尿失禁影响问卷简表的引进和人群验证

摘要

Objective To study reliability and validity of incontinence impact questionnaire short form (IIQ-7) in the Chinese population. Methods IIQ-7 form was translated into Chinese; 74 patients with urinary incontinence completed the IIQ-7 simplified Chinese version and short-form 12-item health survey (SF-12) questionnaires. The urinary incontinence patient also ran a 1 hour pad test. Then, reliability and validity of those forms were analyzed. Results The Cronbach's alpha of IIQ-7 simplified Chinese version was 0. 824 (P <0. 01). The intra-class correlation coefficient of IIQ-7 simplified Chinese version was 0. 749 (P < 0.01) . IIQ-7 simplified Chinese version scores were negatively correlated with SF-12 scores (Spearman correlation coefficient: - 0. 570, P < 0. 01) , IIQ-7 simplified Chinese version scores were positively correlated with 1 hour pad test (Spearman correlation coefficient: 0.461, P < 0. 01) , IIQ-7 simplified Chinese version scores were also positively correlated with the course of disease (Spearman correlation coefficient: 0. 235 , P < 0. 05) . Factor analysis of IIQ-7 simplified Chinese version showed good construct validity. Conclusions The simplified Chinese version of IIQ-7 has higher reliability and validity in the Chinese population. They are highly recommended for clinical treatment and research.%目的 引进和验证尿失禁影响问卷简表(IIQ-7),并探讨其在中国人群中的信度与效度.方法 对IIQ-7英文原版进行中文简体版本的译制;选取74例尿失禁患者填写IIQ-7中文简体版、健康调查简表(SF-12)并行1 h尿垫实验,分析IIQ-7中文简体版的信度和效度.结果 (1)IIQ-7中文简体版的信度分析显示,Cronbach α系数为0.824(P<0.01);组内相关性分析显示,重测信度的组内相火系数为0.749(P<0.01).(2)IIQ-7中文简体版的效度分析显示,IIQ-7中文简体版得分与SF-12得分呈负相关(Spearman相关系数为-0.570,P<0.01),与1 h尿垫实验结果 呈正相关(Spearman相关系数为0.461,P<0.01),与尿失禁病程呈正相关(Spearman相关系数为0.235,P<0.05).因子分析显示,IIQ-7中文简体版提取因子成分与问卷的理论结构基本相符.结论 IIQ-7中文简体版在中国人群中具有较高的信度和效度,适用于在中国人群中对尿失禁患者的生命质量进行评价.