Soo-Kyung Park, Jeong Yeon Seo, Sang Hyuk Lee, Hae Lim Baek, Dong Il Park, Division of Gastroenterology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, South Korea.
World J Gastroenterol. 2017 May 21;23(19):3530-3537. doi: 10.3748/wjg.v23.i19.3530.
To evaluate the short health scale (SHS), a new, simple, four-part visual analogue scale questionnaire that is designed to assess the impact of inflammatory bowel disease (IBD) on health-related quality of life (HRQOL), in Korean-speaking patients with IBD.
The SHS was completed by 256 patients with Crohn's disease (CD) and ulcerative colitis (UC). Individual SHS items were correlated with inflammatory bowel disease questionnaire (IBDQ) dimensions and with disease activity to assess validity. Test-retest reliability, responsiveness and patient or disease characteristics with probable association with high SHS scores were analyzed.
Of 256 patients with IBD, 139 (54.3%) had UC and 117 (45.7%) had CD. The correlation coefficients between SHS questions about "symptom burden", "activities of daily living", and "disease-related worry" and their corresponding dimensions in the IBDQ ranged from 0.62 to 0.71, compared with correlation coefficients ranging from -0.45 to -0.61 for their non-corresponding dimensions. There was a stepwise increase in SHS scores, with increasing disease activity in both CD and UC (all values < 0.001). Reliability was confirmed with test-retest correlations ranging from 0.68 to 0.90 (all values < 0.001). Responsiveness was confirmed with the patients who remained in remission. Their SHS scores remained unchanged, except for the SHS dimension "disease-related worry". In the multivariate analysis, female sex was associated with worse "general well-being" (OR = 2.28, 95%CI: 1.02-5.08) along with worse disease activity.
The SHS is a valid and reliable measure of HRQOL in Korean-speaking patients with IBD.
评估短健康量表（SHS），这是一种新的、简单的四部分视觉模拟量表问卷，旨在评估炎症性肠病（IBD）对健康相关生活质量（HRQOL）的影响，适用于讲韩语的 IBD 患者。
256 例克罗恩病（CD）和溃疡性结肠炎（UC）患者完成了 SHS。分析了 SHS 单项与炎症性肠病问卷（IBDQ）维度和疾病活动的相关性，以评估其有效性。分析了测试-重测信度、反应度以及可能与高 SHS 评分相关的患者或疾病特征。
256 例 IBD 患者中，139 例（54.3%）为 UC，117 例（45.7%）为 CD。SHS 中关于“症状负担”、“日常生活活动”和“疾病相关担忧”的问题与 IBDQ 中相应维度之间的相关系数为 0.62-0.71，而与其非相应维度之间的相关系数为-0.45-0.61。在 CD 和 UC 中，随着疾病活动度的增加，SHS 评分呈逐步升高（均 P<0.001）。测试-重测相关性为 0.68-0.90（均 P<0.001），证实了可靠性。通过仍处于缓解期的患者证实了反应度。他们的 SHS 评分保持不变，除了 SHS 维度“疾病相关担忧”。在多变量分析中，女性与更差的“总体健康状况”相关（OR=2.28，95%CI：1.02-5.08），同时疾病活动度也更差。
SHS 是一种评估讲韩语的 IBD 患者 HRQOL 的有效且可靠的方法。
