Köse Selçuk, Özdemir Servet
Department of Thoracic Surgery, Health Sciences University, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2021 Jan 13;29(1):70-76. doi: 10.5606/tgkdc.dergisi.2021.19810. eCollection 2021 Jan.
The aim of this study was to examine the validity and reliability of the Quick Disability of the Arm, Shoulder and Hand questionnaire in patients with arterial thoracic outlet syndrome.
A total of 106 patients (15 males, 91 females; mean age: 30.7±10.2 years; range, 13 to 60 years) with arterial thoracic outlet syndrome were included in this prospective study between January 2015 and December 2018. The questionnaire was administered to all patients before and six months after surgery. The patients were operated using a transaxillary or supraclavicular approach under general anesthesia.
The Cronbach"s alpha value of the questionnaire was found to be 0.85 and the scale consisted of two factors. The change in both the functional status subscale scores (p<0.001) and the physical pain subscale scores (p<0.001) were statistically significantly different before and after surgery. At the end of six months, 53% of the patients with at least one mild difficulty continued to have complaints related to hand, arm and shoulder.
Based on our study results, this questionnaire is a valid and reliable tool for measuring and monitoring disease symptoms in patients with arterial thoracic outlet syndrome.
本研究旨在检验手臂、肩部和手部快速残疾问卷在胸廓出口综合征患者中的有效性和可靠性。
2015年1月至2018年12月期间，本前瞻性研究纳入了106例胸廓出口综合征患者（15例男性，91例女性；平均年龄：30.7±10.2岁；范围为13至60岁）。在手术前和术后六个月对所有患者进行问卷调查。患者在全身麻醉下采用经腋窝或锁骨上入路进行手术。
问卷的Cronbach's alpha值为0.85，量表由两个因素组成。功能状态子量表得分（p<0.001）和身体疼痛子量表得分（p<0.001）在手术前后的变化均有统计学显著差异。六个月结束时，至少有一项轻度困难的患者中有53%仍有与手、臂和肩部相关的症状。
基于我们的研究结果，该问卷是测量和监测胸廓出口综合征患者疾病症状的有效且可靠的工具。
