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波兰语版本的……的验证

Validation of the Polish version of the .

作者信息

Szostek-Rogula Sylwia, Zamysłowska-Szmytke Ewa

机构信息

Upper-Silesian Rehabilitation Centre, Tarnowskie Góry, Poland (1st Rehabilitation Unit).

Nofer Institute of Occupational Medicine, Łódź, Poland (Audiology and Phoniatrics Clinic).

出版信息

Med Pr. 2019 Sep 18;70(5):529-534. doi: 10.13075/mp.5893.00879. Epub 2019 Aug 8.

Abstract

BACKGROUND

The (DHI) was established to assess the impact of dizziness and balance problems on the quality of life. The aim of the study was to validate the Polish version of DHI for patients with vestibular disorders.

MATERIAL AND METHODS

Two hundred and thirty patients diagnosed with vestibular impairment and/or positional vertigo were included in the study. The mean age of the study group was 56.2 years (SD = 13.6). The factor structure (the principal component analysis - PCA), internal consistency (Cronbach's α), and discrimination ability (the receiver operating characteristic [ROC] curve) were examined.

RESULTS

satisfactory internal consistency was found (Cronbach's α coefficient = 0.92), while no floor or ceiling effect was revealed. The demonstrated a good ability to discriminate between patients with and without the handicap (sensitivity and specificity about 80%, the cutoff point = 56). In PCA a 3-factor solution was obtained, with the factors related to restrictions in daily life, positional symptoms and visual-vestibular symptoms, which was not in agreement with the subscales provided in the original version.

CONCLUSIONS

The Polish version of DHI demonstrates satisfactory measurement properties and can be used to assess the impact of dizziness on handicap and the quality of life. The functional, emotional, and physical subscales were not confirmed. In particular, the functional subscale revealed no satisfactory internal consistency which provides an indication for further studies. Med Pr. 2019;70(5):529-34.

摘要

背景

头晕与平衡障碍评定量表(DHI)旨在评估头晕和平衡问题对生活质量的影响。本研究的目的是验证波兰语版DHI在眩晕症患者中的有效性。

材料与方法

本研究纳入了230例诊断为前庭功能损害和/或位置性眩晕的患者。研究组的平均年龄为56.2岁(标准差=13.6)。对其因子结构(主成分分析-PCA)、内部一致性(Cronbach'sα)和区分能力(受试者工作特征[ROC]曲线)进行了检验。

结果

发现内部一致性良好(Cronbach'sα系数=0.92),未发现地板效应或天花板效应。该量表显示出区分有残疾和无残疾患者的良好能力(敏感性和特异性约为80%,截断点=56)。在主成分分析中得到了一个三因素解,这些因素与日常生活受限、位置性症状和视觉-前庭症状有关,这与原始版本中的分量表不一致。

结论

波兰语版DHI显示出令人满意的测量特性,可用于评估头晕对残疾和生活质量的影响。功能、情感和身体分量表未得到证实。特别是,功能分量表未显示出令人满意的内部一致性,这为进一步研究提供了依据。《医学实践》。2019年;70(5):529 - 34。

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