Kieres Pawel, Mlodawski Jakub, Mlodawska Marta, Misiek Marcin, Rechberger Tomasz, Rokita Wojciech
Department of Urology, Saint Raphael's Hospital in Czerwona Gora, Checiny, Poland.
Department and Clinic of Obstetrics and Gynaecology, Collegium Medicum Jan Kochanowski University in Kielce.
Ginekol Pol. 2020;91(1):13-16. doi: 10.5603/GP.2020.0004.
Urinary incontinence (UI) can affect up to 50% of the population of women over the age of 50. In order to objectively assess discomfort in women with UI prior to initiating treatment and monitoring the outcomes of the treatment, validated questionnaires need to be used to examine the impact of UI on health-related quality of life (HR-QoL). The Urogenital Distress Inventory - Short Form (UDI-6) and the Medical Epidemiologic and Social Aspects of Ageing (MESA) questionnaires are used typically. Assessment of the Polish translation of the MESA and UDI-6 questionnaires.
155 patients with symptoms of UI were enrolled. Each of the patients completed the MESA and UDI questionnaires prior to being examined. The final diagnosis was made after diagnostic tests were carried out in the patients.
Principle component analysis showed division of the Polish versions of the questionnaires into domains identical to the original version. Analyses of internal consistency reliability revealed high internal consistency for the MESA questionnaire (0.90) and a low reliability of the UDI-6 questionnaire (0.44).
The Polish version of the MESA questionnaire was demonstrated to be a clinically useful diagnostic tool in the studied population, UDI-6 did not reached a sufficiently high reliability in the study group to be recommended as a diagnostic tool.
尿失禁（UI）可影响高达50%的50岁以上女性人群。为了在开始治疗前客观评估尿失禁女性的不适情况并监测治疗效果，需要使用经过验证的问卷来检查尿失禁对健康相关生活质量（HR-QoL）的影响。通常使用泌尿生殖系统困扰量表简表（UDI-6）和老年医学流行病学与社会方面问卷（MESA）。对MESA和UDI-6问卷的波兰语翻译进行评估。
纳入155例有尿失禁症状的患者。每位患者在接受检查前均完成了MESA和UDI问卷。在对患者进行诊断测试后做出最终诊断。
主成分分析表明问卷的波兰语版本划分的领域与原始版本相同。内部一致性信度分析显示MESA问卷具有较高的内部一致性（0.90），而UDI-6问卷的信度较低（0.44）。
在研究人群中，MESA问卷的波兰语版本被证明是一种临床有用的诊断工具，UDI-6在研究组中未达到足够高的信度，不能推荐作为诊断工具。
