Janke Toni Maria, Hester Beke, Jahn Julia, Rusch Judith, Augustin Matthias, Zirkenbach Franziska, Stürmer Ewa Klara, Blome Christine
Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Department of Vascular Medicine, University Heart and Vascular Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
J Patient Rep Outcomes. 2025 Oct 22;9(1):124. doi: 10.1186/s41687-025-00935-9.
The Wound-QoL-17 and its short version, the Wound-QoL-14, measure health-related quality of life in patients with chronic wounds. This study assessed the content validity of this questionnaire.
We recruited adult patients with chronic wounds in outpatient and inpatient settings in Germany. We conducted semi-structured interviews, which were audio-recorded, transcribed verbatim and analysed using qualitative content analysis.
Almost all of the 21 patients (mean age 63 years, n = 16 male) had leg ulcers (n = 11) or diabetic foot ulcers (n = 8). The analysis resulted in six main categories: items; relevance; comprehensibility; comprehensiveness; version Wound-QoL-17 vs. Wound-QoL-14; further aspects. Participants mostly understood the distinct items well and found them easy to answer and relevant to their situation. The overall questionnaire was mostly rated relevant, comprehensible and comprehensive, including instructions, response scale, and recall period.
This study confirms the content validity of the Wound-QoL for patients with leg ulcers or diabetic foot ulcers and shows that it adequately reflects the construct of wound-specific quality of life. The Wound-QoL-17 should be used in clinical settings where differentiated assessment is appropriate. In research contexts where the calculation of scores is paramount, the Wound-QoL-14 should be used.
伤口生活质量量表-17（Wound-QoL-17）及其简版伤口生活质量量表-14（Wound-QoL-14）用于测量慢性伤口患者的健康相关生活质量。本研究评估了该问卷的内容效度。
我们在德国的门诊和住院环境中招募了成年慢性伤口患者。我们进行了半结构化访谈，对访谈进行录音、逐字转录，并使用定性内容分析法进行分析。
21名患者（平均年龄63岁，16名男性）中几乎所有人都患有腿部溃疡（11例）或糖尿病足溃疡（8例）。分析得出六个主要类别：条目；相关性；可理解性；全面性；伤口生活质量量表-17与伤口生活质量量表-14版本；其他方面。参与者大多能很好地理解各个条目，认为它们易于回答且与自身情况相关。整个问卷在包括说明、反应量表和回忆期等方面大多被评为相关、可理解且全面。
本研究证实了伤口生活质量量表对腿部溃疡或糖尿病足溃疡患者的内容效度，并表明它充分反映了伤口特异性生活质量的结构。在适合进行差异化评估的临床环境中应使用伤口生活质量量表-17。在分数计算至关重要的研究背景下，应使用伤口生活质量量表-14。
