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在中文人群中翻译和验证 17 项伤口生活质量问卷。

Translation and validation of 17-item Wound-QoL questionnaire in a Chinese population.

机构信息

Department of Plastic Surgery & Burns, Peking University First Hospital, Beijing, China.

Nursing Department, Peking University First Hospital, Beijing, China.

出版信息

Int Wound J. 2023 Mar;20(3):659-668. doi: 10.1111/iwj.13907. Epub 2022 Jul 26.

Abstract

We aimed to translate the 17-item questionnaire to measure the quality of life of patients with chronic wounds (Wound-QoL-17) and verify its reliability and validity in the Chinese population. The standard Chinese version of the Wound-QoL-17 was determined through translation, back translation, and cultural adaptation. A total of 121 patients with chronic wounds from the wound center of a tertiary hospital in Beijing were recruited. Through a questionnaire and physical examination, we tested the criterion-related validity, known group validity, structural validity, internal consistency coefficient (Cronbach's alpha), and test-retest correlation. A new structure of four factors was extracted by exploratory factor analysis, and the cumulative contribution rate was 72.23%. The total score and that of the four factors, which were significantly correlated with the EuroQol Five Dimensions Questionnaire (EQ-5D) and the Short Form-36 Health Survey (SF-36) (P < 0.05), also showed statistically significant differences between patients with different pain grades, with or without wound odour, and between different groups of patients reporting wound changes in the past 2 weeks. Cronbach's alpha was between 0.779 and 0.906, while the test-retest reliability was between 0.532 and 0.802. We concluded that the Chinese Wound-QoL-17 has good reliability and validity and is suitable for evaluating the quality of life of patients with chronic wounds.

摘要

我们旨在翻译用于测量慢性伤口患者生活质量的 17 项问卷(Wound-QoL-17),并验证其在中国人群中的信度和效度。通过翻译、回译和文化调适,确定了 Wound-QoL-17 的标准中文版本。共纳入北京一家三级医院伤口中心的 121 例慢性伤口患者。通过问卷调查和体格检查,我们测试了其效标关联效度、已知组效度、结构效度、内部一致性系数(Cronbach's alpha)和重测相关性。探索性因子分析提取出一个新的四因素结构,累计贡献率为 72.23%。总分及四个因子分与 EuroQol Five Dimensions Questionnaire(EQ-5D)和 Short Form-36 Health Survey(SF-36)显著相关(P<0.05),且在不同疼痛程度、有无伤口异味、不同报告伤口在过去 2 周内发生变化的患者组之间也存在显著差异。Cronbach's alpha 在 0.779 到 0.906 之间,重测信度在 0.532 到 0.802 之间。我们得出结论,中文版 Wound-QoL-17 具有良好的信度和效度,适用于评估慢性伤口患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01b5/9927910/085de40361c7/IWJ-20-659-g001.jpg

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