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土耳其版鸡胸畸形评估问卷在接受压迫矫形器治疗鸡胸畸形患者中的心理测量特性。

Psychometric properties of the Turkish version of the Pectus Carinatum Evaluation Questionnaire used in patients with pectus carinatum treated with compression orthosis.

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.

Chest Wall Deformities and Pectus Association, Istanbul, Turkey.

出版信息

Prosthet Orthot Int. 2023 Jun 1;47(3):313-320. doi: 10.1097/PXR.0000000000000173. Epub 2022 Aug 25.

Abstract

BACKGROUND

The Pectus Carinatum Evaluation Questionnaire (PCEQ) was developed for use in patients with pectus carinatum (PC) treated with compression orthosis. The questionnaire can be used to develop a strict program in the early follow-up period or to improve patients' compliance with the treatment after treatment initiation and to improve the quality of life.

OBJECTIVE

This study aimed to evaluate the psychometric properties of the Turkish version of the PCEQ in patients with PC treated with compression orthosis.

STUDY DESIGN

Validity and reliability study.

METHODS

This study included 52 volunteer patients with PC, aged 10-18 years. The Cronbach α coefficient, a measure of internal consistency, was used to check questionnaire reliability, and test-retest reliability (intraclass correlation coefficient) was used to check consistency over time. Construct validity was analyzed (correlation analysis) with the days/hours of orthosis use.

RESULTS

The reliability of the Turkish version of the PCEQ was found to have acceptable-to-sufficient-to-excellent internal consistency (Cronbach α coefficient = 0.701-915). Test-retest reliability calculated for investigating the reliability of the questionnaire over time was found to be excellent (intraclass correlation coefficient = 0.880-0.941). Furthermore, treatment compliance hours (r = 0.280, P = 0.044) and days (r = 0.299, P = 0.032) were found to be associated with parents' influence at a low level and with time to compliance at a moderate level (r = -0.449-457, P = 0.001).

CONCLUSION

The Turkish version of the PCEQ used in patients with PC treated with compression orthosis was found to have sufficient-to-excellent validity and reliability and could be used to develop a strict program for patients with PC using the orthosis or to improve patients' treatment compliance after treatment initiation. Using this questionnaire may be important to assist the team members in the clinical decision-making process.

摘要

背景

鸡胸评估问卷(PCEQ)是专为接受压迫矫形器治疗的鸡胸(PC)患者开发的。该问卷可用于在早期随访期间制定严格的方案,或提高患者对治疗的依从性并改善生活质量。

目的

本研究旨在评估接受压迫矫形器治疗的 PC 患者的土耳其语版 PCEQ 的心理测量特性。

研究设计

有效性和可靠性研究。

方法

本研究纳入了 52 名 10-18 岁的自愿 PC 患者。采用克朗巴赫 α 系数(一种衡量内部一致性的指标)检验问卷的信度,采用测试-重测信度(组内相关系数)检验随时间的一致性。采用与矫形器使用天数/小时的相关性分析来分析结构效度。

结果

土耳其语版 PCEQ 的可靠性被发现具有可接受至良好至优秀的内部一致性(克朗巴赫 α 系数=0.701-0.915)。为研究问卷随时间的可靠性而计算的测试-重测信度被发现极好(组内相关系数=0.880-0.941)。此外,治疗依从性小时数(r=0.280,P=0.044)和天数(r=0.299,P=0.032)与父母的影响呈低度相关,与依从性时间呈中度相关(r=-0.449-0.457,P=0.001)。

结论

用于接受压迫矫形器治疗的 PC 患者的土耳其语版 PCEQ 被发现具有良好至优秀的有效性和可靠性,可用于为使用矫形器的 PC 患者制定严格的方案,或提高治疗启动后的患者治疗依从性。使用该问卷可能有助于团队成员在临床决策过程中做出决策。

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