Ferreira Gabriela, Pedras Susana, Louro André, Carvalho André, Pereira M Graça
Psychology Research Centre, School of Psychology, University of Minho, Braga, Portugal.
Psychology for Development Research Center (CIPD), Institute of Psychology and Educational Sciences, University Lusíada, Porto, Portugal.
Disabil Rehabil. 2025 May;47(9):2426-2435. doi: 10.1080/09638288.2024.2392038. Epub 2024 Aug 24.
This study aims to adapt and validate the Foot Health Status Questionnaire, developed by Bennett et al., in Portuguese patients with diabetic foot.
A cross-sectional study was conducted with 143 patients with diabetic foot. A principal component analysis with oblique rotation and a confirmatory factor analysis using structural equation modeling were performed.
The Portuguese version of the FHSQ (FHSQ-PT) in patients with diabetic foot remains equal to the original version, although with all factors correlated with each other. All scales presented high internal consistency values (pain: ω = 0.884; function: ω = 0.890; general foot health: ω = 0.910; and footwear: ω = 0.702), except for the footwear scale, although with a minimum acceptable coefficient. The FHSQ-PT scales showed good convergent validity and good discriminant validity. The FHSQ-PT scales were also able to discriminate between male and female patients as well as between patients with an active diabetic foot ulcer from those who did not.
The results of the validated FHSQ-PT for Portuguese patients with diabetic foot showed good psychometric properties, being a useful, objective, and small instrument that may be used in clinical practice by health professionals without consuming too much time.
本研究旨在对由贝内特等人开发的足部健康状况问卷进行改编并在葡萄牙糖尿病足患者中进行验证。
对143例糖尿病足患者进行了一项横断面研究。进行了带有斜交旋转的主成分分析以及使用结构方程模型的验证性因子分析。
糖尿病足患者的葡萄牙语版足部健康状况问卷（FHSQ-PT）与原始版本相当，尽管所有因子之间相互关联。除鞋类量表外，所有量表均呈现出较高的内部一致性值（疼痛：ω = 0.884；功能：ω = 0.890；足部总体健康：ω = 0.910；鞋类：ω = 0.702），不过鞋类量表的系数也处于可接受的最低水平。FHSQ-PT量表显示出良好的收敛效度和良好的区分效度。FHSQ-PT量表还能够区分男性和女性患者，以及区分有活动性糖尿病足溃疡的患者和无溃疡的患者。
经验证的FHSQ-PT在葡萄牙糖尿病足患者中的结果显示出良好的心理测量特性，是一种有用、客观且简短的工具，可供卫生专业人员在临床实践中使用，且不会耗费过多时间。
