Sanal-Toprak Canan, Unal-Ulutatar Çagri, Duruöz Evrim, Oz Nuran, Duruöz Mehmet Tuncay
Physical Medicine and Rehabilitation Department, Marmara University School of Medicine, Istanbul, Turkey.
Vocational School of Health Services, Therapy and Rehabilitation Department, Istanbul Rumeli University, Istanbul, Turkey.
Rheumatol Int. 2023 Apr;43(4):751-756. doi: 10.1007/s00296-022-05257-3. Epub 2022 Dec 11.
The objective of this study is to investigate the validity and reliability of the Turkish version of the Arthritis Impact Measurement Scale 2-Short Form (AIMS2-SF). Subjects fulfilling the ACR 2010 classification criteria for RA were enrolled into the study. Scale reliability was investigated using test-retest reliability (intra-class correlation coefficient-ICC) and internal consistency approaches (Cronbach's α). Spearman's rank correlation coefficients evaluated relationships between quantitative parameters and validity. Construct validity was assessed by correlating AIMS2-SF with clinical parameters and functional parameters including, Nottingham Health Profile (NHP), Health Assessment Questionnaire (HAQ), Beck Depression Inventory (BDI) and Duruöz Hand Index (DHI). One hundred and sixteen patients (105 females and 11 males) were recruited. The mean age ± standard deviation (SD) was 52.45 ± 11.48 years. Cronbach's α was 0.88 and the ICC was 0.91. There were significant correlations (rho and p values) with parameters directly related to health-related quality of life (HRQoL); NHP subscales (energy levels: 0.54, pain: 0.62, emotional reaction: 0.50, sleep 0.44, social interaction: 0.51, physical activity: 0.61; p < 0.0005), HAQ (0.60, p < 0.0005), BDI (0.63, p < 0.001) and DHI (0.63, p < 0.0005). Poor or non-significant correlations were found for parameters not directly related to QoL, such as age (0.07, p = 0.45) and disease duration (0.12, p = 0.21); however, disease activity (0.43, p < 0.0005) and NRS pain (0.46, p < 0.0005) were correlated with AIMS2-SF as moderate. The Turkish AIMS2-SF version is a reliable and valid tool that may be used to evaluate QoL for RA. The scale can be easily used in daily practice.
本研究的目的是调查关节炎影响测量量表2简表(AIMS2 - SF)土耳其语版本的有效性和可靠性。符合2010年美国风湿病学会(ACR)类风湿关节炎(RA)分类标准的受试者被纳入本研究。使用重测信度(组内相关系数 - ICC)和内部一致性方法(克朗巴哈α系数)来研究量表的可靠性。斯皮尔曼等级相关系数用于评估定量参数之间的关系及效度。通过将AIMS2 - SF与临床参数和功能参数进行相关性分析来评估结构效度,这些参数包括诺丁汉健康量表(NHP)、健康评估问卷(HAQ)、贝克抑郁量表(BDI)和杜罗兹手部指数(DHI)。共招募了116名患者(105名女性和11名男性)。平均年龄±标准差为52.45±11.48岁。克朗巴哈α系数为0.88,组内相关系数为0.91。与健康相关生活质量(HRQoL)直接相关的参数存在显著相关性(rho值和p值);NHP子量表(能量水平:0.54,疼痛:0.62,情绪反应:0.50,睡眠:0.44,社会交往:0.51,身体活动:0.61;p < 0.0005)、HAQ(0.60,p < 0.0005)、BDI(0.63,p < 0.001)和DHI(0.63,p < 0.0005)。对于与生活质量不直接相关的参数,如年龄(0.07,p = 0.45)和病程(0.12,p = 0.21),相关性较差或无显著相关性;然而,疾病活动度(0.43,p < 0.0005)和数字疼痛评分(NRS疼痛)(0.46,p < 0.0005)与AIMS2 - SF呈中度相关。土耳其语版AIMS2 - SF是一种可靠且有效的工具,可用于评估RA患者的生活质量。该量表在日常实践中易于使用。