Lin Rongjia, Che Guowei, Xu Zhihua, Wang Mingming, Zhou Kun, Li Pengfei
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhongguo Fei Ai Za Zhi. 2017 Jul 20;20(7):468-472. doi: 10.3779/j.issn.1009-3419.2017.07.05.
Patients often have cough after lung surgery, and there is a lack of tools to specifically assess postoperative coughs. LCQ-MC (Leicester Cough Questionnaire in Mandarin-Chinese) was revised and validated to explore its value on clinical application.
A total of 250 patients undergone the lung operation of single medical team, from September 2015 to December 2016 in the Department ofThoracic Surgery, West China Hospital, Sichuan University, were investigated. Among them, 121 patients completed LCQ-MC and 129 patients completed simplified LCQ-MC, we verified the reliability and validity.
The new questionnaire was not changed in terms of content layout and the scoring method of LCQ-MC, consisting of 12 items and three domains (physical, psychological and social). There was good content validity (S-CVI/UA=0.83). Concurrent validity was high when the simplified LCQ-MC was compared with daytime cough symptom score (r=-0.578, P<0.001). There was a moderate relationship with response to night-time cough symptom score (r=-0.358, P=-0.004) and SF36 total score (r=0.346, P=0.030), and weak relationship with the Hospital Anxiety and Depression Scale total score (r=-0.241, P=0.046). Cronbach's alpha coefficients of simplified LCQ-CM total and three domains varied between 0.79 and 0.89. One week apart test-retest reliability (n=30) was high (r=0.88-0.96).
Simplified LCQ-MC has good reliability and validity that can be used for clinical applications.
肺部手术后患者常出现咳嗽,且缺乏专门评估术后咳嗽的工具。对中文版莱斯特咳嗽问卷(LCQ-MC)进行修订和验证,以探讨其临床应用价值。
对2015年9月至2016年12月在四川大学华西医院胸外科接受单医疗团队肺部手术的250例患者进行调查。其中,121例患者完成了LCQ-MC,129例患者完成了简化版LCQ-MC,我们验证了其信度和效度。
新问卷在内容布局和LCQ-MC评分方法方面未改变,由12个条目和三个领域(生理、心理和社会)组成。具有良好的内容效度(S-CVI/UA = 0.83)。简化版LCQ-MC与日间咳嗽症状评分比较时,同时效度较高(r = -0.578,P < 0.001)。与夜间咳嗽症状评分反应呈中度相关(r = -0.358,P = -0.004),与SF36总分呈中度相关(r = 0.346,P = 0.030),与医院焦虑抑郁量表总分呈弱相关(r = -0.241,P = 0.046)。简化版LCQ-CM总分及三个领域的Cronbach's alpha系数在0.79至0.89之间。间隔一周的重测信度(n = 30)较高(r = 0.88 - 0.96)。
简化版LCQ-MC具有良好的信度和效度,可用于临床应用。