开发和初步验证一种新的胸壁特定生活质量仪器-C-QoL的开发和初步验证
Suzanne F M Van Wijck1, Kaitlin A Ritter, Esther M M Van Lieshout
1From the Trauma Research Unit Department of Surgery, Erasmus MC (S.F.M.V.W., E.M.M.V.L., M.M.E.W,), University Medical Center Rotterdam, Rotterdam, The Netherlands; Department of Surgery (K.A.R.), MetroHealth Medical Center, Cleveland, Ohio; Department of Surgery (A.R.D.), Saint Francis Hospital and Medical Center, Hartford, Connecticut; Section of Acute Care Surgery, Department of Surgery (J.D.F.), Stanford University, Stanford; Division of Acute Care Surgery (H.A.L.), Loma Linda University Health, Loma Linda, California; Chest Wall Injury Society (S.A.W.), Salt Lake City, Utah; and Department of Surgery (F.M.P), Denver Health Medical Center, University of Colorado School of Medicine, Denver, Colorado.
开发和验证了一个新的胸壁损伤生活质量 (C-QoL) 问卷. 该工具可靠地测量胸壁受伤患者的生活质量,解决了当前评估中的差距.
科学领域:
- 胸部外科手术 胸部外科手术
- 生活质量研究 研究 生命质量研究
- 健康结果 测量 测量
背景情况:
- 生活质量 (QoL) 对胸壁损伤 (CWI) 患者至关重要.
- 现有的胸部特异性 QoL 仪器缺乏.
- 需要对CWI干预措施进行细分评估.
研究的目的:
- 开发一个有效和可靠的CWI特定的生活质量 (C-QoL) 问卷.
- 为解决CWI患者缺乏专门的QOL仪器的问题.
- 改善对胸壁损伤的干预措施的评估.
主要方法:
- 在CWI文献中对现有的QoL工具进行系统审查.
- 修改的德尔菲共识过程,涉及22名国际CWI专家.
- 临床验证研究与成年人≥1肋骨骨折,评估可靠性和构造有效性使用SF-36.
主要成果:
- 该C-QoL工具的开发涉及五个领域:疼痛,身体,一般健康,社会经济和心理功能.
- 154名参与者的平均 QoL 分数为 34;分级分数各不相同,疼痛分数最低 (中位数为 29),心理健康最高 (中位数为 55).
- C-QoL显示出足够的可靠性 (Cronbach alpha 0.70-0.95),构造有效性,没有地板或天花板效应,与受伤严重程度相反相关.
结论:
- C-QoL仪器是测量CWI特定的QoL的可靠和有效工具.
- 需要进一步的前性研究来进行外部验证.
- 未来的研究应该专注于响应性,测量误差和C-QoL的最小重要变化.
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