A SELF-ADMINISTERED QUESTIONNAIRE FOR THE ASSESSMENT OF SEVERITY OF SYMPTOMS AND FUNCTIONAL STATUS IN CARPAL-TUNNEL SYNDROME
A SELF-ADMINISTERED QUESTIONNAIRE FOR THE ASSESSMENT OF SEVERITY OF SYMPTOMS AND FUNCTIONAL STATUS IN CARPAL-TUNNEL SYNDROME
复制标题
DOI：
10.2106/00004623-199311000-00002
复制
发表时间：
1993-11-01
影响因子：
5.3
通讯作者：
KATZ, JN
中科院分区：
文献类型：
--
作者：
LEVINE, DW;SIMMONS, BP;KATZ, JN
我们开发了一份自填问卷，用于评估腕管综合征患者的症状严重程度和功能状态。在一项临床研究中评估了用于测量症状严重程度和功能状态的量表的再现性、内部一致性、有效性和对临床变化的反应性。这些量表具有高度可重复性（症状严重程度和功能状态的皮尔逊相关系数，分别为 r = 0.91 和 0.93）并且内部一致（症状严重程度和功能状态的 Cronbach α，分别为 0.89 和 0.91）。两种量表均与两点辨别力和 Semmes-Weinstein 单丝测试呈正相关，但呈适度或微弱的相关性（Spearman 系数，r = 0.12 至 0.42）。 在 1990 年接受手术并在术后平均 14 个月进行评估的 38 名患者中，平均症状严重程度评分从术前的 3.4 分提高到最近一次随访检查时的 1.9 分，而平均症状严重程度评分从术前的 3.4 分提高到最近一次随访检查时的 1.9 分。功能状态分数从 3 分提高到 2 分（每个量表的最差分数为 5 分，最好分数为 1 分）。在术前和术后三个月进行评估的 26 名患者中也发现了类似的改善。我们得出的结论是，用于测量症状严重程度和功能状态的量表是可重复的、内部一致的，并且对临床变化敏感，并且它们测量的结果维度是传统的正中神经损伤测量方法无法捕获的。这些量表应加强腕管综合征治疗研究中结果测量的标准化。
We developed a self-administered questionnaire for the assessment of severity of symptoms and functional status in patients who have carpal tunnel syndrome. The reproducibility, internal consistency, validity, and responsiveness to clinical change of scales for the measurement of severity of symptoms and functional status were evaluated in a clinical study. The scales were highly reproducible (Pearson correlation coefficient, r = 0.91 and 0.93 for severity of symptoms and functional status, respectively) and internally consistent (Cronbach alpha, 0.89 and 0.91 for severity of symptoms and functional status, respectively). Both scales had positive, but modest or weak, correlations with two-point discrimination and Semmes-Weinstein monofilament testing (Spearman coefficient, r = 0.12 to 0.42).In thirty-eight patients who were operated on in 1990 and were evaluated a median of fourteen months postoperatively, the mean symptom-severity score improved from 3.4 points preoperatively to 1.9 points at the latest follow-up examination, while the mean functional-status score improved from 3 to 2 points (5 points is the worst score and 1 point is the best score for each scale). Similar improvement was noted in twenty-six patients who were evaluated before and three months after the operation.We concluded that the scales for the measurement of severity of symptoms and functional status are reproducible, internally consistent, and responsive to clinical change, and that they measure dimensions of outcomes not captured by traditional measurements of impairment of the median nerve. These scales should enhance standardization of measurement of outcomes in studies of treatment for carpal tunnel syndrome.