女性改良自我形象評分與糞失禁生活質(zhì)量問卷中文版本研制與中國人群驗(yàn)證
發(fā)布時(shí)間：2018-09-13 21:31
【摘要】：背景 盆底功能障礙性疾病(PFD)是一組以尿失禁(UI)、糞失禁(FI)和盆腔臟器脫垂(POP)為主的功能障礙性疾病,臨床上,PFD常合并發(fā)生。PFD雖然很少引起嚴(yán)重的合并癥和死亡率,卻可以顯著影響患者的生活質(zhì)量。在PFD的評估中,患者癥狀的緩解和生活質(zhì)量的改善,己經(jīng)與解剖結(jié)構(gòu)的恢復(fù)被提到了同等高度。而以患者為客觀主體的調(diào)查問卷,則是評價(jià)患者的生活質(zhì)量最有效的手段。目前國際上應(yīng)用于PFD的問卷主要為英文問卷,非英語國家的問卷經(jīng)翻譯后需要經(jīng)過心理測量學(xué)驗(yàn)證后方可使用。我院婦產(chǎn)科已完成對完成對盆腔器官脫垂與尿失禁性功能問卷簡版(Prolapse and Incontinence Sexual Function Questionnaire Short Form, PISQ-12)、盆底功能影響問卷簡版(Pelvic Floor Impact Questionnaire short form, PFIQ-7)及尿失禁影響問卷簡版(Incontinence Impact Questionnaires short form, IIQ-7)的譯制和驗(yàn)證。但關(guān)于糞失禁生活質(zhì)量的問卷,我國目前仍是空白,是亟待解決的重要問題。 MRKH綜合征(Mayer-Rokitansky-Kiister-Hauser Syndrome,MRKH)是女性生殖道畸形的一種,表現(xiàn)為先天性無子宮無陰道。研究顯示,MRKH患者容易出現(xiàn)心理問題,如對自尊心及自我形象的否定等。國外許多研究均推薦MRKH患者進(jìn)行心理輔導(dǎo),然而目前國內(nèi)這方面的研究還是空白。通過患者對自我形象的評價(jià),可以了解患者的心理狀態(tài)。改良自我形象評價(jià)量表(Modified Body Image Scale,MBIS)是目前國際上在自我形象評價(jià)方面應(yīng)用最廣泛的量表,主要應(yīng)用于腫瘤患者的自我形象評價(jià),在盆腔臟器脫垂患者中也有應(yīng)用。為此,我們希望通過MBIS在MRKH患者中的應(yīng)用,了解患者的心理狀態(tài),指導(dǎo)我們的臨床工作。 目的 1.引進(jìn)簡體中文版的改良自我形象評價(jià)量表(MBIS),對其進(jìn)行中國人群信度和效度的驗(yàn)證,推進(jìn)其在臨床中的應(yīng)用。 2.引進(jìn)簡體中文版的糞失禁生活質(zhì)量評分(FIQL),對其進(jìn)行中國人群信度和效度的驗(yàn)證,推進(jìn)其在臨床中的應(yīng)用。 方法 1.以"WHO-QOL跨文化生活質(zhì)量研究問卷翻譯法”為標(biāo)準(zhǔn)研制中文版本的改良自我形象評價(jià)量表(MBIS),按照心理測量學(xué)原則對研制的簡體中文版問卷進(jìn)行中國人群的信度和效度檢驗(yàn)。 2.以‘'WHO-QOL跨文化生活質(zhì)量研究問卷翻譯法”為標(biāo)準(zhǔn)研制中文版本的糞失禁生活質(zhì)量評分(FIQL),按照心理測量學(xué)原則對研制的簡體中文版問卷進(jìn)行中國人群的信度和效度檢驗(yàn)。 結(jié)果 1.50位MRKH患者完成了簡體中文版MBIS和SF-12問卷。研究結(jié)果顯示問卷具有較高的內(nèi)部一致性及較高的重測信度(Cronbach's alpha系數(shù)為0.741,各題目前后兩次測量之間ICC值為0.472-0.815)。因子分析結(jié)果顯示簡體中文版MBIS有1個(gè)公因子,與原量表相符。用MBIS與SF-12做效標(biāo)效度分析,結(jié)果提MBIS與SF-12得分正相關(guān),P0.01. 2.52位糞失禁患者完成了簡體中文版FIQL、SF-12及克利夫蘭診所大便失禁評分。研究結(jié)果提示問卷具有較高的內(nèi)部一致性及較高的重測信度(Cronbach's alpha系數(shù)為0.949,各題目前后兩次測量之間ICC值為0.437-0.866)。因子分析結(jié)果顯示4個(gè)公共因子可以反映原變量的大部分信息,與原量表符合。FIQL與SF-12得分正相關(guān),與克利夫蘭診所大便失禁評分負(fù)相關(guān),且P值均小于0.01. 總體來說,簡體中文版MBIS及FIQL在中國人群中具有較高的信度和效度,適合在中國大陸臨床和研究使用。
[Abstract]:background
Pelvic floor dysfunction (PFD) is a group of functional disorders characterized by urinary incontinence (UI), fecal incontinence (FI) and pelvic organ prolapse (POP). PFD often occurs in combination with other disorders. Although it rarely causes serious complications and mortality, PFD can significantly affect the quality of life of patients. In the evaluation of PFD, the remission of symptoms and the quality of life of patients are significant. The improvement of quality of life has been raised to the same height as the restoration of anatomical structure. The questionnaire with patients as the objective subject is the most effective means to evaluate the quality of life of patients. We have completed the Prolapse and Incontinence Sexual Function Questionnaire Short Form (PISQ-12), Pelvic Floor Impact Questionnaire Short Form (PFIQ-7) and Incontinence Impact Questionnaire Short Form (Incontinence Questionnaire-7). Translation and verification of inence Impact Questionnaires short form, IIQ-7. However, the questionnaire on the quality of life in fecal incontinence is still blank in China, and it is an important problem to be solved urgently.
