Kuorikoski Joonas, Brinck Tuomas, Roine Risto P, Sintonen Harri, Söderlund Tim
Trauma Unit, HUH Musculoskeletal and Plastic Surgery, Helsinki University Hospital, Helsinki, Finland.
Department of Medicine, University of Helsinki, Helsinki, Finland.
Disabil Rehabil. 2022 Apr;44(7):1129-1135. doi: 10.1080/09638288.2020.1797191. Epub 2020 Jul 28.
Major trauma impairs health-related quality of life (HRQoL). The aim of this study was the Finnish translation and external validation of the Trauma Quality of Life (TQoL) questionnaire.
The Finnish version of the TQoL questionnaire and the 15D, a generic HRQoL questionnaire, were sent by mail to 417 patients identified from the Helsinki Trauma Registry.
Altogether 222 patients (53.2%) returned the questionnaires. Participants' mean age was 49.9 ± 18.1 years and 68.8% were males. The mean 15D score was significantly lower than that of the age- and sex-standardized general Finnish population (0.817 vs. 0.918, < 0.001). The correlation between the Finnish translation and 15D scores was high (0.805). Factor analysis revealed that the Finnish TQoL questionnaire and the 15D have four common factors. Internal validation identified some differences between the Finnish and the original versions.
The correlation between the Finnish TQoL questionnaire and the 15D was high. The factor structures of the original and Finnish versions of the TQoL questionnaire were not identical, which may be a consequence of cultural or patient population differences.Implications for rehabilitationTrauma causes a long-term decrease in health-related quality of life (HRQoL), and this impact should be assessed in rehabilitation.The Trauma-Specific Quality of Life (TQoL) questionnaire has many shared features with the generic HRQoL questionnaire, but it also contains features related to post-traumatic disorder syndrome.The TQoL questionnaire is a valid tool for monitoring HRQoL after trauma.
严重创伤会损害健康相关生活质量（HRQoL）。本研究的目的是对创伤生活质量（TQoL）问卷进行芬兰语翻译及外部验证。
通过邮件向从赫尔辛基创伤登记处识别出的417名患者发送了芬兰语版的TQoL问卷和通用HRQoL问卷15D。
共有222名患者（53.2%）回复了问卷。参与者的平均年龄为49.9±18.1岁，68.8%为男性。15D平均得分显著低于年龄和性别标准化的芬兰普通人群（0.817对0.918，<0.001）。芬兰语翻译版与15D得分之间的相关性很高（0.805）。因子分析显示，芬兰语TQoL问卷和15D有四个共同因子。内部验证发现芬兰语版与原版之间存在一些差异。
芬兰语TQoL问卷与15D之间的相关性很高。TQoL问卷原版与芬兰语版的因子结构并不相同，这可能是文化或患者群体差异所致。
康复相关启示
创伤会导致健康相关生活质量长期下降，在康复过程中应评估这种影响。
创伤特异性生活质量（TQoL）问卷与通用HRQoL问卷有许多共同特征，但也包含与创伤后应激障碍综合征相关的特征。
TQoL问卷是监测创伤后HRQoL的有效工具。
