验证和可靠性测试的瑞典版本的乳房-Q重建的验证和可靠性测试
Christian Jepsen1,2, Anna Paganini3,4,5, Emma Hansson6,4
1Department of Plastic Surgery Sahlgrenska University Hospital Röda Stråket 12 SE-413 45 Gothenburg Sweden.
概括
瑞典BREAST-Q重建模块是评估乳房重建后患者满意度和生活质量的有效和可靠工具. 发现了上限效应,表明了高度满意的患者群体的潜在限制.
科学领域:
- 整形外科 整形外科 整形外科
- 患者报告的结果措施 (PROMs)
- 与健康相关的生活质量 (HRQoL)
背景情况:
- 乳房重建的结果越来越多地使用患者报告的结果指标 (PROM) 来评估.
- BREAST-Q重建模块是一个广泛使用的PROM,用于评估满意度和HRQoL.
- 瑞典版本的验证对于其在瑞典的临床应用至关重要.
研究的目的:
- 验证和评估瑞典版本的BREAST-Q重建模块的可靠性.
- 评估患者的满意度和与健康相关的生活质量 (HRQoL) 在乳房重建前后使用瑞典BREAST-Q.
- 为了确定瑞典BREAST-Q重建模块的心理测量特性.
主要方法:
- 对300名接受乳房重建的患者进行了观察性研究.
- 心理测量评估包括内容有效性 (认知面试),内部一致性 (克朗巴赫的α),测试-重试可靠性,收有效性 (vs. EORTC QLQ-BRECON 23) 和响应性 (Wilcoxon排名测试).
- 使用BREAST-Q版本1.0.0进行地板和天花板效应分析.
主要成果:
- 确认内容有效性和可接受的内部一致性 (克朗巴赫的α = 0.70-0.95).
- 证明了良好的测试重复测试可靠性和适度的相关性,支持趋同有效性.
- 在所有领域 (反应能力) 显示显著的术后改善,但在几个领域观察到天花板效应.
结论:
- 瑞典的BREAST-Q重建模块是有效的,可靠的和响应的.
- 在某些领域的上限效应可能会限制高功能人群的敏感性.
- 建议进行分层分析和潜在的尺度改进,以提高灵敏度.
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