Patient interpretation of neuropathy (PIN) questionnaire
Patient interpretation of neuropathy (PIN) questionnaire
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DOI：
10.2337/dc06-1550
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发表时间：
2006-12-01
期刊：
影响因子：
16.2
通讯作者：
Boulton, Andrew J. M.
中科院分区：
文献类型：
--
作者：
Vileikyte, Loretta;Gonzalez, Jeffrey S.;Boulton, Andrew J. M.
目的-使用疾病行为的常识模型，我们开发并验证了一种自我报告工具，用于评估患者对糖尿病周围神经病变（DPN）的认知和情感表达，影响足部自我护理。研究设计和方法-患者对神经病变（PIN）的解释问卷，来自与临床医生的讨论和与DPN患者的访谈，在英国的DPN患者中进行。（n = 325）和美国（n - 170）糖尿病中心。PIN问卷的心理测量学测试包括因素分析、内部一致性和重测信度。偏相关和多元回归建立了结构和效标相关效度。PIN量表过去的足部溃疡和足部自我护理行为的协会进行了比较，与那些使用一个通用的措施，疾病的感知和情绪，修订后的疾病感知问卷（IPQ-R），这是适应neuropathies.RESULTS -因子分析的PIN问卷产生11个规模，解释了69%的项目方差。九个因素测量患者对DPN的常识信念和他们对DPN相关医疗信息的理解水平。两个因素评估了对潜在后果的担忧和对从业者的愤怒。大多数量表表现出足够的内部（Cronbach的α = 0.62-0.90）和重测信度（皮尔逊的r = 0.51-0.64）。PIN与IPQ-R量表在相应领域的偏相关显著但不显著（r（P）= 0.15-0.26）。最后，PIN量表显示出显着的关联与过去的足部溃疡和足部自我护理behaviors，从而确认标准validity.CONCLUSIONS-39项PIN问卷是一个可靠的和有效的措施，患者的认知和情感的神经病变影响足部自我护理的陈述。
OBJECTIVE - Using the common-sense model of illness behavior, we developed and validated a self-report instrument for assessment of patients' cognitive and emotional representations of diabetic peripheral neuropathy (DPN) influencing foot self-care.RESEARCH DESIGN AND METHODS - The Patient Interpretation of Neuropathy (PIN) questionnaire, generated from discussions with clinicians and interviews with patients with DPN, was administered to patients with DPN attending U.K. (n = 325) and U.S. (n - 170) diabetes centers. Psychometric tests of the PIN questionnaire comprised factor analysis, internal consistency, and test-retest reliability. Partial correlations and multivariate regressions established construct and criterion-related validity. The associations of PIN scales to past foot ulceration and foot self-care behaviors were compared with those using a generic measure of illness perception and emotion, the Revised Illness Perception Questionnaire (IPQ-R), which was adapted to neuropathy.RESULTS - Factor analysis of the PIN questionnaire produced 11 scales, which explained 69% of item variance. Nine factors measured patients common-sense beliefs about DPN and their levels of understanding of DPN-related medical information. Two factors assessed the emotions of worry about potential consequences and anger at practitioners. Most scales demonstrated adequate internal (Cronbach's alpha = 0.62-0.90) and test-retest reliability (Pearson's r = 0.51-0.64). Partial correlations between the PIN and IPQ-R scales in corresponding domains were significant but modest (r(P) = 0.15-0.26). Finally, PIN scales showed significant associations with past foot ulceration and foot self-care behaviors, thereby confirming criterion validity.CONCLUSIONS - The 39-item PIN questionnaire is a reliable and valid measure of patients' cognitive and emotional representations of neuropathy affecting foot self-care.