Rodriguez-Parra Juan David, Navarrete Norberto
Burns and Plastic Surgery Unit, Hospital Simón Bolivar, Bogotá, Colombia; Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia.
Burns and Plastic Surgery Unit, Hospital Simón Bolivar, Bogotá, Colombia; Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia.
Burns. 2025 Aug;51(6):107568. doi: 10.1016/j.burns.2025.107568. Epub 2025 Jun 4.
The Burn-Specific Health Scale-Brief (BSHS-B) questionnaire is a widely validated tool for assessing health-related quality of life (HRQoL) in patients with burns. There is no version appropriate for low- and middle-income Spanish-speaking countries. This study aimed to translate, culturally adapt, and psychometrically validate a version in Latin American Spanish (BSHS-BE).
First, we translated and culturally adapted the BSHS-B into Latin American Spanish. Then, the questionnaire underwent psychometric validation and reliability evaluation using the Short-Form 36 Health Survey and the Patient Health Questionnaire-2.
The BSHS-BE assessed the clinical relevance of each item in terms of content validity. The BSHS-BE demonstrated good discriminatory ability in patients with hand or face burns, TBSA > 15 %, required surgical intervention, and those at risk of depressive disorder. The relationship between the BSHS-BE and SF-36 was analyzed by estimating the correlation coefficients using Spearman's rank. An exploratory factor analysis (EFC) was conducted using a seven-domain model, extracting factors using the Velicer Partial Mean Averages test, and analyzing with a maximum likelihood factor extraction with oblimin rotation to compute the factor structure of items of the BSHS-BE, explaining 71 % of variability. Internal consistency was determined for the BSHS-BE using Cronbach's alpha for each domain and the total score.
The BSHS-BE is a valid, reliable, and culturally adapted tool for assessing the HRQoL of patients with burns, which supports multidisciplinary management, thereby improving quality of life.
烧伤特异性健康量表简表（BSHS - B）问卷是一种广泛验证的工具，用于评估烧伤患者与健康相关的生活质量（HRQoL）。目前尚无适用于低收入和中等收入西班牙语国家的版本。本研究旨在翻译、进行文化调适并对拉丁美洲西班牙语版本（BSHS - BE）进行心理测量学验证。
首先，我们将BSHS - B翻译成拉丁美洲西班牙语并进行文化调适。然后，使用简短健康调查简表36和患者健康问卷 - 2对该问卷进行心理测量学验证和信度评估。
BSHS - BE在内容效度方面评估了每个条目的临床相关性。BSHS - BE在手部或面部烧伤、烧伤总面积>15%、需要手术干预以及有抑郁障碍风险的患者中显示出良好的区分能力。通过使用Spearman秩相关系数估计来分析BSHS - BE与SF - 36之间的关系。使用七领域模型进行探索性因子分析（EFC），使用Velicer部分均值平均检验提取因子，并使用具有斜交旋转的最大似然因子提取进行分析，以计算BSHS - BE各条目的因子结构，解释了71%的变异性。使用Cronbach's alpha对BSHS - BE的每个领域和总分确定内部一致性。
BSHS - BE是一种有效、可靠且经过文化调适的工具，用于评估烧伤患者的HRQoL，支持多学科管理，从而改善生活质量。
