Department of Cardiopulmonary Rehabilitation, University of Health Sciences Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turkey.
Avrasya University Vocational School of Health Services, Trabzon, Turkey.
Turk Kardiyol Dern Ars. 2022 Oct;50(7):512-517. doi: 10.5543/tkda.2022.22383.
The Performance Measure for Activities of Daily Living-8 (PMADL-8) for patients with congestive heart failure is an International Classification of Functioning, Disability, and Health-based Activities of Daily Living (ICF) questionnaire to evaluate disease-specific functional limitations in chronic heart failure (CHF). The purpose of this study was to investigate the reliability and validity of the Turkish version of the PMADL-8 in CHF patients.
In this study, 50 patients with CHF were included. Test-retest reliability of the PMADL-8 was assessed by intraclass correlation coefficient and Cronbach's alpha was calculated for internal consistency. Correlation coefficients between the PMADL-8 and New York Heart Association (NYHA) functional class, Chronic Heart Failure Questionnaire (CHQ), Nottingham Health Profile (NHP) were analyzed for construct validity.
The Cronbach's alpha value of the PMADL-8 test and retest scores were recorded as 0.996, indicating that the scale is highly reliable. Test-retest reliability results of the PMADL-8 (mean intraclass correlation coefficient = 0.996) were excellent. The PMADL-8 score was moderately correlated with the NHP total score (r = 0.629, P < .001) and NHP physical abilities score (r = 0.517, P < .001). The PMADL-8 score was weakly correlated with the NYHA functional class (r = 0.385, P < .006), CHQ dyspnea (r = -0.475, P < .001), CHQ fatigue (r = -0.340, P = .016), and total score (r = -0.367, P = .009).
The Turkish version of PMADL-8 is a reliable and valid assessment tool that could be used to determine activity limitations in CHF. The PMADL-8 is also useful for health professionals during the ICF evaluation of CHF patients.
充血性心力衰竭患者的日常生活活动能力量表 - 8（PMADL-8）是一种基于国际功能、残疾和健康分类（ICF）的日常生活活动（ADL）问卷，用于评估慢性心力衰竭（CHF）患者的特定疾病功能障碍。本研究旨在探讨 PMADL-8 在 CHF 患者中的信度和效度。
本研究纳入了 50 例 CHF 患者。采用组内相关系数评估 PMADL-8 的重测信度，内部一致性采用克朗巴赫系数（Cronbach's alpha）进行评估。分析 PMADL-8 与纽约心脏协会（NYHA）功能分级、慢性心力衰竭问卷（CHQ）、诺丁汉健康调查问卷（NHP）之间的相关性，以评估其结构效度。
PMADL-8 测试和重测的 Cronbach's alpha 值分别为 0.996，表明该量表具有高度可靠性。PMADL-8 的重测信度结果（平均组内相关系数=0.996）非常优秀。PMADL-8 评分与 NHP 总分（r=0.629，P <.001）和 NHP 身体能力评分（r=0.517，P <.001）中度相关。PMADL-8 评分与 NYHA 功能分级（r=0.385，P <.006）、CHQ 呼吸困难（r=-0.475，P <.001）、CHQ 疲劳（r=-0.340，P=.016）和总分（r=-0.367，P=.009）弱相关。
PMADL-8 的土耳其语版本是一种可靠且有效的评估工具，可用于确定 CHF 患者的活动受限情况。PMADL-8 也可用于 CHF 患者的 ICF 评估期间，为健康专业人员提供帮助。
