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反流性消化不良生活质量(QoLRAD)问卷在土耳其人群胃食管反流病患者中的效度和信度

Validity and reliability of the Quality of Life in Reflux and Dyspepsia (QoLRAD) questionnaire in patients with gastroesophageal reflux disease for the Turkish population.

作者信息

Hançerlioğlu Sadık, Yıldırım Yasemin, Bor Serhat

机构信息

Department of Internal Medicine Nursing, Ege University School of Nursing, İzmir, Turkey.

Division of Gastroenterology, Ege University School of Medicine, İzmir, Turkey.

出版信息

Turk J Gastroenterol. 2019 Jun;30(6):511-516. doi: 10.5152/tjg.2019.18689.

Abstract

BACKGROUND/AIMS: Gastroesophageal reflux disease negatively affects quality of life. The aim is to improve quality of life because of high recurrence rate. There is a strong need for patient-reported outcome measures. The present study aimed to evaluate the validity and reliability of the Quality of Life in Reflux and Dyspepsia Questionnaire (QoLRAD) to adopt it into Turkish.

MATERIALS AND METHODS

A total of 142 patients with complaints of heartburn or regurgitation once a week or commonly diagnosed with 24-hour intraesophageal impedance-pH monitoring and/or upper gastrointestinal endoscopy were included in this study. Sociodemographic Data Collection Form, QoLRAD-TR, and Short Form-36 (SF-36) were applied to patients who were off proton pump inhibitors.

RESULTS

The Cronbach's alpha coefficient value of the questionnaire was 0.97, and the intraclass correlation coefficient (ICC) value of the result of test-retest method was between 0.97 (Vitality) and 0.99 (Eating/Drinking Disorders). There was a positive correlation between all subdomains of QoLRAD-TR and SF-36 scales. The lowest correlation (0.10) was between Emotional Distress and Role-emotional Limitations, and the highest (0.34) was between Energy and Vitality.

CONCLUSION

The QoLRAD test measuring quality of life, except some subdomains in our study that we performed on patients diagnosed with GERD, was found to be valid and reliable.

摘要

背景/目的:胃食管反流病对生活质量有负面影响。由于复发率高,目标是改善生活质量。非常需要患者报告的结局指标。本研究旨在评估反流和消化不良生活质量问卷(QoLRAD)在土耳其语中的有效性和可靠性。

材料与方法

本研究共纳入142例每周有一次烧心或反流症状主诉或经24小时食管阻抗-pH监测和/或上消化道内镜检查确诊的患者。社会人口统计学数据收集表、QoLRAD-TR和简短健康调查量表(SF-36)应用于停用质子泵抑制剂的患者。

结果

问卷的Cronbach's alpha系数值为0.97,重测法结果的组内相关系数(ICC)值在0.97(活力)至0.99(饮食紊乱)之间。QoLRAD-TR的所有子领域与SF-36量表之间均呈正相关。最低相关性(0.10)出现在情绪困扰与角色-情绪限制之间,最高相关性(0.34)出现在精力与活力之间。

结论

除了我们对GERD诊断患者进行研究的某些子领域外,测量生活质量的QoLRAD测试被发现是有效且可靠的。

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Diagnosis and treatment of gastroesophageal reflux disease.胃食管反流病的诊断与治疗
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Guidelines for the diagnosis and management of gastroesophageal reflux disease.胃食管反流病诊断和管理指南
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