Kljajić Josipa, Čelan Dušan, Papež Breda Jesenšek, Bojnec Vida
Institute for Physical and Rehabilitation Medicine, University Medical Centre Maribor, Maribor, Slovenia; Department for Extended Hospital Care, General Hospital Ptuj, Ptuj, Slovenia.
Institute for Physical and Rehabilitation Medicine, University Medical Centre Maribor, Maribor, Slovenia; Faculty of Medicine, University of Maribor, Maribor, Slovenia.
J Hand Ther. 2023 Jul-Sep;36(3):730-735. doi: 10.1016/j.jht.2022.06.004. Epub 2022 Aug 7.
The Patient-Rated Wrist and Hand Evaluation (PRWHE) is one of the widely used PROMs in the hand rehabilitation.
To develop the Slovenian version of the PRWHE (PRWHE-Slo) and to evaluate its psychometric properties.
A single-centre observational prospective cohort study.
Fifty patients with distal radius fracture (DRF) were enrolled in the study. Construct validity was assessed by examining the correlations between the PRWHE-Slo and QuickDASH, EQ-5D-5L, wrist ROM, and grip strength. Reliability was evaluated by determining internal consistency (Cronbach...s alpha) and test-retest reliability (intraclass correlation coefficient (ICC)). The standard error of measurement (SEM) and the minimal detectable change (MDC) were determined. The responsiveness of the PRWHE-Slo was assessed with the effect size (ES) and standardised response mean (SRM).
The Cronbach's alpha value of 0.96 and the ICC (95% CI) value of 0.95 showed excellent internal consistency and reliability for the total PRWHE-Slo score. When assessing construct validity of PRWHE-Slo, there was a strong positive correlation between all subscales and total scores of the PRWHE-Slo and the QuickDASH (r-values ranging from 0.72 to 0.83). The unrelated dimensions such as the function subscale of the PRWHE and the mobility and anxiety/depression subscales of the EQ-5D-5L were not statistically significantly correlated. Grip strength was moderately negatively correlated with all PRWHE subscales, whereas ROM showed no statistically significant correlations with any of the PRWHE-Slo subscales. SEM and MDC for the total PRWHE-Slo score were 5.40 and 14.97, respectively. The PRWHE-Slo proved to be highly responsive in DRF patients with SRM and ES values of 1.27 and 0.91, respectively.
The psychometric analysis of this study shows the PRWHE-Slo to be reliable, valid, and responsive PROM for assessing pain and disability in patients after DRF.
患者自评手腕和手部评估量表（PRWHE）是手部康复中广泛使用的患者报告结局测量指标之一。
开发斯洛文尼亚语版的PRWHE（PRWHE-Slo）并评估其心理测量特性。
单中心观察性前瞻性队列研究。
50例桡骨远端骨折（DRF）患者纳入研究。通过检查PRWHE-Slo与QuickDASH、EQ-5D-5L、手腕活动度（ROM）和握力之间的相关性来评估结构效度。通过确定内部一致性（Cronbach's α）和重测信度（组内相关系数（ICC））来评估信度。确定测量标准误（SEM）和最小可检测变化（MDC）。用效应量（ES）和标准化反应均值（SRM）评估PRWHE-Slo的反应度。
PRWHE-Slo总分的Cronbach's α值为0.96，ICC（95%CI）值为0.95，显示出极好的内部一致性和信度。在评估PRWHE-Slo的结构效度时，PRWHE-Slo所有子量表和总分与QuickDASH之间均存在强正相关（r值范围为0.72至0.83）。PRWHE的功能子量表与EQ-5D-5L的活动能力和焦虑/抑郁子量表等不相关维度无统计学显著相关性。握力与所有PRWHE子量表呈中度负相关，而ROM与任何PRWHE-Slo子量表均无统计学显著相关性。PRWHE-Slo总分的SEM和MDC分别为5.40和14.97。PRWHE-Slo在DRF患者中显示出高反应度，SRM和ES值分别为1.27和0.91。
本研究的心理测量分析表明，PRWHE-Slo是评估DRF患者疼痛和残疾情况的可靠、有效且具有反应度的患者报告结局测量指标。
