Eignet sich das BSI-18 zur Erfassung der psychischen Belastung von nierentransplantierten Patienten?

Eignet sich das BSI-18 zur Erfassung der psychischen Belastung von nierentransplantierten Patienten?
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Eignet sich das BSI-18 zur Erfassung der psychischen Belastung von nierentransplantierten Patienten?

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发表时间:
2010
期刊:
影响因子:
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通讯作者:
T. R. Türk
T. R. Türk
中科院分区:
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文献类型:
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作者:
G. Franke;S. Jäger;M. Morfeld;C. Salewski;J. Reimer;Anne Rensing;O. Witzke;T. R. Türk

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BSI-18是简明症状量表(BSI; Franke,2000)的简短版本,于2000年首次出版(Derogatis)。它包括三个六项量表躯体化(其中一个项目的完整版本被删除),抑郁和焦虑的BSI,和一个全球评分,包括所有18个项目。通过评估健康相关生活质量和心理社会方面的问卷工具(SF-36,BSI,F-Sozu-K22)对埃森大学医院的409例肾移植患者进行常规评估。246例(60.1%)患者为男性,163例(39.9%)为女性,平均年龄为49.7岁(标准差= 12.5,范围20 - 76)。肾移植平均可追溯到81个月(SD = 56,范围1 - 330); 354例患者(67%)接受了一次移植,41例(10%)接受了两次移植,11例(3%)接受了三次移植,4例(1%)接受了三次以上移植。心理测量学调查分析了BSI-18的信度和效度。可靠性分析显示,只有一个小的损失的内部一致性。BSI-18是一种有用的短期筛查工具,用于测量肾移植患者的常规显著心理困扰。早期发现明显的心理困扰可以支持提供适当的医疗心理干预;这可能会提高中期健康相关的生活质量,并可能有助于降低医疗保健系统的财务成本。
The BSI-18, a short version of the Brief Symptom Inventory (BSI; Franke, 2000), was first published in the year 2000 (Derogatis). It consists of the three six-item-scales Somatization (in which one item of the full version was eliminated), Depression, and Anxiety of the BSI, and a global score including all 18 items. 409 kidney-transplanted patients of the University Hospital, Essen were routinely assessed by a tool of questionnaires assessing health-related quality of life and psychosocial aspects (SF-36, BSI, F-Sozu-K22). 246 (60.1%) ofthe patients were male and 163 female (39.9%), mean age was 49.7 years (standard deviation = 12.5, range 20‐76). Kidney transplantation dated back on average 81 months (SD = 56, range 1‐330); 354 patients (67%) were transplanted once, 41 (10%) twice, 11 (3%) thrice and four (1%) more than thrice. The psychometric investigations analyzed reliability and validity of the BSI-18. Analyses of reliability revealed only a small loss of internal consistency. BSI-18 is a useful short screening tool measuring routinely salient psychological distress in kidney-transplanted patients. Early detection of salient psychological distress can support provision of adequate medical-psychological intervention; this may enhance health-related quality of life in medium term, and may help reducing financial costs in the health-care system.
DOI: 10.1056/nejm199912023412303
发表时间: 1999-12-02
影响因子: 158.5
作者:
Wolfe, RA;Ashby, VB;Port, FK
通讯作者: Port, FK