Bernstein I, Sejr T, Able I, Andersen J T, Fischer-Rasmussen W, Klarskov P, Lose G, Madsen H, Mortensen S, Tetzschner T, Walter S
Department of Urology, Hvidovre Hospital, University of Copenhagen, Denmark.
Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(1):37-47. doi: 10.1007/BF01895104.
A self-administered questionnaire assessing female lower urinary tract symptoms and their impact on quality of life is described and validated, on 56 females in six participating departments. The patients answered two identical questionnaires on separate occasions before treatment. Test-retest reliability of the questionnaire, correlation between the symptoms and their troublesomeness, and the reproducibility of this correlation were assessed. The percentage of mistakes in answers to each of the questions varied from 1.8% to 49.1%, mainly owing to missing answers in the item groups: appliances, sexual function and social activities. Test-retest showed a repeat frequency of 50.0%-91.0% for symptoms and 44.6%-82.1% for trouble. A highly significant positive correlation was found between symptoms and trouble, which was most pronounced for questions concerning pain and incontinence. This correlation was consistent within time. The primary validation of this questionnaire is good. Its relevance as a basis for medical priority and clinical decision making remains to be investigated.
本文描述并验证了一份用于评估女性下尿路症状及其对生活质量影响的自填式问卷，该问卷在六个参与科室的56名女性中进行了测试。患者在治疗前分别回答了两份相同的问卷。评估了问卷的重测信度、症状与其困扰程度之间的相关性以及这种相关性的可重复性。每个问题答案的错误率在1.8%至49.1%之间，主要是由于项目组（器具、性功能和社交活动）中存在漏答情况。重测结果显示，症状的重复频率为50.0% - 91.0%，困扰程度的重复频率为44.6% - 82.1%。症状与困扰程度之间存在高度显著的正相关，这在关于疼痛和尿失禁的问题上最为明显。这种相关性在不同时间内保持一致。该问卷的初步验证效果良好。其作为医疗优先级和临床决策依据的相关性仍有待研究。
