Validation of the Chinese Version of the Boston Carpal Tunnel Questionnaire
Validation of the Chinese Version of the Boston Carpal Tunnel Questionnaire
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DOI：
10.1007/s10926-013-9438-9
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发表时间：
2014-03-01
影响因子：
3.3
通讯作者：
Liu, Ya-Fen
中科院分区：
文献类型：
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作者：
Lue, Yi-Jing;Lu, Yen-Mou;Liu, Ya-Fen
目的腕管综合征（CTS）是一种常见的诊断发生在工作场所，当人们遇到手或手腕症状和困难进行活动。本研究旨在探讨中文版波士顿腕管问卷（BCTQ）用于评估CTS患者的心理测量学特征。方法采用方便抽样的方法，从两所医院抽取CTS患者作为研究对象。采用BCTQ中的症状严重程度量表（SSS）和功能状态量表（FSS）评定症状和功能状态。评价1周内的重测信度（n = 51）。结构效度进行了评估，通过检查BCTQ和其他众所周知的措施（n = 99）之间的关系。对接受腕管手术的患者（n = 23）在术前和术后检查量表的反应性。结果SSS和FSS的组内相关系数分别为0.81和0.83，具有较高的信度。SSS和FSS的最小可检测变化分别为0.86和0.75。两个量表与臂、肩和手残疾的高度相关性支持了收敛效度（|Rho| = 0.63，0.75（对于SSS和FSS），并且与短表36的子量表具有中度至高度相关性（对于SSS）（|Rho| = 0.72身体疼痛）和FSS（|Rho| = 0.48（生理功能）。通过SSS（1.03）和FSS（0.62）的中度至高度标准化应答平均值证实了应答。结论中文BCTQ是评估CTS患者症状和功能状态的可靠、有效且反应灵敏的疾病特异性指标。
Purpose Carpal tunnel syndrome (CTS) is a common diagnosis occurring in the workplace when people experience hand or wrist symptoms and difficulty performing activities. This study aimed to investigate the psychometric properties of the Chinese version of the Boston Carpal Tunnel Questionnaire (BCTQ) used to evaluate patients with CTS. Methods A convenience sample of patients with CTS was recruited from two hospitals. The Symptom Severity Scale (SSS) and Functional Status Scale (FSS) of the BCTQ were used to assess symptoms and functional status. Test-retest reliability within 1 week was evaluated (n = 51). Construct validity was assessed by examining the relationship between the BCTQ and other well known measures (n = 99). Responsiveness of the scale was examined pre- and post-operatively for patients undergoing carpal tunnel surgery (n = 23). Results High reliability was demonstrated through intraclass correlation coefficients of 0.81 and 0.83 for SSS and FSS, respectively. The minimal detectable change was 0.86 and 0.75 for SSS and FSS, respectively. Convergent validity was supported by high correlation of both scales with Disability of the Arm, Shoulder and Hand (|rho| = 0.63, 0.75 for SSS and FSS), and moderate to high correlation with the subscales of the Short-Form 36 for SSS(|rho| = 0.72 for Body Pain) and FSS (|rho| = 0.48 for Physical Function). Responsiveness was confirmed by moderate to high standardized response means for SSS (1.03) and FSS (0.62). Conclusion The Chinese BCTQ is a reliable, valid and responsive disease-specific measure for assessment of symptoms and functional status in patients with CTS.