修订了视觉模拟尺度和足部健康状况调查问卷的最小重要差异值,当用于脚部跟部疼痛时
Karl B Landorf1, Georgia N Twyford2, Matthew P Cotchett1
1Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia.
Journal of foot and ankle research
|December 16, 2024
概括
这项研究修订了视觉模拟量表 (VAS) 和足部健康状况问卷 (FHSQ) 的最小重要差异 (MID) 在脚部跟部疼痛管理中. 这些更新的MID提供了对患者有意义改善的更精确的测量方法,并指导了未来的研究.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 临床研究方法论 临床研究方法论
背景情况:
- 患者报告的结果测量 (PROM) 如视觉模拟量表 (VAS) 和足部健康状况问卷 (FHSQ) 对于评估脚部跟部疼痛治疗至关重要.
- 之前对这些仪器的最小重要差异 (MID) 的估计可能缺乏足够的有效性和精度.
研究的目的:
- 重新计算和修订VAS和FHSQ的MID,特别是对于患有脚部脚跟疼痛的患者.
- 提高足部部疼痛研究和临床实践中结果评估的准确性和可靠性.
主要方法:
- 采用了基于的方法,利用来自369名参与者的数据,在四个随机对照试验中用于脚部跟部疼痛.
- 汇集的基线和随访数据使用15点利克尔特尺度作为计算MIDs的点进行了分析,用于平均和第一步疼痛 (VAS) 以及足部疼痛和功能 (FHSQ).
主要成果:
- 100毫米VAS的修订MID显示,平均疼痛的变化为-8.5毫米,第一阶段疼痛的变化为-19.2毫米,这意味着疼痛明显改善.
- 修订后的FHSQ的MID显示,足部疼痛改善了12.4分,足部功能改善了6.4分,反映了足部健康状况的改善.
结论:
- 修订后的VAS和FHSQ的MID提供了更有效和更准确的估计,用于评估脚下脚跟疼痛.
- 这些更新的MID对于临床医生和研究人员来解释治疗效果和计划以统计为基础的未来临床试验至关重要.
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