跨文化调适、翻译及短版神经原性膀胱症状评分阿拉伯文版之验证。

Cross-cultural adaptation, translation, and validation of the Arabic version of the short form of Neurogenic Bladder Symptoms Score.

机构信息

Department of Physical Therapy, Physical Therapy Department for Neuromuscular and Neurosurgical Disorder and Its Surgery, Cairo University, Egypt.

Department of Rehabilitation, Faculty of Medicine, Al Baath University, Homs, Syria.

出版信息

Neurourol Urodyn. 2023 Jun;42(5):1152-1161. doi: 10.1002/nau.25184. Epub 2023 Apr 22.

DOI:10.1002/nau.25184

PMID:37086397

Abstract

BACKGROUND

The Neurogenic Bladder Symptom Score-Short Form (NBSS-SF) evaluates the impact of disease-specific symptoms on the quality of life (QoL) in individuals with neurogenic bladder (NB). There is no data on the validity and reliability of the NBSS-SF questionnaire in the Arabic language, so this study aimed at providing the translation, cultural adaptation, and validation of the Arabic NBSS-SF in patients with multiple sclerosis (MS) and spinal cord injury (SCI).

METHODS

The original English language version of the NBSS-SF was translated into Arabic according to the cultural and linguistic adaptation algorithm. People with SCI and MS completed the NBSS-SF, demographic and clinical information, and Qualiveen QoL questionnaire. Responses were recorded twice within a 14-day period. Psychometric properties such as content validity, construct validity, internal consistency, and test-retest reliability were tested. Internal consistency and test-retest reliability was evaluated using Cronbach's alpha, and the intraclass correlation coefficient (ICC), respectively. Construct validity was assessed by comparing the NBSS-SF with the Qualiveen questionnaire.

RESULTS

Thirty-nine patients with MS and 97 with SCI participated in the study. The internal consistency for the overall NBSS-SF score (Cronbach's α of 0.82) and for each subdomain was variable (urinary incontinence 0.82; storage/voiding 0.73; consequences 0.53). ICC was 0.93 for the overall score and 0.96 for the urinary incontinence subdomain, 0.74 for storage/voiding, and 0.91 for consequences. The correlation analysis showed a significantly strong correlation between the QoL item of NBSS-SF and the Qualiveen total score (r = 0.72, p < 0.000). There was a significant moderate positive correlation between the total scores on the Arabic version of the NBSS-SF and the subdomains of the Qualiveen, including limitations (r = 0.51, p = 0.04), fears (r = 0.57, p = 0.04), feelings (r = 0.46, p = 0.01), and constraints (r = 0.59, p = 0.03).

CONCLUSIONS

Our results showed that the Arabic version of NBSS-SF is a valid and reliable instrument for evaluating neurogenic lower urinary tract dysfunction symptoms in the Arabic population suffering from SCI and MS.

摘要

背景

神经源性膀胱症状评分-简表（NBSS-SF）评估了疾病特异性症状对神经源性膀胱（NB）患者生活质量（QoL）的影响。目前尚无阿拉伯语版 NBSS-SF 问卷的有效性和可靠性数据，因此本研究旨在提供多发性硬化症（MS）和脊髓损伤（SCI）患者的阿拉伯语版 NBSS-SF 的翻译、文化调适和验证。

方法

根据文化和语言适应算法，将原始英文版本的 NBSS-SF 翻译成阿拉伯语。SCI 和 MS 患者完成 NBSS-SF、人口统计学和临床信息以及 Qualiveen QoL 问卷。在 14 天内记录两次响应。测试了内容有效性、结构有效性、内部一致性和测试-重测可靠性等心理测量特性。使用 Cronbach's alpha 评估内部一致性，使用组内相关系数（ICC）分别评估重测信度。通过比较 NBSS-SF 与 Qualiveen 问卷来评估结构有效性。

结果

39 名 MS 患者和 97 名 SCI 患者参与了这项研究。整体 NBSS-SF 评分的内部一致性（Cronbach's α 为 0.82）和每个子域的内部一致性不同（尿失禁 0.82；存储/排空 0.73；后果 0.53）。总体评分的 ICC 为 0.93，尿失禁子域为 0.96，存储/排空为 0.74，后果为 0.91。相关性分析显示，NBSS-SF 的 QoL 项目与 Qualiveen 总分之间存在显著的强相关性（r=0.72，p<0.000）。阿拉伯语版 NBSS-SF 总分与 Qualiveen 的各个子域之间存在显著的中度正相关，包括限制（r=0.51，p=0.04）、恐惧（r=0.57，p=0.04）、感觉（r=0.46，p=0.01）和约束（r=0.59，p=0.03）。