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《哥本哈根颈椎功能障碍问卷简化中文版的跨文化调适与验证》。

Cross-cultural Adaptation and Validation of the Simplified Chinese Version of the Copenhagen Neck Function Disability Scale.

机构信息

Department of Orthopedics, Chinese PLA General Hospital, Beijing, People's Republic of China.

Department of Orthopedics of TCM Clinical Unit, 6 Medical Center, Chinese PLA General Hospital, Beijing, People's Republic of China.

出版信息

Spine (Phila Pa 1976). 2021 Aug 1;46(15):1048-1053. doi: 10.1097/BRS.0000000000003899.

DOI:10.1097/BRS.0000000000003899
PMID:33350802
Abstract

STUDY DESIGN

A cross-sectional study.

OBJECTIVE

Th aim of this study was to translate and cross-culturally adapt Copenhagen Neck Function Disability Scale into a Simplified Chinese version (CNFDS-C), and evaluate the reliability and validity of CNFDS-C in patients with nonspecific chronic neck pain.

SUMMARY OF BACKGROUND DATA

The CNFDS is a reliable and valid evaluation instrument for chronic neck pain. However, Simplified Chinese version of CNFDS hasn't been validated.

METHODS

A total of 150 participants were included in this study. Internal consistency was estimated according to Cronbach alpha. Test-retest reliability was assessed by intra-class correlation coefficient (ICC). Construct validity was analyzed by correlations between CNFDS-C and the Neck Disability Index (NDI), Visual Analogue Scale (VAS) as well as the short form (36) health survey (SF-36).

RESULTS

The original version of the CNFDS was cross-culturally adapted and translated into Simplified Chinese. CNFDS-C was indicated to have excellent reliability (Cronbach alpha = 0.810, ICC = 0.927). Moderate to substantial correlations between CNFDS-C and NDI (r = 0.642, P < 0.001), VAS (r = 0.581, P < 0.001), as well as Physical Function (r = -0.583, P < .001), Role Physical (r = -0.478, P < 0.001), Bodily Pain (r = -0.610, P < 0.001), and General Health (r = -0.439, P < 0.001) subscales of SF-36 were observed.

CONCLUSION

CNFDS-C was demonstrated to have acceptable reliability and validity in patients with nonspecific chronic neck pain, which could be recommended for patients in Chinese mainland.Level of Evidence: 3.

摘要

研究设计

一项横断面研究。

目的

本研究旨在将哥本哈根颈部功能障碍量表(Copenhagen Neck Function Disability Scale)翻译并跨文化适应为简体中文版(CNFDS-C),并评估其在非特异性慢性颈痛患者中的信度和效度。

背景资料概要

CNFDS 是一种可靠且有效的慢性颈痛评估工具。然而,CNFDS 的简体中文版尚未得到验证。

方法

本研究共纳入 150 名参与者。采用 Cronbach α 评估内部一致性。采用组内相关系数(intra-class correlation coefficient,ICC)评估重测信度。通过 CNFDS-C 与颈部残疾指数(Neck Disability Index,NDI)、视觉模拟量表(Visual Analogue Scale,VAS)以及健康调查简表 36 项(Short Form 36,SF-36)之间的相关性分析来评估结构效度。

结果

CNFDS 经跨文化适应和翻译为简体中文后,形成了 CNFDS-C。CNFDS-C 具有极好的信度(Cronbach α=0.810,ICC=0.927)。CNFDS-C 与 NDI(r=0.642,P<0.001)、VAS(r=0.581,P<0.001)以及 SF-36 的生理功能(Physical Function,r=-0.583,P<0.001)、生理职能(Role Physical,r=-0.478,P<0.001)、躯体疼痛(Bodily Pain,r=-0.610,P<0.001)和总体健康(General Health,r=-0.439,P<0.001)子量表之间呈中度至高度相关。

结论

CNFDS-C 在中国内地非特异性慢性颈痛患者中具有可接受的信度和效度,可推荐用于此类患者。

证据等级

3。

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