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骨髓增殖性肿瘤症状评估表-总症状评分(MPN-SAF TSS或MPN-10)问卷的罗马尼亚语翻译、文化调适及验证

Translation, Cultural Adaptation, and Validation into Romanian of the Myeloproliferative Neoplasm Symptom Assessment Form-Total Symptom Score (MPN-SAF TSS or MPN-10) Questionnaire.

作者信息

Găman Mihnea-Alexandru, Scherber Robyn Marie, Ursuleac Iulia, Crişan Ana Manuela, Bădeliţă Sorina Nicoleta, Ionescu Bogdan Octavian, Ghiaur Alexandra Elena, Brînză Melen, Pîrciulescu Nicoleta, Lascăr Toma Octavian, Diaconu Camelia Cristina, Găman Amelia Maria, Coriu Daniel

机构信息

Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Department of Hematology, Centre of Hematology and Bone Marrow Transplantation, Fundeni Clinical Institute, 022328 Bucharest, Romania.

出版信息

J Clin Med. 2024 Jun 2;13(11):3284. doi: 10.3390/jcm13113284.

Abstract

Patients with myeloproliferative neoplasms (MPNs) experience a high disease-related symptom burden. A specific instrument to evaluate quality of life (QoL), i.e., the MPN Symptom Assessment Form Total Symptom Score (MPN-SAF TSS; MPN-10), was developed. We conducted the translation, cultural adaptation, and validation into Romanian of the MPN-10. We translated the MPN-10 and tested its psychometric properties. We recruited 180 MPN patients: 66 polycythemia vera (36.67%), 61 essential thrombocythemia (33.89%), 51 primary and secondary myelofibrosis (SMF) (28.33%), and 2 MPN-unclassifiable (1.11%). The mean TSS was 19.51 ± 16.51 points. Fatigue, inactivity, and concentration problems were the most cumbersome symptoms. We detected scoring differences between MPN subtypes regarding weight loss ( < 0.001), fatigue ( = 0.006), early satiety ( = 0.007), night sweats ( = 0.047), pruritus ( = 0.05), and TSS ( = 0.021). There were strong positive associations between TSS and inactivity, fatigue, and concentration problems, and moderate negative correlations between QoL scores and all MPN-10 items. Cronbach's α internal consistency coefficient was 0.855. The Kaiser-Meyer-Olkin construct validity test result was 0.870 and the Bartlett Sphericity Test was significant ( < 0.001). Symptom scores were loaded into one single factor according to the exploratory factor analysis. The Romanian MPN-10 version displayed excellent psychometric properties and is a reliable instrument for assessing symptom burden and QoL in Romanian MPN patients.

摘要

骨髓增殖性肿瘤(MPN)患者承受着与疾病相关的高症状负担。为此开发了一种用于评估生活质量(QoL)的特定工具,即MPN症状评估表总症状评分(MPN-SAF TSS;MPN-10)。我们对MPN-10进行了翻译、文化调适并在罗马尼亚语中进行了验证。我们翻译了MPN-10并测试了其心理测量特性。我们招募了180名MPN患者:66例真性红细胞增多症(36.67%)、61例原发性血小板增多症(33.89%)、51例原发性和继发性骨髓纤维化(SMF)(28.33%)以及2例无法分类的MPN(1.11%)。平均TSS为19.51±16.51分。疲劳、活动减少和注意力不集中是最棘手的症状。我们检测到MPN各亚型在体重减轻(<0.001)、疲劳(=0.006)、早饱(=0.007)、盗汗(=0.047)、瘙痒(=0.05)和TSS(=0.021)方面的评分差异。TSS与活动减少、疲劳和注意力不集中之间存在强正相关,QoL评分与所有MPN-10项目之间存在中度负相关。克朗巴哈α内部一致性系数为0.855。凯泽-迈耶-奥尔金结构效度检验结果为0.870,巴特利特球形检验具有显著性(<0.001)。根据探索性因素分析,症状评分加载到一个单一因素中。罗马尼亚语版MPN-10显示出优异的心理测量特性,是评估罗马尼亚MPN患者症状负担和QoL的可靠工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77eb/11172605/0a92d4dc611b/jcm-13-03284-g001.jpg

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