Fattirolli Francesco, Argirò Alessia, Angelino Maria Elisabetta, Balestroni Gianluigi, Giallauria Francesco, Miani Daniela, Vigorito Carlo, Piccioli Lucrezia, Genta Franco Tarro, Höfer Stefan, Marchionni Niccolò, Oldridge Neil
Department of Experimental and Clinical Medicine, University of Florence and Cardiothoracovascular Department Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50141, Firenze, Italy.
Psychology Unit, Istituti Clinici Scientifici Maugeri, Turin, Italy.
Intern Emerg Med. 2022 Jan;17(1):123-134. doi: 10.1007/s11739-021-02780-2. Epub 2021 Jun 10.
The psychometric properties of the core disease-specific 14-item Italian HeartQoL health-related quality of life questionnaire have been evaluated in this study. The Italian version of the HeartQoL, the MacNew questionnaire, and the Hospital Anxiety and Depression Scale were completed by 472 patients (angina, N = 183; myocardial infarction, N = 167; or ischemic heart failure, N = 122) who were recruited in five Italian centers (Florence, Veruno, Turin, Udine, and Naples) between 2015 and 2017. Patients with myocardial infarction reported significantly higher HeartQoL scores than patients with angina or ischemic heart failure. Floor and ceiling effects were always minor on the HeartQoL global scale and physical subscale with moderate ceiling effects on the emotional subscale in the total group and in patients with myocardial infarction. The bifactorial structure of the original HeartQoL questionnaire was confirmed with strong physical, emotional, and global scale H coefficients (> 0.50). The HeartQoL scales demonstrated optimal internal consistency (Cronbach's alpha > 0.84). Convergent and divergent validity were confirmed. Discriminative validity was not confirmed for age, largely confirmed for sex, and fully confirmed for anxiety, depression, and distress. The Italian HeartQoL questionnaire demonstrated adequate key psychometric attributes of internal consistency reliability and validity in Italian-speaking patients with ischemic heart disease.
本研究评估了核心疾病特异性14项意大利版HeartQoL健康相关生活质量问卷的心理测量学特性。472例患者（心绞痛患者183例、心肌梗死患者167例、缺血性心力衰竭患者122例）完成了意大利版HeartQoL、MacNew问卷以及医院焦虑抑郁量表，这些患者于2015年至2017年在意大利的五个中心（佛罗伦萨、韦鲁诺、都灵、乌迪内和那不勒斯）招募。心肌梗死患者报告的HeartQoL评分显著高于心绞痛或缺血性心力衰竭患者。在HeartQoL总体量表和身体分量表上，地板效应和天花板效应始终较小，而在总人群和心肌梗死患者的情绪分量表上，天花板效应中等。原始HeartQoL问卷的双因素结构通过较强的身体、情绪和总体量表H系数（>0.50）得到证实。HeartQoL量表显示出最佳的内部一致性（克朗巴哈α系数>0.84）。收敛效度和区分效度得到证实。年龄的区分效度未得到证实，性别区分效度在很大程度上得到证实，焦虑、抑郁和痛苦的区分效度得到充分证实。意大利版HeartQoL问卷在说意大利语的缺血性心脏病患者中显示出足够的内部一致性可靠性和效度等关键心理测量学属性。
