CAJ | 학술논문

目的评估中文版亚太地区成人功能性胃肠病(FGID)问卷的信度和效度.方法采用规范的量表翻译程序,将英文版亚太功能性胃肠病问卷翻译成中文.用中文版的问卷调查2011年4月至5月于中山大学附属第一医院消化科门诊就诊的成人FGID患者,分析问卷的可行性、信度和效度.结果 56例成人FGID患者完成问卷,其中37例依从性较好的患者完成了间隔2周的重复问卷.问卷第1部分(基本信息、疾病病程、报警症状)重测信度好,重测系数均＞0.7.问卷第2部分(胃肠道各系统症状)原始数据重测信度差、中等和好的条目分别占27.8％、61.1％及11.1％；根据罗马Ⅲ评分标准转换为二分类数据后重测信度差、中等和好的条目分别占5.5％、41.7％及52.8％.问卷第3部分(患者既往就医、用药、疾病对生活影响等情况)重测信度差、中等和较好的条目分别占36.0％、40.0％及24.0％.以功能性胃肠病罗马Ⅲ诊断标准为效标,问卷效度中等.结论中文版亚太地区成人FGID问卷具有可行性,可以应用于中国文化背景下成人FGID患者的初筛.
목적 평고중문판아태지구성인공능성위장병(FGID)문권적신도화효도.방법 채용규범적량표번역정서,장영문판아태공능성위장병문권번역성중문.용중문판적문권조사2011년4월지5월우중산대학부속제일의원소화과문진취진적성인FGID환자,분석문권적가행성、신도화효도.결과 56례성인FGID환자완성문권,기중37례의종성교호적환자완성료간격2주적중복문권.문권제1부분(기본신식、질병병정、보경증상)중측신도호,중측계수균＞0.7.문권제2부분(위장도각계통증상)원시수거중측신도차、중등화호적조목분별점27.8％、61.1％급11.1％；근거라마Ⅲ평분표준전환위이분류수거후중측신도차、중등화호적조목분별점5.5％、41.7％급52.8％.문권제3부분(환자기왕취의、용약、질병대생활영향등정황)중측신도차、중등화교호적조목분별점36.0％、40.0％급24.0％.이공능성위장병라마Ⅲ진단표준위효표,문권효도중등.결론 중문판아태지구성인FGID문권구유가행성,가이응용우중국문화배경하성인FGID환자적초사.
Objective To evaluate the reliability and validity of Chinese version of Asia-Pacific functional gastrointestinal disorders (FGIDs) questionnaire. Methods The standardized scale translation program was used to translate the Asia-Pacific functional gastrointestinal disorders questionnaire into Chinese version.From April to May 2011,the functional gastrointestinal disorders (FGID) out-patients of the Department of Gastroenterology at the First Affiliated Hospital of Sun Yat-Sen University were asked to complete the Chinese version of the questionnaire,then the feasibility,reliability and validity of the questionnaire were evaluated.Results A total of 58 FGIDs patients finished the questionnaire,of which 37 patients with good compliance finished the 2-week interval questionnaire.The retest reliability of the first part of the questionnaire was good (including basic information,disease duration and alarm symptoms),all the test-retest coefficients were more than 0.70.The percentage of poor,medium and good retest reliability items of the second part of the questionnaire (including the symptoms of gastrointestinal system) was 27.8％,61.1％ and 11.1％respectively.After the data was transformed into binary data according to Rome Ⅲ diagnostic criteria,the percentage of poor,medium and good retest reliability items was 5.5％,41.7％ and 52.8％respectively.The percentage of poor,medium and good retest reliability items of the third part of the questionnaire (including previous medical treatment,medication and the impact of the disease on life,etc) was 36.0％,40.0％ and 24.0％ respectively.The validity of the questionnaire was moderate according to the Rome Ⅲ diagnostic criteria.Conclusion The Chinese version of Asia-Pacific functional gastrointestinal disorders is feasible and can be used to screen the adult FGIDs under the Chinese cultural background.