Quality of life in patients with osteoporosis fractures: cultural adaptation, reliability and validity of the Osteoporosis Assessment Questionnaire.

Quality of life in patients with osteoporosis fractures: cultural adaptation, reliability and validity of the Osteoporosis Assessment Questionnaire.
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骨质疏松性骨折患者的生活质量:骨质疏松症评估问卷的文化适应、信度和效度。

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发表时间:
1999
影响因子:
3.7
通讯作者:
Marcos Bosi Ferraz
Marcos Bosi Ferraz
中科院分区:
医学4区
文献类型:
--
作者:
Cantarelli Fb;Szejnfeld Vl;Oliveira Lm;R. Ciconelli;Marcos Bosi Ferraz

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目标 本研究的目的是将骨质疏松症评估问卷(OPAQ)翻译成巴西葡萄牙语,并评估其信度和效度。 方法 OPAQ 被翻译成巴西葡萄牙语。然后将该版本回译为英语版本,与原始版本进行比较,并生成第二个巴西葡萄牙语版本。该巴西-葡萄牙 OPAQ 草案对 30 名腰椎骨质疏松症且无骨折的患者进行了研究。对不适用的问题进行了修改,并在再次执行后,该巴西-葡萄牙语版本的 OPAQ 被接受为最终版本。其可靠性在 30 名骨质疏松症门诊患者中进行了测试,并对患者进行了 3 次给药,以检查观察者内/观察者间的可靠性。还使用 HAQ、FIQ 和疼痛数字评定量表对患者进行临床评估。对所有患者的骨折数量和脊柱骨矿物质密度进行了测定。 结果 患者的平均年龄为 69 岁(54 至 89 岁),平均骨折次数为 2.72 次。二十一名患者(70%)有超过一处椎骨骨折。除情绪 (c16) 外,所有问卷组成部分均呈现出观察者内/观察者间可靠性的统计显着系数。得分最高的是“害怕跌倒”(6.70)。 OPAQ 成分与骨折数量、骨密度和 Z 评分之间的相关性不具有统计学意义。 结论 这个巴西-葡萄牙版本的 OPAQ 是一个可靠且有效的工具。除骨密度和骨折数量外,其他方面对骨质疏松和骨折患者的生活质量也有重要影响。
OBJECTIVE The purpose of this study was to translate into Brazilian-Portuguese the Osteoporosis Assessment Questionnaire (OPAQ), and to evaluate its reliability and validity. METHODS The OPAQ was translated into Brazilian-Portuguese. This version was then back-translated into an English version which was compared to the original version, and a second Brazilian-Portuguese version was generated. This draft version of the Brazilian-Portuguese OPAQ was administered to 30 patients with lumbar osteoporosis and no fractures. The non-applicable questions were modified and, after being administered again, this Brazilian-Portuguese version of the OPAQ was accepted as definitive. Its reliability was tested in 30 osteoporotic out-patients, and was administered three times to the patients to check the intra/interobserver reliability. The patients were also clinically evaluated using HAQ, FIQ and a numerical rating scale for pain. For all patients the number of fractures and the bone mineral density at the spine were determined. RESULTS The mean age of the patients was 69 years (54 to 89 years) and the mean number of fractures was 2.72. Twenty-one patients (70%) had had more than one vertebral fracture. All of the questionnaire components, except for mood (c16), presented statistically significant coefficients for intra/interobserver reliability. The highest score was observed for "the fear of falling" (6.70). Correlations between the OPAQ components and the number of fractures, bone density and Z-score were not statistically significant. CONCLUSIONS This Brazilian-Portuguese version of the OPAQ is a reliable and valid instrument. Other aspects than bone mineral density and the number of fractures have an important influence on the quality of life in patients with osteoporosis and fractures.
DOI: 10.1016/0002-9343(93)90210-g
发表时间: 1993-06-01
影响因子: 5.9
作者:
LYLES, KW;GOLD, DT;MULHAUSEN, PL
通讯作者: MULHAUSEN, PL