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乳腺癌女性外阴阴道症状问卷中文版的心理测量学评估

Psychometric Evaluation of the Chinese Version of the Vulvovaginal Symptom Questionnaire in Women With Breast Cancer.

作者信息

Lee Yueh-Ching, Chang Yuan-Ching, Chou Cheng-Chen, Lin Yen-Kuang, Li Chia-Hui, Liao Yuan-Mei

机构信息

Department of Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei City, Taiwan, ROC.

Department of Nursing, MacKay Junior College of Medicine, Nursing and Management, Taipei City, Taiwan, ROC.

出版信息

J Adv Nurs. 2025 Jul;81(7):3904-3928. doi: 10.1111/jan.16584. Epub 2024 Oct 30.

DOI:10.1111/jan.16584
PMID:39474825
Abstract

AIMS

To evaluate the psychometric properties of the Chinese version of the Vulvovaginal Symptoms Questionnaire for assessing vulvovaginal symptoms and symptom-related influences in women with breast cancer.

DESIGN

A methodological study.

METHODS

Women with breast cancer (n = 202) were recruited from the outpatient department of a hospital. Data were collected between July 2020 and October 2021. Psychometric properties, including internal consistency, test-retest reliability and construct validity, were tested after the translation of the original English-language instrument. The construct validity was examined by testing the hypothesised relationships between the Chinese version of the Vulvovaginal Symptoms Questionnaire with validated instruments associated with quality of life and sexual function and by Confirmatory Factor Analysis.

RESULTS

The internal consistency and test-retest reliability for the Chinese version of the Vulvovaginal Symptoms Questionnaire's total scale and four subscales were satisfactory. The construct validity was confirmed by significant correlations between scores on the Chinese version of the Vulvovaginal Symptoms Questionnaire with the Chinese version of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Cancer 30 and Quality of Life Questionnaire-Breast 23 and the Chinese version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire 12. The Confirmatory Factor Analysis verification results showed that the traditional Chinese-language questionnaire's three- and four-factor models had acceptable model fit indices.

CONCLUSION

We obtained the Chinese version of the Vulvovaginal Symptoms Questionnaire's preliminary and satisfactory psychometric properties. It can help worldwide healthcare professionals adequately assess vulvovaginal symptoms and their influences experienced by Chinese-speaking women with breast cancer.

IMPLICATIONS FOR PRACTICE

The Chinese version of the Vulvovaginal Symptoms Questionnaire can help healthcare professionals and researchers concurrently identify vulvovaginal symptoms and related influences, leading to timely and appropriate management. Well-designed and accessible healthcare services on vulvovaginal and sexual health after breast cancer diagnosis are essential for both healthcare professionals and this population.

REPORTING METHOD

We adhered to the STROBE checklist of cross-sectional studies.

PATIENTS OR PUBLIC CONTRIBUTION

No patient or public engagement..

摘要

目的

评估中文版外阴阴道症状问卷的心理测量特性,以评估乳腺癌女性的外阴阴道症状及症状相关影响因素。

设计

一项方法学研究。

方法

从一家医院的门诊部招募乳腺癌女性患者(n = 202)。于2020年7月至2021年10月收集数据。在对原始英文工具进行翻译后,测试其心理测量特性,包括内部一致性、重测信度和结构效度。通过测试中文版外阴阴道症状问卷与已验证的与生活质量和性功能相关的工具之间的假设关系,并通过验证性因素分析来检验结构效度。

结果

中文版外阴阴道症状问卷的总量表及四个子量表的内部一致性和重测信度令人满意。通过中文版外阴阴道症状问卷得分与中文版欧洲癌症研究与治疗组织生活质量问卷-癌症30、生活质量问卷-乳腺癌23以及中文版盆腔器官脱垂/尿失禁性功能问卷12之间的显著相关性,证实了结构效度。验证性因素分析验证结果表明,繁体中文问卷的三因素和四因素模型具有可接受的模型拟合指数。

结论

我们获得了中文版外阴阴道症状问卷初步且令人满意的心理测量特性。它可以帮助全球医疗保健专业人员充分评估说中文的乳腺癌女性所经历的外阴阴道症状及其影响。

对实践的启示

中文版外阴阴道症状问卷可以帮助医疗保健专业人员和研究人员同时识别外阴阴道症状及相关影响因素,从而实现及时、恰当的管理。乳腺癌诊断后精心设计且可获得的关于外阴阴道和性健康方面的医疗服务,对医疗保健专业人员和这一人群都至关重要。

报告方法

我们遵循了横断面研究的STROBE清单。

患者或公众贡献

未涉及患者或公众参与。

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本文引用的文献

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An online survey on coping methods for genitourinary syndrome of menopause, including vulvovaginal atrophy, among Japanese women and their satisfaction levels.
一项针对日本女性应对包括外阴阴道萎缩在内的绝经后泌尿生殖系统综合征的方法及其满意度的在线调查。
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Side effects of low-dose tamoxifen: results from a six-armed randomised controlled trial in healthy women.低剂量他莫昔芬的副作用:来自健康女性的六臂随机对照试验结果。
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Menopause. 2023 Mar 1;30(3):323-328. doi: 10.1097/GME.0000000000002137. Epub 2023 Jan 4.
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Cross-cultural adaptation and psychometric evaluation of the Brazilian Portuguese version of the Vulvovaginal Symptoms Questionnaire.《外阴阴道症状问卷》巴西葡萄牙语版的跨文化调适与心理计量学评估。
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