Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil
Portuguese-language version of the Epworth sleepiness scale: validation for use in Brazil
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DOI：
10.1590/s1806-37132009000900009
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发表时间：
2009-09-01
影响因子：
2.7
通讯作者：
Johns, Murray W
中科院分区：
文献类型：
--
作者：
Bertolazi, Alessandra Naimaier;Fagondes, Simone Chaves;Johns, Murray W
目的：本研究的目的是开发一个葡萄牙语版本的埃普沃思嗜睡量表（ESS）在巴西使用。研究方法：创建巴西葡萄牙语ESS（ESS-BR）的步骤如下：翻译;回译;翻译和回译之间的比较（由一个委员会进行）;以及双语个人测试。ESS-BR应用于一组患者，他们接受了整夜多导睡眠图检查，以确定阻塞性睡眠呼吸暂停低通气综合征（OSAHS）、失眠和原发性打鼾。对照组由具有正常睡眠习惯史的受试者组成，没有报告打鼾。结果：共纳入114例患者和21例对照。ESS-BR的8项评分的总体可靠性系数为0.83。研究组包括59例OSAHS患者、34例原发性打鼾患者和21例失眠患者。单因素方差分析表明，四个诊断组之间的ESS-BR评分存在显著差异（p < 0.001）。两组间的事后检验显示，失眠症患者的ESS-BR评分与对照组无差异（p > 0.05）。OSAHS患者和原发性打鼾者的ESS-BR评分显着高于对照组（p < 0.05）。OSAHS患者的睡眠呼吸障碍评分明显高于原发性打鼾者（p < 0.05）。结论：本研究的结果表明，ESS-BR是一个有效的和可靠的工具，白天嗜睡的评估，相当于其原始版本时，适用于讲巴西葡萄牙语的个人。
Objective: The aim of this study was to develop a Portuguese-language version of the Epworth sleepiness scale (ESS) for use in Brazil. Methods: The steps involved in creating the ESS in Brazilian Portuguese (ESS-BR) were as follows: translation; back-translation; comparison (by a committee) between the translation and the back-transiation; and testing in bilingual individuals. The ESS-BR was applied to a group of patients who were submitted to overnight polysomnography in order to identify obstructive sleep apnea-hypopnea syndrome (OSAHS), insomnia and primary snoring. A control group was composed of subjects with a history of normal sleep habits, without reported snoring. Results: A total of 114 patients and 21 controls were included. The 8-item scores of the ESS-BR had an overall reliability coefficient of 0.83. The study group was composed of 59 patients with OSAHS, 34 patients with primary snoring and 21 patients with insomnia. One-way ANOVA demonstrated significant differences in ESS-BR scores among the four diagnostic groups (p < 0.001). Post-hoc tests between groups showed that the ESS-BR scores of the patients with insomnia did not differ from those of the controls (p > 0.05). The ESS-BR Scores were significantly higher for OSAHS patients and for primary snorers than for Controls (p < 0.05). In addition, the scores for OSAHS patients were significantly higher than were those for primary snorers (p < 0.05). Conclusions: The results of the present study demonstrate that the ESS-BR is a valid and reliable instrument for the assessment of daytime sleepiness, equivalent to its original version when applied to individuals who speak Brazilian Portuguese.