Närhälsan Gibraltar Rehabilitation, Gibraltargatan 1 C, 411 32, Gothenburg, Sweden.
Institute of Neuroscience and Physiology, Department of Health and Rehabilitation, University of Gothenburg, 403 50, Gothenburg, Sweden.
Int Urogynecol J. 2022 Nov;33(11):3013-3024. doi: 10.1007/s00192-022-05264-9. Epub 2022 Jun 29.
The German "Pelvic Floor Questionnaire for pregnant and postpartum women" is a self-administered questionnaire customized for pregnancy and the postpartum period that assesses four domains of pelvic floor function regarding perceived symptoms, suffering, and impact on quality of life: bladder, bowel, prolapse, and sexual function. No similar questionnaire is available in Swedish, despite a high prevalence of pregnancy and postpartum pelvic floor dysfunction. Thus, we aimed to translate the validated German questionnaire into Swedish and test its validity and reliability in a Swedish population.
Translation and cultural adaptation were performed according to guidelines. Of the 248 women who answered the Swedish questionnaire, 57 filled out the questionnaire twice to evaluate test-retest reliability. We also assessed internal consistency and discriminant validity.
The Swedish version of the questionnaire showed good face and content validity. Cronbach's alpha was in the acceptable to excellent range (bladder 0.82, bowel 0.78, prolapse 0.91, and sexual 0.83), showing adequate internal consistency. A comparison of means (≥ 1 point) showed that the questionnaire significantly (p < 0.05) distinguished between women who reported suffering and those who did not. Cohen's kappa for all individual items showed fair to almost perfect agreement (0.24-0.87) between test and retest scores. The intraclass correlation coefficients for domain scores (0.92-0.97) were all in an optimal range.
The Swedish version of the questionnaire is a reliable and valid instrument for assessing pelvic floor disorders, symptom severity, and impact on quality of life during pregnancy and the postpartum period.
德国的“孕妇和产后女性盆底问卷”是一种专门为妊娠和产后时期定制的自我管理问卷，评估了盆底功能的四个领域，包括对膀胱、肠道、脱垂和性功能的感知症状、痛苦和对生活质量的影响。尽管瑞典妊娠和产后盆底功能障碍的患病率很高，但没有类似的问卷。因此，我们旨在将经过验证的德国问卷翻译成瑞典语，并在瑞典人群中测试其有效性和可靠性。
根据指南进行翻译和文化适应性调整。在回答瑞典问卷的 248 名女性中，有 57 名女性两次填写问卷以评估测试-重测信度。我们还评估了内部一致性和判别有效性。
问卷的瑞典版本具有良好的表面和内容有效性。Cronbach's alpha 在可接受到优秀的范围内（膀胱 0.82，肠道 0.78，脱垂 0.91，和性 0.83），表明内部一致性充足。均值比较（≥1 分）表明，问卷显著（p<0.05）区分了报告有痛苦和没有痛苦的女性。所有单个项目的 Cohen's kappa 均显示测试和重测得分之间具有良好到几乎完美的一致性（0.24-0.87）。领域得分的组内相关系数（0.92-0.97）均处于最佳范围。
瑞典版问卷是一种可靠且有效的工具，可用于评估妊娠和产后期间的盆底疾病、症状严重程度和对生活质量的影响。
