Karolina Popławska-Domaszewicz, Jolanta Florczak-Wyspianska, Wojciech Ambrosius, K Ray Chaudhuri, Sławomir Michalak, Wojciech Kozubski
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引用次数: 0
摘要
研究目的：在波兰帕金森病（PD）人群中使用经过验证的帕金森病非运动问卷（NMSQuest）方法进行语言翻译，并将波兰NMSQuest应用于现实生活中的PD人群。临床研究理由：非运动症状是PD患者生活质量的关键驱动因素之一，发生于前驱期至缓解末期。临床识别对于控制这些症状至关重要，PD nmquest是一种全球使用的患者完成验证的PD特异性工具，有助于标记30种常见的临床NMS。材料和方法：使用运动障碍协会推荐的翻译方案，对35名连续的波兰PD患者进行认知预测试和语言翻译。经过验证和翻译的波兰语版本随后被用于来自门诊诊所的70名PD患者（包括35名进行前测的原始患者）（43名男性和27名女性）。患者的平均年龄为67.45岁（40-81岁），平均PD持续时间为12.32年（2-24岁），中位Hoehn and Yahr （HY）评分为3。结果：70例患者，平均年龄67.45岁；平均病程12.32年，范围2 ~ 24岁；中位数HY得分3)通过认知前测试问卷，100%认可使用波兰nmquest的有效性和必要性。随后对波兰nmquest的效用进行的研究表明，它在40-81岁和HY期1-4的大范围PD患者中是可靠的，在所有PD期中，每位患者的平均宣布NMS为6。结论和临床意义：波兰版的nmquest是可靠、有效的，并得到波兰PD患者的认可。随后的临床使用表明，这是一个有用的NMS自我声明标记工具，需要在临床访问中捕获，以便临床护理包括PD的NMS管理。
Polish validation of Parkinson's Disease non-motor questionnaire and clinical use in real life PD patients.
Aim of study: To perform a linguistic translation using validated methodology of the Parkinson's Disease Non-motor Questionnaire (NMSQuest) in a Polish Parkinson's Disease (PD) population, and apply the Polish NMSQuest to a real-life PD population.
Clinical rationale for study: Non-motor symptoms are one of the key drivers of quality of life in PD patients and occur from the prodromal stage to the end palliative stage. Clinical recognition is crucial to manage these symptoms, and the PD NMSQuest is a globally used patient-completed validated PD-specific tool which helps to flag 30 common NMS in the clinic.
Material and methods: Cognitive pretesting and linguistic translation were performed in 35 consecutive Polish PD patients using the translational programme recommended by the Movement Disorders Society. The validated and translated Polish version was then used in 70 consecutive PD patients (including the 35 original patients who performed the pretest) from outpatient clinics (43 males and 27 females). The mean age of the patients was 67.45 years (range 40-81) with a mean duration of PD of 12.32 years (range 2-24) and a median Hoehn and Yahr (HY) score of 3.
Results: 70 patients (mean age 67.45; mean duration of PD 12.32 years range 2-24; median HY score 3) provided 100% endorsement of the usefulness and need for using Polish NMSQuest using a cognitive pretest questionnaire. A subsequent study of the utility of the Polish NMSQuest showed it to be reliable across a large range of PD patients from 40-81 years and HY stages 1-4, with a mean declared NMS per patient of 6 across all stages of PD.
Conclusions and clinical implications: The Polish version of the NMSQuest is reliable, valid and endorsed by Polish PD patients. Subsequent clinical use shows this to be a useful self- declaration flagging tool for NMS which needs to be captured in clinical visits so that clinical care includes management of NMS in PD.
期刊介绍：
Polish Journal of Neurology and Neurosurgery is an official journal of the Polish Society of Neurology and the Polish Society of Neurosurgeons, aimed at publishing high quality articles within the field of clinical neurology and neurosurgery, as well as related subspecialties. For more than a century, the journal has been providing its authors and readers with the opportunity to report, discuss, and share the issues important for every-day practice and research advances in the fields related to neurology and neurosurgery.
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