Dimander Josefin, Andersson Agneta, Miclescu Adriana, Huss Fredrik
Department of Surgical Sciences, Plastic Surgery, Uppsala University, 751 85 Uppsala, Sweden.
Burn Centre, Department of Plastic and Maxillofacial Surgery, Uppsala University Hospital, 751 85 Uppsala, Sweden.
Eur Burn J. 2022 Feb 18;3(1):156-164. doi: 10.3390/ebj3010013.
Disease Related Appetite Questionnaire (DRAQ) and Eating Symptom Questionnaire (ESQ) are used to assess nutrition impact symptoms, which are symptoms that can negatively affect the patients' food intake. However, these questionnaires have not yet been adapted to the needs of patients recovering from burn injuries. Our aim was therefore to develop DRAQ and ESQ for assessments of nutrition impact symptoms after burn injury. A content validation index (I-CVI) for items included in DRAQ and ESQ, regarding their relevance for possible nutrition impact symptoms in a burn-injured patient (Likert scale 1-4), was performed by an expert review group. A clarity validation by expert and non-expert reviewers was carried out. Two of the eleven questions in DRAQ and eight of the fourteen questions in ESQ were not considered relevant and were therefore removed from the questionnaires. Five additional questions were added to DRAQ and two to ESQ. A high degree of consensus on relevance (scale-content validity index average, S-CVI/Ave, 0.86 for DRAQ-burn and 0.83 for ESQ-burn) was reached in the expert group. To conclude, it is suggested that we use developed forms of DRAQ and ESQ (DRAQ-burn and ESQ-burn) for the assessment of nutrition impact symptoms, specifically during the rehabilitation phase of burn-injured patients.
疾病相关食欲问卷（DRAQ）和饮食症状问卷（ESQ）用于评估营养影响症状，即可能对患者食物摄入量产生负面影响的症状。然而，这些问卷尚未适应烧伤患者康复的需求。因此，我们的目标是开发DRAQ和ESQ，用于评估烧伤后的营养影响症状。由一个专家评审小组对DRAQ和ESQ中包含的项目进行内容效度指数（I-CVI）评估，评估其与烧伤患者可能的营养影响症状的相关性（李克特量表1-4）。由专家和非专家评审员进行清晰度验证。DRAQ的11个问题中有2个以及ESQ的14个问题中有8个被认为不相关，因此从问卷中删除。DRAQ增加了5个额外问题，ESQ增加了2个。专家组在相关性方面达成了高度共识（量表内容效度指数平均值，DRAQ-烧伤为0.86，ESQ-烧伤为0.83）。总之，建议使用开发的DRAQ和ESQ形式（DRAQ-烧伤和ESQ-烧伤）来评估营养影响症状，特别是在烧伤患者的康复阶段。
