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中文版阿伯丁静脉曲张问卷(AVVQ)在下肢静脉曲张患者中的心理测量学特性:一项横断面研究

Psychometric Properties of the Chinese Version of Aberdeen Varicose Veins Questionnaire (AVVQ) in Patients With Varicose Veins of Lower Extremity: A Cross-Sectional Study.

作者信息

Wang Chen, Yang Wenjing, Shen Xiaojun, Xu Jing, Wang Xia, Ji Chao, Hu Siwen

机构信息

School of Nursing, Xuzhou Medical University, Xuzhou, Jiangsu Province, China.

Department of Obstetrical, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.

出版信息

Res Nurs Health. 2025 Apr;48(2):100-109. doi: 10.1002/nur.22431. Epub 2024 Dec 5.

DOI:10.1002/nur.22431
PMID:39632677
Abstract

Varicose veins in the lower extremities significantly impairs patients' quality of life, highlighting the importance of targeted quality of life assessments for specific diseases. The Aberdeen Varicose Vein Questionnaire (AVVQ) was specifically designed to assess the impact of lower extremity varicose veins on quality of life. This study comprised two phases: in the first phase, the AVVQ was translated and culturally adapted, and the second phase was an evaluation of the psychometric characteristics of the Chinese version of AVVQ in 328 patients with varicose veins of lower extremities. Confirmatory factor analysis revealed that the Chinese AVVQ comprises 13 items distributed across four dimensions, accounting for a total variance of 61.74%, with a Cronbach's α of 0.745 and a content validity index of 0.908. Furthermore, there was a negative correlation between the AVVQ scores and the SF-36. In addition, the difference in AVVQ scores by CEAP classification was statistically significant. These findings affirmed the Chinese version of the AVVQ as both reliable and valid, making it a valid tool for evaluating the quality of life in Chinese patients with varicose veins and applicable across various international contexts and diverse patient populations.

摘要

下肢静脉曲张会显著损害患者的生活质量,凸显了针对特定疾病进行生活质量评估的重要性。阿伯丁静脉曲张问卷(AVVQ)专门用于评估下肢静脉曲张对生活质量的影响。本研究包括两个阶段:第一阶段对AVVQ进行翻译和文化调适,第二阶段对328例下肢静脉曲张患者的中文版AVVQ进行心理测量学特征评估。验证性因素分析显示,中文版AVVQ由13个项目组成,分布在四个维度上,累计方差贡献率为61.74%,Cronbach's α系数为0.745,内容效度指数为0.908。此外,AVVQ得分与SF-36呈负相关。另外,按CEAP分类的AVVQ得分差异具有统计学意义。这些结果证实中文版AVVQ具有可靠性和有效性,使其成为评估中国静脉曲张患者生活质量的有效工具,适用于各种国际背景和不同患者群体。

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