Li Fanling, Gao Chang, Qu Yan, Hu Xiaohong, Ma Yue, Ding Wenxuan, Li Xiaomei, Zhang Jingjun
School of Nursing, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.
Department of Nursing, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.
Disabil Rehabil. 2024 Oct 30:1-7. doi: 10.1080/09638288.2024.2422467.
This study aimed to translate, adapt, and test the psychometric properties of the Longer-term Unmet Needs after Stroke (LUNS) monitoring tool for Chinese stroke patients.
The LUNS monitoring tool was translated and cross-culturally adapted using the Functional Assessment of Chronic Illness Therapy translation methodology and two rounds of expert consultation. A cross-sectional study was conducted to test the validity and reliability of the Chinese version of the tool from April to October 2023 in Xi'an.
The Chinese version of the LUNS monitoring tool had a Cronbach's alpha value of 0.702 and the ICC was 0.732 ( < 0.001). The I-CVIs were above 0.90 and the S-CVI/Ave was 0.983. The factor analysis extracted eight factors, collectively accounting for 66.283% of the data variance. The correlation coefficient between the LUNS and WSO needs assessment questionnaire was 0.105 ( = 0.019).
The study confirmed good reliability and validity of the Chinese version of the LUNS monitoring tool in measuring the prevalence and level of unmet need in stroke patients. It will help identify the unmet needs of stroke patients, and to guide rehabilitation service response during individual patient consultations, facilitate service development, and inform commissioning decisions.
本研究旨在对适用于中国卒中患者的卒中后长期未满足需求（LUNS）监测工具进行翻译、改编并测试其心理测量学特性。
采用慢性病治疗功能评估翻译方法和两轮专家咨询对LUNS监测工具进行翻译和跨文化改编。2023年4月至10月在西安进行了一项横断面研究，以测试该工具中文版的有效性和可靠性。
LUNS监测工具中文版的Cronbach's alpha值为0.702，组内相关系数（ICC）为0.732（<0.001）。条目水平内容效度指数（I-CVIs）均高于0.90，量表水平内容效度指数（S-CVI/Ave）为0.983。因子分析提取了8个因子，共解释数据方差的66.283%。LUNS与世界卒中组织（WSO）需求评估问卷之间的相关系数为0.105（P = 0.019）。
本研究证实了LUNS监测工具中文版在测量卒中患者未满足需求的患病率和水平方面具有良好的信效度。它将有助于识别卒中患者未满足的需求，指导个体患者咨询期间的康复服务响应，促进服务发展，并为委托决策提供信息。
