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巴西乳糜泻患者的生活质量:问卷翻译、文化调适与验证。

Quality of Life of Celiac Patients in Brazil: Questionnaire Translation, Cultural Adaptation and Validation.

机构信息

Interdisciplinary Laboratory of Biosciences and Celiac Disease Research Center, School of Medicine, University of Brasilia, 70910-900 Brasilia, DF, Brazil.

Post-graduate Program in Health Sciences, School of Health Sciences, University of Brasilia, Brasilia 70910-900, DF, Brazil.

出版信息

Nutrients. 2018 Aug 25;10(9):1167. doi: 10.3390/nu10091167.

Abstract

(1) Background: Celiac disease (CD) is a common autoimmune disorder. The manifestations of the disease and the obligatory life-long gluten-free diet (GFD) are associated with the impairment of patients' quality of life. Therefore, the present study aimed to translate, culturally adapt and validate a celiac disease quality of life (CD-QoL) questionnaire and apply it to a representative number of Brazilian CD patients. (2) Methods: A cross-cultural Brazilian-Portuguese version of the CD-QoL was developed according to revised international guidelines. The questionnaire was administered to 450 celiac patients. The reliability, reproducibility and validity were studied. (3) Results: The Brazilian CD-QoL questionnaire presents valid measures of reproducibility and internal consistency. Early diagnosis is related to higher scores of Brazilian CD-QoL social, sub- and total scale. There was a positive correlation between higher education level and higher QoL. Individuals with partners tend to have a better emotional subscale of QoL. CD-patients who follow a strict GFD have highest QoL scale values. Men scored higher than women on the CD-QoL. All results were statistically significant except for the gastrointestinal subscale. (4) Conclusions: Brazilian CD-QoL allows comparative research between different celiac populations in the world. QoL research will help in the development of effective strategies to improve Brazilian celiac patients' quality of life.

摘要

(1) 背景:乳糜泻(CD)是一种常见的自身免疫性疾病。该疾病的临床表现和强制性终身无麸质饮食(GFD)与患者生活质量的受损有关。因此,本研究旨在翻译、文化适应和验证乳糜泻生活质量(CD-QoL)问卷,并将其应用于代表性数量的巴西乳糜泻患者。

(2) 方法:根据修订的国际指南,开发了跨文化的巴西葡萄牙语版 CD-QoL。该问卷已在 450 名乳糜泻患者中进行了管理。研究了可靠性、可重复性和有效性。

(3) 结果:巴西 CD-QoL 问卷具有可重复测量和内部一致性的有效措施。早期诊断与巴西 CD-QoL 社会、子和总量表的更高分数有关。较高的教育水平与较高的生活质量呈正相关。有伴侣的个体往往具有更好的情绪子量表的生活质量。遵循严格 GFD 的 CD 患者具有最高的 QoL 量表值。男性在 CD-QoL 上的得分高于女性。除了胃肠道子量表外,所有结果均具有统计学意义。

(4) 结论:巴西 CD-QoL 允许在世界不同的乳糜泻人群之间进行比较研究。生活质量研究将有助于制定有效策略,提高巴西乳糜泻患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2005/6164351/06ad36df2e93/nutrients-10-01167-g001.jpg

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