患者自评的手腕和手部评估已成功翻译成斯洛文尼亚语。

The patient-rated wrist and hand evaluation was successfully translated to the Slovenian language.

作者信息

Kljajić Josipa, Čelan Dušan, Papež Breda Jesenšek, Bojnec Vida

机构信息

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.

出版信息

J Hand Ther. 2023 Jul-Sep;36(3):730-735. doi: 10.1016/j.jht.2022.06.004. Epub 2022 Aug 7.

DOI:10.1016/j.jht.2022.06.004

PMID:35948455

Abstract

BACKGROUND

The Patient-Rated Wrist and Hand Evaluation (PRWHE) is one of the widely used PROMs in the hand rehabilitation.

PURPOSE

To develop the Slovenian version of the PRWHE (PRWHE-Slo) and to evaluate its psychometric properties.

STUDY DESIGN

A single-centre observational prospective cohort study.

METHODS

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).

RESULTS

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.

CONCLUSIONS

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.

摘要

背景

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。

目的

开发斯洛文尼亚语版的PRWHE（PRWHE-Slo）并评估其心理测量特性。

研究设计

单中心观察性前瞻性队列研究。

方法

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。

结果

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。