MRKH syndrome (Mayer-Rokitansky-Kiister-Hauser Syndrome, MRKH) is a kind of female genital tract deformity, manifested as congenital absence of uterus and vagina. Research shows that patients with MRKH are prone to psychological problems, such as negative self-esteem and self-image. Many foreign studies have recommended psychological counseling for patients with MRKH, but at present this is the case in China. Modified Body Image Scale (MBIS) is the most widely used self-image assessment scale in the world, mainly used in self-image assessment of cancer patients, pelvic organ detachment. Therefore, we hope that through the application of MBIS in patients with MRKH, we can understand the psychological status of patients and guide our clinical work.
objective
1. Introduce the simplified Chinese version of the Improved Self-Image Assessment Scale (MBIS) to verify its reliability and validity in Chinese population and promote its clinical application.
2. The simplified Chinese version of the fecal incontinence quality of life score (FIQL) was introduced to verify the reliability and validity of the Chinese population and promote its clinical application.
Method
1. A Chinese version of the improved self-image assessment scale (MBIS) was developed based on the translation method of the WHO-QOL cross-cultural quality of life questionnaire. The reliability and validity of the simplified Chinese version of the questionnaire were tested according to psychometric principles.
2. The Chinese version of the fecal incontinence quality of life scale (FIQL) was developed based on the translation method of the `WHO-QOL cross-cultural quality of life questionnaire'. The reliability and validity of the simplified Chinese version of the questionnaire were tested according to psychometric principles.
Result
1.50 MRKH patients completed the simplified Chinese version of the MBIS and SF-12 questionnaire. The results showed that the questionnaire had high internal consistency and high retest reliability (Cronbach's alpha coefficient was 0.741, ICC value between the two measurements before and after each topic was 0.472-0.815). MBIS and SF-12 were used to do the criterion validity analysis. The results showed that MBIS was positively correlated with SF-12 score, P0.01.
2.52 fecal incontinence patients completed the simplified Chinese version of FIQL, SF-12 and Cleveland Clinic fecal incontinence score. The results showed that the questionnaire had high internal consistency and high retest reliability (Cronbach's alpha coefficient was 0.949, ICC value was 0.437-0.866 between the two measurements before and after each question). Factor analysis showed that there were four common causes. FIQL was positively correlated with SF-12 score, negatively correlated with Cleveland clinic fecal incontinence score, and P value was less than 0.01.
Overall, the simplified Chinese version of MBIS and FIQL have high reliability and validity in Chinese population, and are suitable for clinical and research use in mainland China.
