在印度开发和验证心力衰竭特异性生活质量测量工具
Sivadasanpillai Harikrishnan1, Reethu Salim1, Sanjay Ganapathi1
1ICMR-Centre for Advanced Research and Excellence in Heart Failure (CARE-HF), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
概括
印度为心力衰竭 (HF) 患者开发并验证了一种新的生活质量 (QoL) 工具. 这种灵敏,快速响应的仪器适用于临床实践和研究.
科学领域:
- 心脏病学 心脏病学
- 健康 结果 研究 研究 结果
- 心理测量 心理测量 心理测量
背景情况:
- 心力衰竭 (HF) 显著影响患者的生活质量 (QoL).
- 现有的QoL评估工具可能无法充分捕捉印度HF患者的经验.
- 这种人群需要一个与文化相关的和验证的QOL测量.
研究的目的:
- 开发和验证一种敏感的工具,用于在印度环境中评估心力衰竭 (HF) 患者的QoL.
- 创建一个在临床实践和研究中使用的心理测量声音仪器.
主要方法:
- 一种混合方法的方法,包括文献审查,采访和临床观察.
- 通过专家共识确定的内容和面部有效性.
- 可靠性通过内部一致性 (克朗巴赫α) 和测试-重试 (ICC) 评估,分别在270名和20名高压患者中.
- 因子分析确定了关键领域,并在六个月内评估了响应能力.
主要成果:
- 主要组件因子分析确定了5个关键领域,产生了25项工具.
- 高的内部一致性 (克朗巴赫α=0.915) 和良好的测试重试可靠性 (ICC=0.734).
- 该工具在六个月的时间内对QoL的变化做出了良好的反应.
结论:
- 开发的特定于心力衰竭的QoL工具是印度患者的有效,可靠和敏感的工具.
- 该工具适用于印度的日常临床实践,研究和卫生系统.
- 这是印度为心力衰竭患者开发的首个此类措施.
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