杜克活动状态指数 (DASI) 的僧伽罗语翻译、跨文化改编和验证。

IF 2 3区 医学 Q2 ANESTHESIOLOGY
C Ranasinghe, K Kariyawasam, J Liyanage, Y Walpita, U Rajasinghe, A Abayadeera, P Chandrasinghe, M Gunasekara, S Kumarage, M De Silva, K Ranathunga, K Deen, H Ismail
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引用次数: 0

摘要

背景:杜克活动状态指数(DASI)是一种广泛用于评估患者功能能力的工具,但目前还没有针对斯里兰卡患者的僧伽罗语版本。本研究旨在对僧伽罗语版 DASI(DASI-S)进行跨文化改编,并测试其有效性和可靠性:方法:按照标准指南对 DASI 问卷进行了翻译和跨文化改编。该问卷在 10 名术前患者身上进行了预先测试,并作了进一步修改。通过对斯里兰卡国立医院(NHSL)和科伦坡北部教学医院(CNTH)大学外科病房的 81 名等待非心脏手术的患者实施修改后的 DASI-S (包括 12 个项目)以及 36 项短式健康调查(SF-36)的身体功能子量表(包括 10 个项目),评估了 DASI-S 的结构效度和信度。信度通过 Cronbach alpha 进行评估,效度通过因子分析和斯皮尔曼相关性进行评估。研究获得了斯里兰卡科伦坡大学医学院伦理审查委员会的伦理批准:参与者的平均年龄为 46.2 (± 16.6)岁,大多数为女性(54.3%)。样本的平均身高、体重和身体质量指数分别为 160.5 (± 9.6) 厘米、60.3 (± 11.9) 千克和 23.4 (± 4.5) kgm-2。DASI-S 的内部一致性的 Cronbach's α 系数为 0.861。DASI-S 与 SF-36 体能分量表呈正相关(p s = 0.466),这证实了 DASI-S 的并发有效性。僧伽罗语版的 DASI-S 与 SF-36 中的体能分量表呈正相关(p s = 0.466),两者之间存在明显差异(p 结论):僧伽罗语版 DASI 似乎是一种有效、可靠且易于使用的工具,可用于评估等待非心脏手术患者的功能能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Translation, cross-cultural adaptation, and validation of the Duke Activity Status Index (DASI) to Sinhala language.

Background: Duke Activity Status Index (DASI) is a widely used tool to assess functional capacity among patients, but there is no Sinhala version validated for patients in Sri Lanka. This study aimed to cross-culturally adapt and test the validity and reliability of the Sinhala version of DASI (DASI-S).

Methods: The translation and cross-cultural adaptation of the DASI questionnaire were conducted following the standard guidelines. It was pre-tested on ten pre-operative patients and further modified. The construct validity and reliability of DASI-S were evaluated by administering the modified final DASI-S, which comprised 12 items, along with the physical functioning sub-scale of the 36-item short-form health survey (SF-36), consisting of 10 items to eighty-one patients who were awaiting non-cardiac surgeries at university surgical wards, National Hospital of Sri Lanka (NHSL), and Colombo North Teaching Hospital (CNTH), Sri Lanka. Reliability was assessed through Cronbach alpha, while the validity was evaluated using factor analysis and Spearman's correlation. The ethical approval was obtained from the Ethics Review Committee, Faculty of Medicine, University of Colombo, Sri Lanka.

Results: The mean age of the participants was 46.2 (± 16.6) years and the majority were females (54.3%). The mean height, weight, and body mass index of the sample were 160.5 (± 9.6) cm, 60.3 (± 11.9) kg, and 23.4 (± 4.5) kgm-2 respectively. The Cronbach's alpha coefficient for the internal consistency of DASI-S was 0.861. The concurrent validity of DASI-S was substantiated by positively correlating (p < 0.01, rs = 0.466) with the physical sub-scale of SF-36. There was a significant difference (p < 0.01) in the total score of DASI-S between the two age groups.

Conclusions: Sinhala version of the DASI appears to be a valid, reliable and easy-to-administer tool to assess functional capacity among patients who are awaiting non-cardiac surgeries.

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