Measurement properties of Chinese-version assessment tools of health-related quality of life in patients with stroke: a systematic review.

IF 2.7 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Quality of Life Research Pub Date : 2025-09-25 DOI:10.1007/s11136-025-04050-6

Linfei Ding, Yunxun Chen, Yan Zhang, Xin Fu, Qin Liu, Xiaoyu Li

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引用次数: 0

Abstract

Purpose: To systematically evaluate the measurement properties of Chinese versions of HRQOL scales for stroke and provide evidence-based recommendations for clinical and research use.

Methods: Ten databases (e.g., CNKI, VIP, PubMed, Embase) were searched from inception to September 2024. Studies evaluating the measurement properties of Chinese HRQOL scales for stroke patients were included. Two researchers independently screened, extracted data, and assessed measurement properties and methodological quality using COSMIN standards.

Results: Thirty-seven studies were included, reporting on content validity, structural validity, internal consistency, reliability, hypotheses testing for construct validity, responsiveness, and measurement error. Two tools demonstrated sufficient content validity and at least low-quality evidence of sufficient internal consistency (Category A), while 17 were classified as Category B.

Conclusions: Although diverse, the overall quality of Chinese versions of HRQOL scales is suboptimal, and further studies are needed. MHIEC-ST and SAQOL-39 g are recommended, with further measurement properties studies needed to refine and enhance these tools.

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卒中患者健康相关生活质量中文版评估工具的测量特性：系统评价

目的：系统评价中文版脑卒中HRQOL量表的测量特性，为临床和研究提供循证建议。方法：检索中国知网（CNKI）、维普（VIP）、PubMed、Embase等10个数据库，检索时间为建库至2024年9月。纳入评价中国脑卒中患者HRQOL量表测量特性的研究。两名研究人员独立筛选、提取数据，并使用COSMIN标准评估测量特性和方法质量。结果：纳入37项研究，报告内容效度、结构效度、内部一致性、信度、构念效度假设检验、反应性和测量误差。2个工具具有足够的内容效度，且至少具有足够的内部一致性的低质量证据（A类），17个工具被归为b类。结论：中文版HRQOL量表虽然种类繁多，但整体质量欠佳，有待进一步研究。建议使用MHIEC-ST和SAQOL-39 g，需要进一步的测量特性研究来完善和增强这些工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Quality of Life Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

8.60%

发文量

224

审稿时长

3-8 weeks

期刊介绍： Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.