Reliability and validity of the Japanese Orthopaedic Association hip disease evaluation questionnaire (JHEQ) for patients with hip disease
Reliability and validity of the Japanese Orthopaedic Association hip disease evaluation questionnaire (JHEQ) for patients with hip disease
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DOI：
10.1007/s00776-013-0436-8
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发表时间：
2013-09-01
影响因子：
1.7
通讯作者：
Hiejima, Yoshimitsu
中科院分区：
文献类型：
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作者：
Seki, Taisuke;Hasegawa, Yukiharu;Hiejima, Yoshimitsu
日本骨科协会髋关节疾病评估问卷（JHEQ）是为了评估髋关节疾病患者的生活质量（QOL）而开发的。该问卷包括三个分量表：疼痛;运动;和精神。本研究以2010年4 - 5月在我院及附属医院门诊就诊的患者为研究对象，对JHEQ进行临床评价，以评价JHEQ的信度和效度。研究人群包括286名患者（239名女性），平均年龄为56.8岁。230例患者的诊断为髋关节骨关节炎，49例患者为股骨头缺血性骨坏死，7例患者为其他疾病。由患者在门诊候诊时填写JHEQ问卷、SF-36问卷（生活质量通用量表）和牛津髋关节评分（OHS）（疾病特异性量表），JHEQ疼痛与SF-36身体疼痛（BP）分量表、JHEQ运动与SF-36身体功能（PF）分量表的Pearson相关系数均为0.6。JHEQ心理分量表与SF-36社会功能（SF）和BP分量表相关。JHEQ疼痛和OHS疼痛子量表之间存在较强的负相关（r = -0.817）。JHEQ运动分量表与OHS功能分量表呈显著负相关（r = -0.715）。这些结果表明了JHEQ的收敛有效性。JHEQ的疼痛、运动和精神分量表的内部一致性令人满意，Cronbach α系数分别为0.92、0.91和0.94。各分量表的重测信度较高，组内相关系数分别为0.89、0.93和0.85。JHEQ是评估髋关节疾病患者的有用工具。
The Japanese Orthopaedic Association hip disease evaluation questionnaire (JHEQ) was developed to evaluate the quality of life (QOL) in patients with hip disease. This questionnaire consists of three subscales: pain; movement; and mental. The purpose of this study was to assess the reliability and validity of the JHEQ for use as a clinical evaluation tool.We investigated patients who visited the outpatient department at our hospital and affiliated hospital between April and May 2010. The study population comprised 286 patients (239 women) with a mean age of 56.8 years. The diagnosis was osteoarthritis of the hip in 230 patients, avascular osteonecrosis of the femoral head in 49 patients, and other conditions in 7 patients. The JHEQ questionnaire, the SF-36 questionnaire as a generic QOL scale, and the Oxford hip score (OHS) as a disease-specific scale, were filled out by the patient while waiting in the outpatient department.Pearson's correlation coefficients of 0.6 were observed between JHEQ pain and SF-36 bodily pain (BP) subscales, and between JHEQ movement and SF-36 physical functioning (PF) subscales. The JHEQ mental subscale correlated with SF-36 social functioning (SF) and BP subscales. A strong negative correlation was seen between JHEQ pain and OHS pain subscales (r = -0.817). JHEQ movement subscale also showed a strong negative correlation with the OHS function subscale (r = -0.715). These results indicated the convergent validity of JHEQ. The internal consistency of pain, movement, and mental subscales of JHEQ was satisfactory, indicated by Cronbach's alpha coefficients of 0.92, 0.91, and 0.94, respectively. Each subscale also showed high test-retest reliability with intra-class correlation coefficients of 0.89, 0.93, and 0.85, respectively.We determined the reliability and validity of JHEQ as a self-administered questionnaire that evaluates hip disease. JHEQ is useful as a tool for evaluating patients with hip disease.