I-HaND©尺度的德语版本的跨文化适应和验证
Marc Ruewe1, Lena Sporer1, Andreas Siegmund1
1Department for Plastic, Reconstructive, and Hand Surgery, University Hospital Regensburg, Germany.
The Journal of hand surgery, European volume
|February 12, 2026
概括
德国影响手部神经障碍 (I-HaND) 尺度现在已被验证用于评估外围神经损伤患者的疼痛和功能. 这种可靠的工具确保了对德语人口的一致结果测量.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 周围神经受伤显著损害了手的功能.
- 手神经障碍的影响 (I-HaND) 尺度是用于疼痛和功能评估的经过验证的英语工具.
- 为了更广泛的临床应用,需要I-HaND尺度的德国版本.
研究的目的:
- 翻译,文化调整和验证I-HaND尺度的德语版本.
- 确保德国I-HaND尺度准确测量神经损伤患者的疼痛和功能.
- 为德语人口提供可靠且文化相关的评估工具.
主要方法:
- 按照国际准则进行跨文化适应,包括前后翻译.
- 与20名德语母语人士进行认知面试,以确保清晰度和文化相关性.
- 在120名患上肢神经损伤的患者中进行验证,评估构造有效性 (与sMHQ相关) 和内部一致性 (Cronbach的alpha).
- 确认因素分析,以评估一个和两个因素模型.
主要成果:
- 德国I-HaND尺度表现出极好的内部一致性 (克朗巴赫的α=0.96).
- 与sMHQ (r = -0.90,p < 0.001) 的强烈负相关性证实了构造的有效性.
- 认知测试证实了出色的理解能力和患者接受度,完成时间中位数为6分钟.
- 确认因素分析支持了两因素模型 (疼痛和运动功能).
结论:
- 德国I-HaND尺度是一个有效,可靠和文化适应的仪器.
- 它可以在患有外围神经损伤的患者中对疼痛和功能进行一致和准确的评估.
- 这种经过验证的工具有助于在德语语的临床环境中更好地测量结果.
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