School of Basic Medical Science, Guangzhou University of Chinese Medicine, Guangzhou, 510006, China.
Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, 518000, Guangdong, China.
BMC Gastroenterol. 2022 Sep 22;22(1):426. doi: 10.1186/s12876-022-02503-7.
Inflammatory bowel disease (IBD) has become a global public health problem. The prevalence of IBD in China increased annually in past two decades.
This study was to translate and validate the rating form of IBD patients' concerns (RFIPC), and to describe disease-related worries and concerns of patients with IBD. The simplified Chinese version of the RFIPC was developed according to translation and back-translation procedure. Patients with IBD were consecutively enrolled from the First Affiliated Hospital of Guangzhou University of Chinese Medicine. The participants were assessed using the RFIPC and the Short Inflammatory Bowel Disease Questionnaire (SIBDQ). Internal consistency, test-retest reliability, measurement error, confirmatory factor analysis (CFA) and correlation of the RFIPC with the SIBDQ were performed to evaluate the psychometric characteristics of the RFIPC.
A total of 116 patients with IBD, 73 with ulcerative colitis (UC) and 43 with Crohn's disease (CD), were enrolled in this study. Thirty-seven of them recompleted the questionnaires for the second time between 7 and 14 days after the first interview. The results of CFA indicated the original structure of the RFIPC was reasonable. Cronbach's alpha value of the RFIPC were 0.97. The intraclass correlation coefficients of four domains ranged from 0.85 to 0.92. The standard error of measurement was 7.10. The correlation coefficients between total score of the RFIPC and the SIBDQ score ranged from - 0.54 to - 0.70. Median total score of the RFIPC was 39.4 (IQR 24.0-59.3). Patients with severe symptoms reported higher scores of the RFIPC. The uncertain nature of disease, having surgery, having an ostomy bag, developing cancer, feeling out of control, being a burden on others and financial difficulties were highest concerns of patients with IBD. Comparing with patients with UC, patients with CD had more concerns of the ability to have children and being treated as different (P < 0.05).
The simplified Chinese version of RFIPC is a valid and reliable tool. It could be used for assessing disease-related worries and concerns of patients with IBD in China. Specific concerns of patients with UC and CD are different, therefore, health workers should consider the specific needs of UC and CD patients.
炎症性肠病（IBD）已成为全球性公共卫生问题。在过去的二十年中，中国 IBD 的患病率呈逐年上升趋势。
本研究旨在翻译和验证炎症性肠病患者关注点量表（RFIPC），并描述 IBD 患者的疾病相关担忧和关注点。根据翻译和回译程序，开发了简化中文版 RFIPC。从广州中医药大学第一附属医院连续招募 IBD 患者。采用 RFIPC 和简化炎症性肠病问卷（SIBDQ）对患者进行评估。采用内部一致性、重测信度、测量误差、验证性因素分析（CFA）和 RFIPC 与 SIBDQ 的相关性来评价 RFIPC 的心理测量学特征。
本研究共纳入 116 例 IBD 患者，其中溃疡性结肠炎（UC）73 例，克罗恩病（CD）43 例。其中 37 例在首次访谈后 7-14 天内再次完成了问卷。CFA 结果表明，RFIPC 的原始结构合理。RFIPC 的 Cronbach's alpha 值为 0.97。四个领域的组内相关系数范围为 0.85-0.92。测量误差的标准误为 7.10。RFIPC 总分与 SIBDQ 得分的相关系数范围为-0.54 至-0.70。RFIPC 总分中位数为 39.4（IQR 24.0-59.3）。症状严重的患者报告 RFIPC 评分较高。疾病的不确定性、手术、造口、癌症、失控感、给他人带来负担和经济困难是患者最关注的问题。与 UC 患者相比，CD 患者更关心生育能力和被视为异类的问题（P<0.05）。
简化中文版 RFIPC 是一种有效且可靠的工具。它可用于评估中国 IBD 患者的疾病相关担忧和关注点。UC 和 CD 患者的具体关注点不同，因此医护人员应考虑 UC 和 CD 患者的具体需求。
