Author/Editor		Zupanc, Aleksander; Bratuž, Andreja; Pipan, Jan; Javornik Jozelj, Andreja; Mihelič, Petra; Novak, Primož
Title		Zanesljivost, veljavnost in občutljivost vprašalnika za oceno kakovosti življenja pri pacientih z okvarami perifernega živčevja in mišično-skeletnega sistema na rehabilitaciji
Translated title		Reliability, validity and sensitivity of quality of life questionnaire in patients with peripheral nerve lesions and musculoskeletal impairments at rehabilitation
Type		članek
Vol. and No.		Letnik 21, št. 1
Publication year		2022
Volume		str. 20-30
ISSN		1580-9315 - Rehabilitacija
Language		slv
Abstract		Uvod: Namen raziskave je bil ugotoviti zanesljivost, veljavnost, občutljivost ter učinka tal in stropa za vprašalnik za oceno kakovosti življenja EQ-5D (angl. European Quality of Life ‐ 5 Dimension) pri pacientih z okvarami perifernega živčevja in mišično-skeletnega sistema na rehabilitaciji. Metode: V raziskavo sta bila vključena 302 pacienta, s starostjo od 18 let do 89 let (povprečje 59 let, SO 17 let), ki so bili sprejeti v program rehabilitacije. Ob sprejemu, po enem tednu in ob odpustu so izpolnili vprašalnik EQ-5D. Ob sprejemu in odpustu smo jih ocenili še z Indeksom premičnosti de Morton, 6-minutnim testom hoje in Lestvico funkcijske neodvisnosti. Rezultati: Skladnost med prvim in drugim izpolnjevanjem vprašalnika je bila visoka (koeficient kapa za posamezna področja je znašal od 0,60 do 0,74). Med izidi EQ-5Dindeks in EQ-5D VAS, dosežki Indeksa premičnosti de Morton, 6-minutnega testa hoje in motoričnega dela Lestvice funkcijske neodvisnosti je bila povezanost zmerna (ρ = 0,51 ‐ 0,62) ob sprejemu in nizka (ρ = 0,41 ‐ 0,47) ob odpustu. Med oceno EQ-5D VAS in Indeksom premičnosti de Morton, 6-minutnim testom hoje in motoričnim delom Lestvice funkcijske neodvisnosti je bila povezanost nizka (ρ = 0,41 ‐ 0,48) ob sprejemu in ob odpustu (ρ = 0,37 ‐ 0,42). Ocenjena najmanjša klinično pomembna sprememba za EQ-5Dindeks je 0,13 in za EQ-5D VAS je 9. Ob sprejemu je en pacient zdravstveno stanje ocenil z najvišjo oceno, ob odpustu je bilo takšnih 12. Nihče od pacientov ob sprejemu niti ob odpustu zdravstvenega stanja ni ocenil z najnižjo oceno. Zaključek: Z raziskavo smo za vprašalnik EQ-5D potrdili zanesljivost in sočasno veljavnost. EQ-5D indeks je uporaben za napoved trajanja bolnišnične obravnave. Vprašalnik EQ-5D je občutljivo merilno orodje. Učinkov tal in stropa nismo ugotovili. Priporočamo ga za uporabo kot dodatek k ocenjevanju z objektivnimi merilnimi instrumenti pri pacientih z okvarami perifernega živčevja in mišično-skeletnega sistema v programih rehabilitacije.Introduction: The purpose of the study was to determine the reliability, validity, sensitivity, floor and ceiling effects for the European Quality of Life ‐ 5 Dimensions questionnaire (EQ-5D) in patients with peripheral nerve lesions and musculoskeletal impairments at rehabilitation. Methods: The study included 302 patients aged 18 years to 89 years (mean age 59, SD 16.8) who were admitted to rehabilitation program. The EQ-5D was completed by patients at admission, after one week, and at discharge. They were also assessed with the de Morton mobility index, the 6-minute walk test, and the Functional independence measure at admission and discharge. Results: The Kappa coefficient between the first and second assessment ranged from 0.60 to 0.74 for individual items. Between the EQ-5Dindex and EQ-5D VAS, the de Morton mobility index, the 6-minute walk test, the motor Functional independence measure the correlation was moderate (ρ = 0.51 - 0.62) at admission and fair (ρ = 0.41 - 0.47) at discharge. Between the EQ-5D VAS and the de Morton mobility index, the 6-minute walk test, the motor Functional independence measure, the correlation was fair (ρ = 0.41 - 0.48) at admission and fair (ρ = 0.37 ‐ 0.42) at discharge too. The estimated minimal clinically important difference is 0.13 for the EQ-5Dindex and 9 for the EQ-5D VAS. At admission, one patient rated the health condition with the highest level, and at discharge, twelve. None of the patients rated health condition with the lowest level at admission and discharge. Conclusion: The study confirmed the reliability and concurrent validity of the EQ-5D. EQ-5D index has the ability to predict the length of stay. It is a sensitive assessment tool. No floor and ceiling effects were found. We recommend it for use as additional assessment with objective measurement tools in patients with peripheral nerve lesions and musculoskeletal impairments at rehabilitation programs.
Descriptors		Quality of Life Peripheral Nerve Injuries Musculoskeletal Diseases rehabilitation rehabilitation
Keywords		vprašalnik za oceno kakovosti življenja EQ-5D merilno orodje ocenjevanje merske lastnosti European Quality of Life ‐ 5 Dimensions questionnaire EQ-5D measurement tool assessment metric properties