Atalay Hasan Anıl, Çetinkaya Gökhan, Agalarov Samir, Özbir Sait, Çulha Gökhan, Canat Lütfi
Department of Urology, Health Sciences University, Okmeydanı Teaching and Research Hospital, İstanbul, Turkey.
Department of Turkish Language Teaching, Niğde Ömer Halisdemir University, Niğde, Turkey.
Turk J Urol. 2018 Nov 26;45(3):171-176. doi: 10.5152/tud.2018.75272. Print 2019 May.
Medical questionnaires, which enable collection, comparison and analysis of appropriate data as a means of written communication between a patient and a doctor, must be easily readable, and understandable. Here, we measure the readability and understandability of questionnaires used in andrology and examine the relationship between the educational status of the patients and the understandability of the forms.
Seven questionnaires (SHIM, AIPE, IIEF, MSHQ-EjD, PEDT, NIH-CPSI and IPSS) used to diagnose andological diseases were selected from the European Association of Urology guidelines. The number of syllables per word, the number of words in a sentence, and the average word and sentence lengths were calculated for each Turkish validated form. Readability scores were calculated, and closet tests were used to measure the understandability of the texts.
Three hundred and twenty-seven male volunteers participated in the study. Two hundred and sixteen of the participants (66%) had a high school or college education. The readability level of the seven forms was determined to be "Difficult" or "Very Difficult," and at least a high school education level was required to understand the forms. As education level and monthly income increased, the understandability of the forms increased; as the readability of the forms became more difficult, their understandability decreased (p<0.001).
The readability levels of questionnaires used in andrology are well above the reading level of Turkey. Health providers can help patients to fill out forms to increase doctor-patient communication.
医学问卷作为患者与医生之间书面沟通的一种方式，能够收集、比较和分析适当的数据，必须易于阅读和理解。在此，我们评估男科问卷的可读性和可理解性，并研究患者教育程度与问卷可理解性之间的关系。
从欧洲泌尿外科学会指南中选取七份用于诊断男科疾病的问卷（SHIM、AIPE、IIEF、MSHQ-EjD、PEDT、NIH-CPSI和IPSS）。计算每份经土耳其语验证的问卷的单词音节数、句子中的单词数以及平均单词和句子长度。计算可读性得分，并使用封闭测试来衡量文本的可理解性。
327名男性志愿者参与了该研究。其中216名参与者（66%）具有高中或大学学历。这七份问卷的可读性水平被确定为“困难”或“非常困难”，理解这些问卷至少需要高中学历水平。随着教育水平和月收入的提高，问卷的可理解性增加；随着问卷可读性变得更难，其可理解性降低（p<0.001）。
男科问卷的可读性水平远高于土耳其的阅读水平。医疗服务提供者可以帮助患者填写问卷以加强医患沟通。
