The Bristol foot score - Developing a patient-based foot-health measure
The Bristol foot score - Developing a patient-based foot-health measure
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DOI：
10.7547/0950264
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发表时间：
2005-05-01
影响因子：
0.7
通讯作者：
Harvey, I
中科院分区：
文献类型：
--
作者：
Barnett, S;Campbell, R;Harvey, I
我们试图通过深入访谈、焦点小组和相关患者群体的调查，开发一种以患者为中心的足部健康评估工具。共有400名医院和社区的足病患者参与了布里斯托足部评分的制定，该评分从41项自我管理问卷改进为包含15项的问卷。足病患者很容易理解最终问卷，完成率非常高。总体可靠性很高（Cronbach alpha = 0.9036），Bland和Altman技术的应用表明足部评分随着时间的推移产生了稳定的测量结果。趾甲手术前后的评分存在统计学显著差异，表明布里斯托足部评分对变化敏感。布里斯托足部评分和足科医生常规使用的手足病评估标准评分之间的一致性较差，以评估足病护理的需要。布里斯托足部评分反映了患者对自身足部健康的看法，为评估干预措施的有效性和描述人群中的足部健康提供了有用的额外工具。
We sought to develop a patient-centered foot-health assessment tool by conducting in-depth interviews, focus groups, and surveys of relevant patient groups. A total of 400 hospital- and community-based podiatric patients took part in the development of the Bristol Foot Score, which was refined from a 41-item self-administered questionnaire to one containing 15 items. Podiatric patients easily understood the final questionnaire, and rates of completion were excellent. Overall reliability was high (Cronbach alpha = .9036), and application of the Bland and Altman technique suggested that the foot score produced stable measurements over time. Statistically significant differences were detected in scores before and after toenail surgery, indicating that the Bristol Foot Score is sensitive to change. A poor level of concordance was found between the Bristol Foot Score and a Chiropody Assessment Criteria Score routinely used by podiatrists to assess the need for podiatric care. The Bristol Foot Score reflects patients' perceptions of their own foot health, providing a useful additional tool for evaluating the efficacy of interventions and describing foot health within populations.