Kandel Himal, Khadka Jyoti, Lundström Mats, Goggin Michael, Pesudovs Konrad
J Refract Surg. 2017 Jun 1;33(6):416-424. doi: 10.3928/1081597X-20170310-01.
To identify the questionnaires used to assess refractive surgery outcomes, assess the available questionnaires in regard to their psychometric properties, validity, and reliability, and evaluate the performance of the available questionnaires in measuring refractive surgery outcomes.
An extensive literature search was done on PubMed, MEDLINE, Scopus, CINAHL, Cochrane, and Web of Science databases to identify articles that described or used at least one questionnaire to assess refractive surgery outcomes. The information on content quality, validity, reliability, responsiveness, and psychometric properties was extracted and analyzed based on an extensive set of quality criteria.
Eighty-one articles describing 27 questionnaires (12 refractive error-specific, including 4 refractive surgery-specific, 7 vision-but-non-refractive, and 8 generic) were included in the review. Most articles (56, 69.1%) described refractive error-specific questionnaires. The Quality of Life Impact of Refractive Correction (QIRC), the Quality of Vision (QoV), and the Near Activity Visual Questionnaire (NAVQ) were originally constructed using Rasch analysis; others were developed using the Classical Test Theory. The National Eye Institute Refractive Quality of Life questionnaire was the most frequently used questionnaire, but it does not provide a valid measurement. The QoV, QIRC, and NAVQ are the three best existing questionnaires to assess visual symptoms, quality of life, and activity limitations, respectively.
This review identified three superior quality questionnaires for measuring different aspects of quality of life in refractive surgery. Clinicians and researchers should choose a questionnaire based on the concept being measured with superior psychometric properties. [J Refract Surg. 2017;33(6):416-424.].
识别用于评估屈光手术效果的问卷，评估现有问卷的心理测量学特性、效度和信度，并评估现有问卷在测量屈光手术效果方面的表现。
在PubMed、MEDLINE、Scopus、CINAHL、Cochrane和Web of Science数据库中进行广泛的文献检索，以识别描述或使用至少一份问卷来评估屈光手术效果的文章。根据一系列广泛的质量标准，提取并分析有关内容质量、效度、信度、反应度和心理测量学特性的信息。
该综述纳入了81篇描述27份问卷的文章（12份针对屈光不正，包括4份针对屈光手术，7份针对视力但非屈光不正，8份通用问卷）。大多数文章（56篇，69.1%）描述了针对屈光不正的问卷。屈光矫正生活质量影响问卷（QIRC）、视觉质量问卷（QoV）和近距活动视觉问卷（NAVQ）最初是使用Rasch分析构建的；其他问卷则是使用经典测试理论开发的。美国国立眼科研究所屈光生活质量问卷是最常用的问卷，但它不能提供有效的测量。QoV、QIRC和NAVQ分别是评估视觉症状、生活质量和活动受限的现有最佳三份问卷。
本综述确定了三份高质量问卷，用于测量屈光手术中生活质量的不同方面。临床医生和研究人员应根据具有卓越心理测量学特性的测量概念选择问卷。[《屈光手术杂志》。2017年；33(6):416 - 424。]
