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[子宫肌瘤症状与健康相关生活质量中文版的验证]

[Validation of the Chinese version of the uterine fibroid symptom and health-related quality of life].

作者信息

Wang X Q, Zhu L, Xu T, Zhang L, Lyu T, Chen R

机构信息

Department of Obstetrics and Gynecology, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing 102218, China.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 2017 Jul 25;52(7):455-460. doi: 10.3760/cma.j.issn.0529-567X.2017.07.005.

Abstract

To evaluate the reliability and validity of the Chinese version of the uterine fibroid symptom and health-related quality of life (UFS-QOL) in patients with uterine fibroid. The original English UFS-QOL was translated into Chinese and linguistically validated following the cross-cultural adaptation of health-related quality of life measures. Patients recruited randomly from Peking Union Medical College Hospital from June 2013 to December 2016 were scheduled for two visits with 2 weeks apart, and they were surveyed through the Chinese version of UFS-QOL and short-form 12-item health survey (SF-12). The reliability and validity of the Chinese version of UFS-QOL were evaluated. A total of 190 uterine fibroid patients who met the criteria participated this study. The Chinese version of UFS-QOL had a high internal consistency (Cronbach's α, uterine fibroid symptom severity scale:0.912, health-related quality of life scale: 0.976) and high test-retest reliability (intraclass correlation coefficient, 0.572-0.951, 0.01). The symptom severity scores and SF-12 scores were negatively correlated (-0.813, 0.01); the health-related quality of life scores and SF-12 scores were positively correlated (0.620, 0.01). The factor analysis showed good construct validity. Psychometric testing supports the reliability and validity of the Chinese version of UFS-QOL as an disease-specific measure of health-related quality of life.

摘要

评估中文版子宫肌瘤症状与健康相关生活质量量表(UFS-QOL)在子宫肌瘤患者中的信度和效度。原始英文UFS-QOL经翻译后,按照健康相关生活质量量表的跨文化调适进行语言验证。2013年6月至2016年12月从北京协和医院随机招募的患者安排进行两次就诊,间隔2周,通过中文版UFS-QOL和简明健康调查量表(SF-12)进行调查。对中文版UFS-QOL的信度和效度进行评估。共有190例符合标准的子宫肌瘤患者参与本研究。中文版UFS-QOL具有较高的内部一致性(Cronbach's α,子宫肌瘤症状严重程度量表:0.912,健康相关生活质量量表:0.976)和较高的重测信度(组内相关系数,0.572 - 0.951,P < 0.01)。症状严重程度得分与SF-12得分呈负相关(-0.813,P < 0.01);健康相关生活质量得分与SF-12得分呈正相关(0.620,P < 0.01)。因子分析显示具有良好的结构效度。心理测量学测试支持中文版UFS-QOL作为一种特定疾病的健康相关生活质量测量工具的信度和效度。

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