验证巴西 10 项 Cervantes 量表用于评估更年期症状。

Validation of the Brazilian 10-item Cervantes Scale for the assessment of menopausal symptoms.

机构信息

Universidade Federal do Rio Grande do Sul Porto AlegreRS Brazil Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

Universidad de Zaragoza Zaragoza España Universidad de Zaragoza, Zaragoza, España.

出版信息

Rev Bras Ginecol Obstet. 2024 Mar 15;46. doi: 10.61622/rbgo/2024AO07. eCollection 2024.

DOI:10.61622/rbgo/2024AO07

PMID:38765526

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11075430/

Abstract

OBJECTIVE

To validate the 10-item Cervantes Scale (CS-10) among Brazilian women.

METHODS

This is a cross-sectional observational study involving women in the community aged 40-55 years in the Southern region of Brazil. They completed a general health, habits and socio-demographic questionnaire, the CS-10 and the Women's Health Questionnaire (WHQ). Women unable to understand the survey, not consenting to participate, or having incapacity imposing difficulties during the completion of the questionnaire were excluded. A Confirmatory Factor Analysis (CFA) was conducted with the AMOS 16.0 software. Chi-square of degrees of freedom (χ2/df), the Comparative Fit Index (CFI), the Tucker-Lewis Index (TLI) and the Root-Mean-Square Error of Approximation (RMSEA) were used as indices of goodness of fit. Cronbach's alpha coefficient was used for internal consistency.

RESULTS

A total of 422 women were included (premenopausal n=35, perimenopausal n=172, postmenopausal n=215). The CFA for the CS-10 showed a good fit (χ²/df=1.454, CFI=0.989; TLI=0.985; RMSEA=0.033; CI 90%=0.002-0.052; PCLOSE=0.921; Model p=0.049). Good reliability was established in CS-10 and WHQ (Cronbach's alpha=0.724). Postmenopausal women had higher total CS-10 scores (p≤0.0001), reflecting worse quality of life (QoL) related to menopause symptoms and confirming the greater symptomatology evaluated by high total scores for WHQ found in this population when compared to those in the premenopausal period (p=0.041).

CONCLUSION

The CS-10 is a consistent tool for health-related QoL in Brazilian mid-aged women.

摘要

目的

验证 10 项 Cervantes 量表（CS-10）在巴西女性中的有效性。

方法

这是一项横断面观察性研究，涉及巴西南部地区年龄在 40-55 岁的社区女性。她们完成了一般健康、习惯和社会人口学问卷、CS-10 和妇女健康问卷（WHQ）。不理解调查、不同意参与或因能力丧失而在完成问卷时遇到困难的女性被排除在外。使用 AMOS 16.0 软件进行验证性因子分析（CFA）。自由度的卡方与（χ2/df）、比较拟合指数（CFI）、塔克-刘易斯指数（TLI）和近似均方根误差（RMSEA）被用作拟合优度的指标。克朗巴赫的α系数用于内部一致性。

结果

共纳入 422 名女性（绝经前 n=35，围绝经期 n=172，绝经后 n=215）。CS-10 的 CFA 显示出良好的拟合度（χ²/df=1.454，CFI=0.989；TLI=0.985；RMSEA=0.033；CI 90%=0.002-0.052；PCLOSE=0.921；模型 p=0.049）。CS-10 和 WHQ 的可靠性良好（克朗巴赫的α=0.724）。绝经后女性的 CS-10 总分较高（p≤0.0001），反映了与绝经症状相关的生活质量（QoL）更差，并证实了该人群的 WHQ 总评分较高时评估的症状更为严重，与绝经前时期相比（p=0.041）。