【學(xué)位授予單位】：北京協(xié)和醫(yī)學(xué)院
【學(xué)位級別】：博士
【學(xué)位授予年份】：2014
【分類號】：R711.5
本文編號：2241802
[Abstract]:background
Pelvic floor dysfunction (PFD) is a group of functional disorders characterized by urinary incontinence (UI), fecal incontinence (FI) and pelvic organ prolapse (POP). PFD often occurs in combination with other disorders. Although it rarely causes serious complications and mortality, PFD can significantly affect the quality of life of patients. In the evaluation of PFD, the remission of symptoms and the quality of life of patients are significant. The improvement of quality of life has been raised to the same height as the restoration of anatomical structure. The questionnaire with patients as the objective subject is the most effective means to evaluate the quality of life of patients. We have completed the Prolapse and Incontinence Sexual Function Questionnaire Short Form (PISQ-12), Pelvic Floor Impact Questionnaire Short Form (PFIQ-7) and Incontinence Impact Questionnaire Short Form (Incontinence Questionnaire-7). Translation and verification of inence Impact Questionnaires short form, IIQ-7. However, the questionnaire on the quality of life in fecal incontinence is still blank in China, and it is an important problem to be solved urgently.
MRKH syndrome (Mayer-Rokitansky-Kiister-Hauser Syndrome, MRKH) is a kind of female genital tract deformity, manifested as congenital absence of uterus and vagina. Research shows that patients with MRKH are prone to psychological problems, such as negative self-esteem and self-image. Many foreign studies have recommended psychological counseling for patients with MRKH, but at present this is the case in China. Modified Body Image Scale (MBIS) is the most widely used self-image assessment scale in the world, mainly used in self-image assessment of cancer patients, pelvic organ detachment. Therefore, we hope that through the application of MBIS in patients with MRKH, we can understand the psychological status of patients and guide our clinical work.
objective
1. Introduce the simplified Chinese version of the Improved Self-Image Assessment Scale (MBIS) to verify its reliability and validity in Chinese population and promote its clinical application.
2. The simplified Chinese version of the fecal incontinence quality of life score (FIQL) was introduced to verify the reliability and validity of the Chinese population and promote its clinical application.
Method
1. A Chinese version of the improved self-image assessment scale (MBIS) was developed based on the translation method of the WHO-QOL cross-cultural quality of life questionnaire. The reliability and validity of the simplified Chinese version of the questionnaire were tested according to psychometric principles.
2. The Chinese version of the fecal incontinence quality of life scale (FIQL) was developed based on the translation method of the `WHO-QOL cross-cultural quality of life questionnaire'. The reliability and validity of the simplified Chinese version of the questionnaire were tested according to psychometric principles.
Result
1.50 MRKH patients completed the simplified Chinese version of the MBIS and SF-12 questionnaire. The results showed that the questionnaire had high internal consistency and high retest reliability (Cronbach's alpha coefficient was 0.741, ICC value between the two measurements before and after each topic was 0.472-0.815). MBIS and SF-12 were used to do the criterion validity analysis. The results showed that MBIS was positively correlated with SF-12 score, P0.01.
2.52 fecal incontinence patients completed the simplified Chinese version of FIQL, SF-12 and Cleveland Clinic fecal incontinence score. The results showed that the questionnaire had high internal consistency and high retest reliability (Cronbach's alpha coefficient was 0.949, ICC value was 0.437-0.866 between the two measurements before and after each question). Factor analysis showed that there were four common causes. FIQL was positively correlated with SF-12 score, negatively correlated with Cleveland clinic fecal incontinence score, and P value was less than 0.01.
Overall, the simplified Chinese version of MBIS and FIQL have high reliability and validity in Chinese population, and are suitable for clinical and research use in mainland China.
【學(xué)位授予單位】：北京協(xié)和醫(yī)學(xué)院
【學(xué)位級別】：博士
【學(xué)位授予年份】：2014
【分類號】：R711.5
【引證文獻(xiàn)】
相關(guān)碩士學(xué)位論文 前1條
1 陳艷秋;超低位直腸癌ISR術(shù)后患者排便功能訓(xùn)練依從性及影響因素的研究[D];吉林大學(xué);2016年
，本文編號：2241802
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