a Graduate Program in Rehabilitation Sciences, Universidade Federal do Rio Grande do Norte , Natal , Brazil.
b Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro , Rio de Janeiro , Brazil.
Disabil Rehabil. 2019 Jun;41(12):1443-1449. doi: 10.1080/09638288.2018.1431695. Epub 2018 Jan 29.
This study aimed to link the content of four most used questionnaires to assess the quality of life of women with urinary incontinence (International Consultation on Incontinence Questionnaire; King's Health Questionnaire; Incontinence Quality of Life Questionnaire and Bristol Female Urinary Tract Symptoms Questionnaire) with the International Classification of Functioning, Disability and Health (ICF).
Linking the questionnaires content and the ICF was performed by two independent reviewers, with an excellent concordance level (k = 0.941), using the method described by Cieza et al.
A total of 94 items were analyzed, in which 154 meaningful concepts were identified and linked to 48 ICF categories, of which 49% were from activities and participation component (d) and 36.8% from body functions (b).
The scales are linked with the classification at different levels. The International Consultation on Incontinence Questionnaire was the most limited instrument. Bristol Female Urinary Tract Symptoms Questionnaire and Incontinence Quality of Life Questionnaire presented greater agreement with the ICF, but the concepts in their items are mostly linked to body functions, denoting a biomedical vision. King's Health Questionnaire demonstrated greater affinity with the ICF, and most concepts were related to the activities and participation categories, approaching more effectively the biopsychosocial model. Implications for Rehabilitation Choosing the right instrument to assess the quality of life of women with urinary incontinence can be a difficult task, since the instruments have different approaches. The use of International Classification of Functioning, Disability and Health as a reference among health professionals involved in rehabilitation of women with urinary incontinence will promote unification of the language about this group functioning. The comparison among instruments presented here will help the professional to choose the one that provides the greatest amount of information in a consistent way, aiding the clinical decision-making process.
本研究旨在将四种最常用的评估尿失禁女性生活质量的问卷（国际尿失禁咨询问卷、King's 健康问卷、尿失禁生活质量问卷和布里斯托女性下尿路症状问卷）的内容与国际功能、残疾和健康分类（ICF）联系起来。
使用 Cieza 等人描述的方法，由两名独立评审员进行问卷内容与 ICF 的链接，具有极好的一致性水平（k=0.941）。
共分析了 94 项内容，确定了 154 个有意义的概念，并与 48 个 ICF 类别相关联，其中 49%来自活动和参与部分（d），36.8%来自身体功能（b）。
这些量表在不同层面与分类相关联。国际尿失禁咨询问卷是最有限的工具。Bristol 女性下尿路症状问卷和尿失禁生活质量问卷与 ICF 的一致性更高，但项目中的概念主要与身体功能相关联，表明存在生物医学视角。King's 健康问卷与 ICF 的亲和力更大，且大多数概念与活动和参与类别相关，更有效地接近生物心理社会模型。
选择正确的工具来评估尿失禁女性的生活质量可能是一项艰巨的任务，因为这些工具的方法不同。在参与尿失禁女性康复的卫生专业人员中使用国际功能、残疾和健康分类作为参考，将促进该群体功能相关语言的统一。这里呈现的工具之间的比较将有助于专业人员以一致的方式选择提供信息量最大的工具，辅助临床决策过程。
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