一种特定疾病生活质量量表的波兰跨文化适应性：宾夕法尼亚听神经瘤生活质量量表。

Polish cross-cultural adaptation of a disease-specific quality-of-life instrument: The Penn Acoustic Neuroma Quality-of-Life Scale.

作者信息

Bieńkowska Katarzyna, Kostecka Barbara, Ząbek Mirosław, Kokoszka Andrzej, Dzierzęcki Sebastian, Cichoń Ewelina, Turek Grzegorz

机构信息

Second Department of Psychiatry, Medical University of Warsaw, Poland.

Department of Neurosurgery, Postgraduate Medical Centre, Warsaw, Poland.

出版信息

Adv Clin Exp Med. 2025 Jan;34(1):83-90. doi: 10.17219/acem/187862.

DOI:10.17219/acem/187862

PMID:39087823

Abstract

BACKGROUND

The medical community has shown a growing interest in developing methods for measuring and comparing objective patient outcomes coupled with subjective patient assessments. Questionnaires enable healthcare professionals to obtain the patient's perspective about their experienced vestibular schwannomas (VS) symptoms quickly. To date, in Poland, a cross-cultural adapted version of a disease-specific questionnaire for the measurement of quality of life (QoL) in patients with VS has not been produced.

OBJECTIVES

This study aimed to adapt the questionnaire evaluating disease-specific QoL in patients with VS (Penn Acoustic Neuroma Quality-of-Life Scale; PANQOL) to Polish and evaluate its psychometric properties.

MATERIAL AND METHODS

One-hundred twenty-four patients aged between 24 and 85 years (mean (M) = 60.17 ±standard deviation (SD) = 13.27) diagnosed with VS and treated with Gamma Knife were included in the study. We used a questionnaire translated from English into Polish by a bilingual professional, verified through a back-translation. The final version consisted of 26 items. The internal consistency of the Polish version of the PANQOL scale domains was measured using the Cronbach's alpha (α). To verify the validity of PANQOL subscales, a correlation analysis was conducted between the domains of PANQOL and other questionnaires, including the Assessment of Quality of Life (AQoL-8D), the Glasgow Benefit Inventory (GBI), the 5 Well-Being Index (WHO-5), the Skarzynski Tinnitus Scale (STS) for the presence of dizziness, and the Gardner-Robertson classes.

RESULTS

The majority of PANQOL domains showed excellent or good internal consistency (for a PANQOL total of 0.934; for subscales in the range of 0.916-0.424). Our analysis showed strong correlations between the total PANQOL score and AQoL-8D utility score, as well as between the subscales. We observed weak to moderately significant relationships between GBI and PANQOL domains (r = 0.18-0.43), the WHO-5 (r = 0.18-0.56) and the STS scale (r = -0.40- -0.19).

CONCLUSIONS

The results demonstrated that the POL-PANQOL is a reliable and valid questionnaire for measuring QoL.

摘要

背景

医学界对开发测量和比较客观患者结果以及主观患者评估的方法越来越感兴趣。问卷调查使医疗保健专业人员能够快速获得患者对其经历的前庭神经鞘瘤（VS）症状的看法。迄今为止，波兰尚未编制针对VS患者生活质量（QoL）测量的特定疾病问卷的跨文化适应版本。

目的

本研究旨在将评估VS患者特定疾病QoL的问卷（宾夕法尼亚听神经瘤生活质量量表；PANQOL）改编为波兰语，并评估其心理测量特性。

材料与方法

本研究纳入了124例年龄在24至85岁之间（平均（M）=60.17±标准差（SD）=13.27）、诊断为VS并接受伽玛刀治疗的患者。我们使用了由双语专业人员从英语翻译成波兰语的问卷，并通过回译进行了验证。最终版本包括26个项目。使用克朗巴赫α系数（α）测量波兰版PANQOL量表各领域的内部一致性。为了验证PANQOL子量表的有效性，在PANQOL各领域与其他问卷之间进行了相关性分析，这些问卷包括生活质量评估（AQoL-8D）、格拉斯哥获益量表（GBI）、5项幸福感指数（WHO-5）、用于评估头晕情况的斯卡日恩斯基耳鸣量表（STS）以及加德纳-罗伯逊分级。

结果

大多数PANQOL领域显示出优异或良好的内部一致性（PANQOL总分的α系数为0.934；子量表的α系数范围为0.916 - 0.424）。我们的分析表明，PANQOL总分与AQoL-8D效用得分之间以及子量表之间存在强相关性。我们观察到GBI与PANQOL领域之间（r = 0.18 - 0.43）、WHO-5与PANQOL领域之间（r = 0.18 - 0.56）以及STS量表与PANQOL领域之间（r = -0.40 - -0.19）存在弱至中度显著的关系。