫对生活质量的影响。
