Świątoniowska-Lonc Natalia, Ściborski Krzysztof, Styra Rima, Lüske Claudia M, Węgrzynowska-Teodorczyk Kinga, Frank Derk, Bramlage Peter, Banasiak Waldemar, Doroszko Adrian
Department of Cardiology, Centre for Heart Diseases, 4th Military Hospital, 50-981 Wroclaw, Poland.
Center for Mental Health, University Health Network, Toronto, ON M5G 2M9, Canada.
J Clin Med. 2025 Apr 7;14(7):2502. doi: 10.3390/jcm14072502.
Quality of life (QoL) is recognized as a clinically significant outcome measure among patients with aortic stenosis (AS). However, there is no validated, AS-specific questionnaire available in Poland for assessing the QoL in AS patients. The aim of the study was to determine the psychometric properties of the Polish version of the Toronto Aortic Stenosis Quality of Life Questionnaire (the TASQ). The study involved 113 patients with severe AS (including 59 women), aged 74 to 82 years [mean age 77 years], hospitalized at the department of cardiology in 2024. The standardized questionnaires were used to assess the level of QoL, the TASQ, and the Minnesota Living with Heart Failure Questionnaire (the MLHFQ). The mean QoL level assessed by the TASQ was 60.72 ± 22.82. The Cronbach's alpha for the entire TASQ was 0.919, for the emotional impact subscale 0.873, and for the physical limitation subscale 0.861. Satisfactory values of fit measures were obtained for a five-factor structure (RMSEA < 0.01; CFI > 0.99). The loadings of each item were statistically significant ( < 0.001). The MLHFQ score correlated significantly ( < 0.001) and positively (r > 0) with the score on the scales of physical symptoms (r = 0.479), physical limitations (r = 0.662), social limitations (r = 0.597), emotional impact (r = 0.638), and overall QoL (r = 0.712). Patients with severe AS exhibit low QoL. The TASQ has very good psychometric properties and can be used to assess the QoL in the population of Polish patients with AS.
生活质量（QoL）被认为是主动脉瓣狭窄（AS）患者临床上一项重要的预后指标。然而，波兰没有经过验证的、专门针对AS的问卷来评估AS患者的生活质量。本研究的目的是确定波兰版多伦多主动脉瓣狭窄生活质量问卷（TASQ）的心理测量特性。该研究纳入了2024年在心脏病科住院的113例重度AS患者（包括59名女性），年龄在74至82岁之间[平均年龄77岁]。使用标准化问卷评估生活质量水平、TASQ以及明尼苏达心力衰竭生活问卷（MLHFQ）。TASQ评估的平均生活质量水平为60.72±22.82。整个TASQ的Cronbach's alpha系数为0.919，情感影响子量表为0.873，身体限制子量表为0.861。对于五因素结构，拟合指标获得了令人满意的值（RMSEA<0.01；CFI>0.99）。每个条目的负荷具有统计学意义（<0.001）。MLHFQ评分与身体症状量表（r = 0.479）、身体限制（r = 0.662）、社会限制（r = 0.597）、情感影响（r = 0.638）和总体生活质量（r = 0.712）的评分显著相关（<0.001）且呈正相关（r>0）。重度AS患者的生活质量较低。TASQ具有非常好的心理测量特性，可用于评估波兰AS患者群体的生活质量。
