急性咳嗽住院儿童专用生活质量问卷中文版的信效度分析
Reliability and validity analysis of the Chinese version of the acute cough-specific quality-of-life questionnaire in children hospitalized for acute cough.
作者信息
Jia Wanyu, Zhang Xue, Sun Ruiyang, Li Peng, Liu Jie, Wu Yanwen, Chen Zhiwei, Song Chunlan
机构信息
Henan Province Engineering Research Center of Diagnosis and Treatment of Pediatric Infection and Critical Care, Henan Children's Hospital, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Children's Hospital, No. 1 University South Road, Erqi District, Zhengzhou, 450018, Henan, China.
出版信息
Sci Rep. 2024 Dec 5;14(1):30300. doi: 10.1038/s41598-024-81391-1.
BACKGROUND
Children's physical and emotional health are affected by acute cough. Cough severity and influence on quality of life can be measured with specialized questionnaires. This study aimed to present the Chinese version of the 16-item Parent-proxy Children's Acute Cough-specific Quality of Life Questionnaire (PAC-QoL) and examine its validity and reliability.
METHODS
Using independent translations and counter translations, the Chinese version of the PAC-QoL was translated, and its suitability was evaluated among the families of five coughing children. Children with acute cough who were hospitalized at the Children's Hospital Affiliated to Zhengzhou University from October 2022 to June 2023 were included, and the caregivers were invited to complete the questionnaire and two cough-related measures (visual analogue score (VAS) and verbal category descriptive (VCD) score) on the day of admission and on the 5th day of treatment. Additionally, the questionnaire's internal consistency and concurrent validity were evaluated.
RESULTS
A total of 148 complete and valid questionnaires were collected. Eighty-one males and 67 females composed the 148 children, whose average age was 4.6 years and ranged from 2 to 12 years. Cronbach's alpha coefficients for the three domains and the whole score ranged from 0.824 to 0.978. The VAS and VCD scores showed a strong correlation with the overall and domain scores of the PAC-QoL16. After therapy, there were significant decreases in the cough VAS and VCD scores, while the overall and domain scores of the PAC-QoL16 improved (P < 0.05). Concurrently, correlations were observed between the difference in VAS and VCD scores and the difference in PAC-QoL16 scores before and after treatment.
CONCLUSION
The Chinese version of the PAC-QoL16 has good applicability in Chinese children with acute cough and can reflect the quality of life and disease severity of children with acute cough.
背景
儿童的身心健康会受到急性咳嗽的影响。咳嗽的严重程度及其对生活质量的影响可以通过专门的问卷进行测量。本研究旨在呈现中文版的16项家长代理儿童急性咳嗽特异性生活质量问卷（PAC-QoL），并检验其有效性和可靠性。
方法
通过独立翻译和反向翻译，完成了PAC-QoL的中文版翻译，并在五名咳嗽儿童的家庭中评估了其适用性。纳入2022年10月至2023年6月在郑州大学附属儿童医院住院的急性咳嗽儿童，邀请其照顾者在入院当天和治疗第5天完成问卷以及两项与咳嗽相关的测评（视觉模拟评分（VAS）和言语分类描述（VCD）评分）。此外，还评估了问卷的内部一致性和同时效度。
结果
共收集到148份完整有效的问卷。这148名儿童中，男性81名，女性67名，平均年龄4.6岁，年龄范围为2至12岁。三个领域及总分的Cronbach's α系数在0.824至0.978之间。VAS和VCD评分与PAC-QoL16的总体及领域评分呈强相关。治疗后，咳嗽VAS和VCD评分显著降低，而PAC-QoL16的总体及领域评分有所改善（P < 0.05）。同时，观察到VAS和VCD评分的差异与治疗前后PAC-QoL16评分的差异之间存在相关性。
结论
中文版PAC-QoL16在我国急性咳嗽儿童中具有良好的适用性，能够反映急性咳嗽儿童的生活质量和疾病严重程度。
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