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评估长期无创通气的 S3-NIV 问卷荷兰语版本的有效性和可靠性。

Validity and reliability of the Dutch version of the S3-NIV questionnaire to evaluate long-term noninvasive ventilation.

机构信息

Department of Pulmonary Diseases and Home Mechanical Ventilation, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Groningen Research Institute of Asthma and COPD (GRIAC), University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

出版信息

Chron Respir Dis. 2024 Jan-Dec;21:14799731241236741. doi: 10.1177/14799731241236741.

Abstract

OBJECTIVES

Noninvasive ventilation (NIV) is an effective treatment for chronic respiratory failure (CRF). Patient-centered outcomes need to be evaluated regularly and the S-NIV questionnaire seems an applicable tool. We translated this short, self-administered questionnaire into a Dutch version and tested its construct validity and reliability.

METHODS

An observational study was conducted, including 127 stable long-term NIV users with CRF or complex sleep related breathing disorders due to different underlying diseases: chronic obstructive pulmonary disease (25%), slowly progressive neuromuscular disorders (35%), rapidly progressive neuromuscular disorders (12%) and 'other disorders' (28%) including complex sleep apnea and obesity hypoventilation syndrome. Construct validity and reliability were tested.

RESULTS

The Dutch version of the questionnaire was obtained after a translation and back-translation process. Internal consistency of the total score was good (Cronbach's α coefficient of 0.78) as well as for the 'respiratory symptoms' subdomain and the 'sleep and side effects' subdomain (Cronbach's α coefficient of 0.78 and 0.69, respectively). The reproducibility was excellent with an intraclass correlation of 0.89 (95% CI 0.87-0.93). Construct validity was good for the 'respiratory symptoms' subdomain.

CONCLUSION

The Dutch S-NIV questionnaire is a reliable and valid tool to evaluate symptoms, sleep, and NIV related side effects in long-term NIV users.

摘要

目的

无创通气(NIV)是治疗慢性呼吸衰竭(CRF)的有效方法。需要定期评估以患者为中心的结局,而 S-NIV 问卷似乎是一种适用的工具。我们将这个简短的自我管理问卷翻译成荷兰语版本,并测试其结构有效性和可靠性。

方法

进行了一项观察性研究,包括 127 名稳定的长期 NIV 使用者,患有 CRF 或因不同潜在疾病引起的复杂睡眠相关呼吸障碍:慢性阻塞性肺疾病(25%)、进展缓慢的神经肌肉疾病(35%)、进展迅速的神经肌肉疾病(12%)和“其他疾病”(28%),包括复杂睡眠呼吸暂停和肥胖低通气综合征。测试了结构有效性和可靠性。

结果

经过翻译和回译过程,获得了问卷的荷兰语版本。总分的内部一致性良好(Cronbach's α 系数为 0.78),“呼吸症状”子域和“睡眠和副作用”子域的内部一致性也很好(Cronbach's α 系数分别为 0.78 和 0.69)。可重复性极好,组内相关系数为 0.89(95%CI 0.87-0.93)。“呼吸症状”子域的结构有效性良好。

结论

荷兰语版 S-NIV 问卷是一种可靠且有效的工具,可用于评估长期使用 NIV 的患者的症状、睡眠和与 NIV 相关的副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a285/10906045/620fd936685b/10.1177_14799731241236741-fig1.jpg

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