痔病和肛裂患者生命质量量表的汉化和信效度评价

Chinesization of the HEMO-FISS-QoL questionnaire and its reliability and validity

目的评价痔病和肛裂生命质量量表(HEMO-FISS-QoL questionnaire,HF-QoL)中文版(Chinese version of HF-QoL,HF-QoL-C)在中国痔病人群中的信效度。方法本研究于2021年11月至2022年11月采用自制一般资料问卷、HF-QoL-C、36条目简明健康状况调查问卷(the 36-item short form health survey,SF-36)、Goligher分级、Giordano痔病症状严重程度评分(Giordano severity of hemorrhoidal symptom questionnaire,GSQ)等在6家医院肛肠科对痔病患者进行问卷调查,回收有效问卷760份。运用SPSS 21.0和AMOS 26.0软件对数据进行信度和效度分析。结果HF-QoL-C和各维度Cronbach'sα系数为0.831~0.960,分半系数为0.832~0.915;主成分探索性因子分析提取出4个公因子;验证性因子分析显示结构效度尚可接受(χ^(2)/df=8.152,RSMEA=0.097,CFI=0.881,IFI=0.881,NFI=0.867);HF-QoL-C与SF36(r=-0.694)、GSQ(r=0.501)存在相关性(均P<0.01);HF-QoL-C总分和维度得分在手术和药物治疗患者、在痔病Goligher各分级、在痔脱出的不同范围之间存在差异(均P<0.001);HF-QoL-C总分及各维度得分未发现天花板效应(0.3%~2.0%),在心理功能和性生活两个维度存在地板效应(16.7%,35.1%)。结论HF-QoL-C具有良好的信度和效度,可用作评价国内患者痔病对生命质量影响的测量工具。

Objective To evaluate the reliability and validity of the Chinese version of HEMO-FISS-QoL(HF-QoL)questionnaire(HF-QoL-C)in the Chinese population with hemorrhoids.Methods From November 2021 to November 2022,a self-constructed general information questionnaire,HF-QoL-C,and the 36-item short form health survey(SF-36),Goligher classification,and Giordano severity of hemorrhoid symptom questionnaire(GSQ)were used to conduct a questionnaire survey on 760 hemorrhoid patients in the anorectal department of six hospitals.The data was analyzed for reliability and validity using SPSS 21.0 and AMOS 26.0 software.Results The Cronbach'sαcoefficient of HF-QoL-C and its dimension ranged from 0.831 to 0.960,and the split coefficient was 0.832-0.915.Four common factors were extracted through principal component exploratory factor analysis.Confirmatory factor analysis indicated acceptable structural validity(χ^(2)/df=8.152,RSMEA=0.097,CFI=0.881,IFI=0.881,NFI=0.867).HF-QoL-C was correlated with SF36 and GSQ(r=-0.694,0.501,both P<0.01).There were differences in the total score and dimensional scores of HF-QoL-C between surgical and drug treated patients,different grades of Goligher classification for hemorrhoidal disease,and different ranges of hemorrhoid prolapse(all P<0.001).No ceiling effect was found in the total score and the scores of each dimension(0.3%-2.0%).There was a floor effect in both psychological function and sexual activity dimensions(16.7%,35.1%).Conclusion HF-QoL-C has good reliability and validity,which can be used to measure the quality of life of Chinese hemorrhoid patients.