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西班牙版世界卫生组织生活质量简表在创伤性脊髓损伤患者中的效度研究。

A validity study of the Spanish-World Health Organization Quality of Life short version instrument in persons with traumatic spinal cord injury.

作者信息

Salvador-De La Barrera Sebastián, Mora-Boga Rubén, Ferreiro-Velasco Mª Elena, Seoane-Pillado Teresa, Montoto-Marqués Antonio, Rodríguez-Sotillo Antonio, Pertega Díaz Sonia

机构信息

Spinal Cord Injuries Unit, Complexo Hospitalario Universitario, A Coruña, Spain.

Clinical Epidemiology and Statistics Unit, Spanish Clinical Research Network (SCReN), Complexo Hospitalario Universitario, A Coruña, Spain.

出版信息

Spinal Cord. 2018 Oct;56(10):971-979. doi: 10.1038/s41393-018-0139-2. Epub 2018 May 23.

DOI:10.1038/s41393-018-0139-2
PMID:29795170
Abstract

STUDY DESIGN

This was a psychometric study.

OBJECTIVES

To determine the validity of the Spanish version of the World Health Organization Quality of Life instrument (WHOQOL-BREF) for its use in persons with traumatic spinal cord injury and, as secondary objectives, to correlate the results with variables such as functional status, psychological well-being, and social support.

SETTING

Spinal Cord Injury Unit, Complejo Hospitalario Universitario de A Coruña, Galicia (Spain).

METHODS

Fifty-four people with spinal cord injury were enrolled in this study. Relevant variables were analyzed based on the scores reported by each participant in the Spanish versions of the WHOQOL-BREF questionnaire, the Spinal Cord Independence Measure, the Hospital Anxiety and Depression Scale (HADS), and the Duke-UNC Functional and Social Support Questionnaire. Both parametric and non-parametric tests were used to compare various variables. The instrument's internal consistency and test-retest reliability were also confirmed.

RESULTS

The mean scores of each domain of the WHOQOL-BREF were lower, but nonsignificant, among people who need help to perform activities of daily living. The correlation between the scores obtained in the "Psychological" domain and the items of the HADS scale was significant. Significant differences were also observed when comparing the results of the "Social relationships" and "Environment" domains among people with low scores in the Duke questionnaire. Both an adequate consistency (Cronbach's α: 0.887) and test-retest reliability were demonstrated.

CONCLUSION

The Spanish version of the WHOQOL-BREF questionnaire is useful and reliable to evaluate the quality of life of persons with spinal cord injuries in our population of Spanish-speaking people.

摘要

研究设计

这是一项心理测量学研究。

目的

确定世界卫生组织生活质量量表(WHOQOL-BREF)西班牙语版本在创伤性脊髓损伤患者中使用的有效性,作为次要目的,将结果与功能状态、心理健康和社会支持等变量进行关联。

地点

西班牙加利西亚拉科鲁尼亚大学综合医院脊髓损伤科。

方法

本研究纳入了54名脊髓损伤患者。根据每位参与者在WHOQOL-BREF问卷西班牙语版本、脊髓独立测量、医院焦虑抑郁量表(HADS)和杜克大学-北卡罗来纳大学功能与社会支持问卷中报告的分数,分析相关变量。使用参数检验和非参数检验来比较各种变量。还证实了该量表的内部一致性和重测信度。

结果

在需要帮助进行日常生活活动的人群中,WHOQOL-BREF各领域的平均得分较低,但无统计学意义。“心理”领域获得的分数与HADS量表项目之间的相关性显著。在比较杜克问卷得分较低的人群中“社会关系”和“环境”领域的结果时,也观察到了显著差异。同时证明了该量表具有足够的一致性(Cronbach's α:0.887)和重测信度。

结论

WHOQOL-BREF问卷西班牙语版本对于评估我们讲西班牙语人群中脊髓损伤患者的生活质量是有用且可靠的。

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