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POP 患者的生活质量:西班牙女性中脱垂生活质量问卷(P-QoL)的有效性、可靠性和反应度。

Quality of Life in POP: Validity, Reliability and Responsiveness of the Prolapse Quality of Life Questionnaire (P-QoL) in Spanish Women.

机构信息

Physiotherapy in Women's Health (FPSM) Research Group. Physiotherapy Department, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, 28805 Madrid, Spain.

Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45071 Toledo, Spain.

出版信息

Int J Environ Res Public Health. 2020 Mar 5;17(5):1690. doi: 10.3390/ijerph17051690.

DOI:10.3390/ijerph17051690
PMID:32150963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7084358/
Abstract

The Prolapse Quality of Life Questionnaire (P-QoL) is a specific questionnaire created to assess the impact of pelvic organ prolapse on women's quality of life. The aim of the present study was to cross-culturally adapt and assess the psychometric properties of the P-QoL for Spanish women. The cross-cultural adaptation was conducted by a standardized translation/back-translation method. Psychometric analysis was performed by assessing the validity, reliability, responsiveness and feasibility. A total of 200 Spanish women were recruited and assigned to symptomatic and asymptomatic groups. The Spanish P-QoL version demonstrated good content validity. Convergent validity showed high intercorrelations with the Pelvic Floor Distress Inventory short form and the Pelvic Floor Impact Questionnaire short form. The discriminant validity showed statistically significant differences between the symptomatic and the asymptomatic groups. The internal consistency was high and of acceptable values. The test-retest reliability was shown to be high in all the cases. Regarding responsiveness, the effect size and standardized response mean demonstrated moderate values. The average time for administration was 10 (3) min. The Spanish P-QoL showed considerable support for the appropriate metric properties of validity, reliability, responsiveness and feasibility to evaluate the symptom severity and its impact on the quality of life in Spanish women with urogenital prolapse.

摘要

脱垂生活质量问卷(P-QoL)是一种专门用于评估盆腔器官脱垂对女性生活质量影响的问卷。本研究的目的是对 P-QoL 进行跨文化适应,并评估其在西班牙女性中的心理测量特性。跨文化适应通过标准化的翻译/回译方法进行。通过评估有效性、可靠性、反应性和可行性来进行心理测量分析。共招募了 200 名西班牙女性,并将其分为有症状和无症状组。西班牙 P-QoL 版本表现出良好的内容效度。收敛效度显示与盆腔窘迫量表简表和盆腔器官脱垂/尿失禁性功能问卷简表之间存在高度的相关性。判别效度显示在有症状组和无症状组之间存在统计学上的显著差异。内部一致性较高,且处于可接受的数值范围内。在所有情况下,重测信度均显示出较高的水平。关于反应性,效应大小和标准化反应均值显示出中等数值。管理平均时间为 10(3)分钟。西班牙 P-QoL 在评估西班牙女性尿生殖系统脱垂的症状严重程度及其对生活质量的影响方面,表现出了对有效性、可靠性、反应性和可行性等适当度量特性的有力支持。

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本文引用的文献

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A systematic review of the psychometric properties of the cross-cultural adaptations and translations of the Prolapse Quality of Life (P-QoL) questionnaire.盆底器官脱垂生活质量(P-QoL)问卷跨文化改编与翻译的心理测量学特性的系统评价。
Int Urogynecol J. 2019 Dec;30(12):1989-2000. doi: 10.1007/s00192-019-03920-1. Epub 2019 Apr 26.
2
Response validity of Persian version of P-QOL questionnaire in patients with prolapse.P-QOL问卷波斯语版本在脱垂患者中的反应效度
Eur J Obstet Gynecol Reprod Biol. 2015 Oct;193:88-91. doi: 10.1016/j.ejogrb.2015.07.013. Epub 2015 Jul 31.
3
Responsiveness of the Spanish Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaires Short Forms (PFDI-20 and PFIQ-7) in women with pelvic floor disorders.西班牙盆底困扰量表和盆底影响问卷简表(PFDI-20和PFIQ-7)在盆底功能障碍女性中的反应性。
Eur J Obstet Gynecol Reprod Biol. 2015 Jul;190:20-5. doi: 10.1016/j.ejogrb.2015.03.029. Epub 2015 Apr 6.
4
Sample size used to validate a scale: a review of publications on newly-developed patient reported outcomes measures.用于验证量表的样本量:对新开发的患者报告结局指标相关出版物的综述
Health Qual Life Outcomes. 2014 Dec 9;12:176. doi: 10.1186/s12955-014-0176-2.
5
Repair of pelvic organ prolapse: what is the goal?盆腔器官脱垂的修复:目标是什么?
Curr Urol Rep. 2014 Feb;15(2):385. doi: 10.1007/s11934-013-0385-y.
6
Cultural adaptation and validation of the Pelvic Floor Distress Inventory short form (PFDI-20) and Pelvic Floor Impact Questionnaire short form (PFIQ-7) Spanish versions.盆腔窘迫量表简表(PFDI-20)和盆腔器官脱垂/尿失禁影响问卷简表(PFIQ-7)西班牙版本的文化调适和验证。
Eur J Obstet Gynecol Reprod Biol. 2013 Sep;170(1):281-5. doi: 10.1016/j.ejogrb.2013.07.006. Epub 2013 Jul 25.
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