俄罗斯神经系统患者盆腔器官功能问卷的验证

E. Korshunova, D. Yusupova, A. Zimin, T. M. Pyatnitskaya, A. Zaitsev, K. A. Yatsko, N. V. Polekhina, N. Belova, M. Korshunov, D. Korshunov, S. Darenkov, N. Suponeva, R. Sakakibara
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引用次数: 1

摘要

背景。膀胱和肠道功能障碍以及性功能障碍可能是由盆腔器官本身的病变或神经系统对这些器官的控制发生变化引起的。现代问卷是器官特异性的,用于特定的神经系统疾病。盆腔器官功能问卷是评估神经科患者主诉的重要工具,因此有必要编制官方俄文版的盆腔器官功能问卷。俄语版盆腔器官功能问卷的创建及其在神经系统疾病患者队列中的验证。材料和方法。根据国际标准,问卷的验证包括语言和文化适应以及心理测量特性的评估。俄语问卷版本的批准是直接从开发者Ryuji Sakakibara那里获得的。在治疗前和治疗后对问卷进行了两次测试。18岁以上患者48例(帕金森病患者18例,多发性硬化症15例,脑卒中后患者15例)。患者的中位(IQR)年龄为56.5(42-70.5)岁。在语言和文化适应过程中编制了问卷的俄文版本。这个版本的调查问卷刊登在本出版物的正文中。在神经病学研究中心国际量表和问卷验证组的网站上也可以找到。在验证的第二阶段,结果表明,入院时样本的平均得分为每题2.03±0.52,出院时的平均得分显著下降至每题1.91±0.51 (Wilcoxon检验,p小于0.0001)。这证实了问卷对临床情况变化的高度敏感性。Cronbach’s alpha系数为0.82 (p小于0.001)。这表明问卷的内部一致性较高。显著的Spearman系数证明所研究的问卷与已编制的问卷相比具有标准效度。这个俄语版本的盆腔器官功能问卷是一个有用的评估工具,病人的投诉和疾病动态。这项工作作为将外国量表或调查问卷适应当地卫生保健系统的一个有价值的例子。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Validation of a questionnaire on pelvic organ function for neurological patients in Russia
Background. Dysfunction of the bladder and intestinal tract, as well as sexual disorders, can be caused by pathologies of the pelvic organs themselves or changes in the control of these organs by the nervous system. Modern questionnaires are organ-specific and are intended for specific neurological disorders. Questionnaire on pelvic organ function is a valuable instrument for evaluation of complaints from neurological patients, therefore there is a necessity of creating an official adapted Russian version.Aim. Creation of a Russian-language version of the pelvic organ function questionnaire and its validation on a cohort of patients with neurological diseases.Materials and methods. Following international standards, validation of the questionnaire included linguistic and cultural adaptation and assessment of its psychometric properties. Approval of the Russian-language questionnaire version was obtained directly from the developer, Ryuji Sakakibara. The questionnaire was tested twice – before and after treatment. There were 48 patients over 18 years old (18 with Parkinson’s disease, 15 with multiple sclerosis, and 15 post-stroke).Results. The Median (IQR) age of patients was 56.5 (42–70.5) years. A Russian-language version of the questionnaire was developed during linguistic and cultural adaptation. This version of the questionnaire is posted in the text of this publication. It is also available on the website of the validation group of the international scales and questionnaires of the Research Center of Neurology. At the 2nd stage of validation, it was shown that the mean score in the sample was 2.03 ± 0.52 per question upon admission to the hospital and decreased significantly to 1.91 ± 0.51 per question on discharge (Wilcoxon test, p ˂ 0.0001). It confirms the questionnaire’s high sensitivity to changes in the clinical picture. Cronbach’s alpha coefficient was 0.82 (p ˂ 0.001).It indicates the high level of internal consistency of the questionnaire. Significant Spearman’s coefficients prove criterion validity of the studied questionnaire compared to the established questionnaires.Conclusion. This Russian-language version of the pelvic organ function questionnaire is a useful assessment tool for patients’ complaints and disease dynamics. This work is valuable as an example of adapting a foreign scale or questionnaire to the local health care system. 
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