Psychometric properties of questionnaires evaluating health-related quality of life and functional status in polytrauma patients with lower extremity injury.

Lian Jansen, Martijn Pm Steultjens, Herman R Holtslag, Gert Kwakkel, Joost Dekker
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引用次数: 10

Abstract

Background: Long term disability is common among polytrauma patients. However, as yet little information exists on how to adequately measure functional status and health-related quality of life following polytrauma.

Aims: To establish the unidimensionality, internal consistency and validity of two health-related quality of life measures and one functional status questionnaire among polytrauma patients.

Methods: 186 Patients with severe polytrauma including lower extremity injury completed the Sickness Impact Profile-136 (SIP-136), the Medical Outcomes Study 36-Item Short Health Survey (SF-36) and the Groningen Activity Restriction Scale (GARS) 15 months after injury. Unidimensionality and internal consistency was assessed by principal components analysis and Cronbach's alpha (alpha). To test the construct validity of the questionnaires, predetermined hypotheses were tested.

Results: The unidimensionality and internal consistency of the GARS and the SF-36, but not the SIP-136 were supported. The construct validity of the SF-36, GARS and to a lesser extent the SIP-136 was confirmed.

Conclusion: The SF-36 and the GARS appear to be preferable for use in polytrauma patients over the SIP-136.

评估下肢损伤多发创伤患者健康相关生活质量和功能状态问卷的心理测量特性
背景:长期残疾在多发外伤患者中很常见。然而,关于如何充分衡量多发创伤后的功能状态和健康相关生活质量的信息很少。目的:探讨两项健康相关生活质量量表和一项功能状态问卷在多发创伤患者中的单维度性、内在一致性和效度。方法:186例包括下肢损伤在内的严重多发外伤患者在伤后15个月完成疾病影响量表-136 (SIP-136)、医学结局研究36项短期健康调查(SF-36)和格罗宁根活动限制量表(GARS)。采用主成分分析和Cronbach’s alpha (alpha)评价单维性和内部一致性。为了检验问卷的结构效度,我们对预先确定的假设进行了检验。结果:支持GARS与SF-36的单维性和内部一致性,而不支持SIP-136。SF-36、GARS和SIP-136的结构效度得到了证实。结论:SF-36和GARS似乎比SIP-136更适合用于多发外伤患者。
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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