The gastro-oesophageal reflux disease impact scale: a patient management tool for primary care
The gastro-oesophageal reflux disease impact scale: a patient management tool for primary care
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DOI：
10.1111/j.1365-2036.2007.03343.x
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发表时间：
2007-06-15
影响因子：
7.6
通讯作者：
Wiklund, I.
中科院分区：
文献类型：
--
作者：
Jones, R.;Coyne, K.;Wiklund, I.
背景胃食管反流病的症状对患者的日常lives. Aim有很大的影响，为了开发和测试一个简短的问卷，以帮助patient-doctor communication.Methods胃食管反流病影响量表是从系统的文献综述，重点人群的患者和初级保健医生，和患者的认知访谈。对100例初治和105例慢性胃食管反流病患者进行心理测量学验证（Cronbach α范围为0.68至0.82），再现性（稳定期患者组内相关系数为0.61 ~ 0.72）和结构效度（两组患者的反流和消化不良量表和反流疾病问卷与生活质量的斯皮尔曼相关性均为0.5-0.8）。新发和慢性胃食管反流病患者的效应量范围分别为0.9 - 1.5和0.32 - 0.42。医生报告改变他们的治疗决定的基础上提供的信息胃食管反流疾病影响量表在35%的患者，和77%的医生发现它是useful.Conclusions胃食管反流疾病影响量表表现出良好的心理测量特性，在新诊断的胃食管反流疾病患者和那些已经接受治疗。这个简单的沟通工具是一个有用的援助管理基层护理病人胃食管反流病。
Background Symptoms of gastro-oesophageal reflux disease have a substantial impact on patients' everyday lives.Aim To develop and test a short questionnaire to aid patient-doctor communication.Methods The Gastro-oesophageal Reflux Disease Impact Scale was developed from a systematic literature review, focus groups of patients and primary care physicians, and patient cognitive interviews. A psychometric validation study was conducted based on two consultations in new (n = 100) or chronic (n = 105) gastro-oesophageal reflux disease patients.Results The Gastro-oesophageal Reflux Disease Impact Scale demonstrated internal consistency (Cronbach's alpha ranged from 0.68 to 0.82), reproducibility (intraclass correlation coefficient in stable patients ranged from 0.61 to 0.72) and construct validity (Spearman correlations with Quality of Life in Reflux and Dyspepsia instrument and Reflux Disease Questionnaire: 0.5-0.8 in both patient groups). Effect sizes in new and chronic gastro-oesophageal reflux disease patients ranged from 0.9 to 1.5 and 0.32 to 0.42, respectively. Doctors reported altering their treatment decision based on information provided by the Gastro-oesophageal Reflux Disease Impact Scale in 35% of patients, and 77% of doctors found it to be useful.Conclusions The Gastro-oesophageal Reflux Disease Impact Scale demonstrated good psychometric properties in newly diagnosed gastro-oesophageal reflux disease patients and those already receiving treatment. This simple communication tool is a useful aid for managing primary care patients with gastro-oesophageal reflux disease.