本文選題：盆底功能障礙簡表 + 泌尿生殖障礙簡表��； 參考：《福建醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的： 通過跨文化適應(yīng)法翻譯英文版盆底功能障礙簡表（PFDI-20）和泌尿生殖障礙簡表（UDI-6）并對中文版進(jìn)行信度、效度、敏感性分析。 方法: （1）研究對象：隨機(jī)選取南京軍區(qū)福州總院婦產(chǎn)科門診2013年2月至2013年12月符合納入標(biāo)準(zhǔn)的116例盆腔器官脫垂患者和120例尿失禁患者； （2）翻譯：遵循Beaton等提出的問卷跨文化適應(yīng)指導(dǎo)：初譯，，回譯，綜合，再修改，預(yù)試驗。 （3）統(tǒng)計學(xué)方法：驗證PFDI-20中文簡體版和UDI-6中文簡體版的信度、效度、敏感性。 結(jié)果: 第一部分：PFDI-20中文簡體版信度效度分析 （1）病例特征：本研究納入116例盆腔器官脫垂患者，I度20例，II度13例，III度20例，IV度63例。合并尿失禁43例，合并糞失禁6例。 （2）內(nèi)部一致性：Cronbach α系數(shù)為0.790-0.879（0.7），表明量表各條目之間相關(guān)性強(qiáng)。 （3）重測信度：30例患者第2周再次填寫PFDI-20，同類相關(guān)系數(shù)ICC為0.776-0.818（0.7），表明該問卷穩(wěn)定度好。 （4）結(jié)構(gòu)效度：用探索性因子分析評價。公因子方差為0.524-0.890（0.4），累計貢獻(xiàn)率為68.225%（50%），載荷值0.484-0.938(0.4)，該問卷能夠反映量表制作者的期望特征。 （5）效標(biāo)效度：PFDI-20和PFIQ-7的Spearman相關(guān)系數(shù)值為0.722-0.748(0.7, P0.05)，PFDI-20與PFIQ-7呈良好正相關(guān)。 （6）敏感性：35例子宮陰道脫垂患者術(shù)后3-6月再次完成PFDI-20中文版，術(shù)前術(shù)后得分行配對T檢驗，P0.05，差異有統(tǒng)計學(xué)意義，表明該問卷敏感性良好。 第二部分：UDI-6中文簡體版信度效度分析 （1）病例特征：本研究共納入120例尿失禁患者，71例壓力性尿失禁，12例急迫性尿失禁，33例混合性尿失禁，4例其他類型尿失禁。 （2）內(nèi)部一致性：Cronbach α系數(shù)為0.703-0.814（0.7）；表明量表各條目之間相關(guān)性強(qiáng)。 （3）重測信度：20例UI患者在第2周再次完成UDI-6，ICC為0.726-0.846(0.7)，表明該問卷穩(wěn)定性好。 （4）結(jié)構(gòu)效度：公因子方差為0.568-0.812（0.4），公因子累計貢獻(xiàn)率為70.445%（50%），因子載荷值0.695-0.901（0.4），表明該量表符合原量表制作者的理論期望特征。 （5）效標(biāo)效度：UDI-6各量表與IIQ-7的Spearman相關(guān)系數(shù)0.415-0.623(0.4-0.7,P0.05)，兩者呈中等正相關(guān)。 （6）敏感性：25例尿失禁患者術(shù)后3-6個月再次完成UDI-6，術(shù)前、術(shù)后UDI-6得分進(jìn)行配對T檢驗，P0.05，差異有統(tǒng)計學(xué)意義，表明該問卷敏感性良好。 結(jié)論: （1）PFDI-20、UDI-6中文簡體版具有良好的信度、效度、敏感性。 （2）它們能夠分別用于評價盆腔器官脫垂和尿失禁對患者生活質(zhì)量的影響。 （3）它們能夠作為術(shù)前病情評估和術(shù)后療效評價的重要手段。
[Abstract]:Objective: The English version of PFDI-20 and UDI-6 of genitourinary disorders were translated by cross-cultural adaptation. The reliability, validity and sensitivity of the Chinese version were analyzed. Methods: Subjects: 116 patients with pelvic organ prolapse and 120 patients with urinary incontinence were randomly selected from outpatient department of gynecology and obstetrics department of Fuzhou General Hospital of Nanjing military region from February 2013 to December 2013. Translation: follow the cross-cultural guidance provided by Beaton et al.: first translation, back translation, synthesis, revision, pre-experiment. Statistical method: to verify the reliability, validity and sensitivity of PFDI-20 simplified Chinese version and UDI-6 simplified Chinese version. Results: Part one: reliability and validity Analysis of the Chinese simplified version of PFDI-20 (1) case characteristics: this study included 116 patients with pelvic organ prolapse. There were 20 patients with grade I grade I, 13 patients with grade II, 20 patients with grade III and 63 patients with grade IV. There were 43 cases with urinary incontinence and 6 cases with fecal incontinence. (2) the internal consistency is 0.790-0.87970.The coefficient of internal consistency is 0.790-0.8797.The result shows that there is a strong correlation among the items in the scale. The reliability of retest 30 patients was confirmed by filling in PFDI-20 again in the second week. The correlation coefficient of the same type ICC was 0.776-0.8180.70, which indicated that the questionnaire was stable. Structural validity: evaluated by exploratory factor analysis. The variance of the common factor was 0.524-0.890, the cumulative contribution rate was 68.2250.50 and the load value was 0.484-0.9380.The questionnaire could reflect the expected characteristics of the producer of the scale. The Spearman correlation coefficient between PFIQ-7 and PFDI-20 was 0.722-0.7480.The correlation coefficient between PFDI-20 and PFIQ-7 was positive. Sensitivity: 35 cases of uterine vaginal prolapse completed the Chinese version of PFDI-20 again 3 to 6 months after operation. The difference was statistically significant (P 0.05), which indicated that the sensitivity of the questionnaire was good. Part two: reliability and validity of the simplified version of UDI-6 Case characteristics: a total of 120 patients with urinary incontinence were included in this study. There were 71 patients with stress urinary incontinence, 12 patients with urgent urinary incontinence, 33 patients with mixed urinary incontinence and 4 patients with other types of urinary incontinence. (2) the internal consistency: Cronbach 偽 coefficient was 0.703-0.8140.70, which indicated that there was a strong correlation among the items in the scale. In the second week, the UDI-6 ICC was 0.726-0.846 / 0. 7, which indicated that the questionnaire was stable. (4) structural validity: the variance of the common factor was 0.568-0.8120.40.The cumulative contribution rate of the common factor was 70.445, and the factor load value was 0.695-0.9010.0.40, which indicated that the scale accorded with the theoretical expectation characteristics of the original scale maker. (5) the validity of the scale: UDI-6 was positively correlated with the Spearman correlation coefficient of 0.415-0.6230.4-0.7P0.05in IIQ-7. Sensitivity: 25 patients with urinary incontinence completed UDI-6 again 3-6 months after operation. Before and after operation, the UDI-6 score was matched with T test (P0.05), the difference was statistically significant, which indicated that the questionnaire had a good sensitivity. Conclusion: The simplified version of PFDI-20 / UDI-6 has good reliability, validity and sensitivity. They can be used to evaluate the effects of pelvic organ prolapse and urinary incontinence on patients' quality of life. They can be used as an important means to evaluate the preoperative and postoperative outcomes.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R711.5

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相關(guān)期刊論文 前1條

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