کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3923765 1253075 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Developing and Validating the International Consultation on Incontinence Questionnaire Bladder Diary
ترجمه فارسی عنوان
توسعه و تایید مشاوره بین المللی در مورد پرسشنامه بیهوشی خاطرات مثانه
کلمات کلیدی
دفتر خاطرات ادرار، جدول حجم فرکانس، نمودار خاموشی، خاطرات مثانه، دفتر خاطرات اعتبار، قابلیت اطمینان، پاسخگویی، پرسشنامه
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

BackgroundDespite the common use of urinary diaries to assess lower urinary tract symptoms (LUTS), a standardised validated diary does not exist.ObjectiveTo develop a validated urinary diary, using the psychometric validation protocol used in previous International Consultation on Incontinence Questionnaire (ICIQ) modules.Design, setting, and participantsWe invited 400 consecutive patients attending the urology department for assessment of LUTS to complete a urinary diary (developed and validated for content in a previous study), and the ICIQ Male or Female LUTS questionnaire.Outcome measurements and statistical analysisTo establish construct validity, the urinary diary was compared with known theories from published literature; to establish criterion validity, the diary was compared with questionnaire responses and/or urodynamic observations. Optimal diary duration was tested by comparing the 4-d diary against shorter durations. Patients completed a second diary after 2–3 wk for test-retest analysis, and a subset receiving sacral nerve stimulation completed the diary before and after treatment for analysis of responsiveness. A variety of statistical tests were used for different stages of the study.Results and limitationsThe urinary diaries and ICIQ LUTS questionnaires were completed by 264 patients. Construct validity was established for two of three tested hypotheses. Criterion testing showed good agreement between questionnaire and diary recordings of nocturia (κ = 0.653; p < 0.001; 92.2%) and incontinence (κ = 0.351; p < 0.001; 64.5%), whereas good agreement (κ = 0.378; p < 0.001; 69.2%) was observed between urodynamically proven incontinence and diary reports (n = 104). Diary recordings of urgency showed weak agreement with questionnaire responses (κ = −0.215; p < 0.001; 36%) and urodynamic observations (κ = −0.105; p = 0.256; 43.7%). The 3-d diary explained at least 94% of the total variance of the 4-d diary. A second diary for test-retest analysis was returned by 59 patients, demonstrating fair to excellent agreement (Spearman correlations: 0.49–0.88). Pre- and post-treatment analysis, on pilot testing, showed that the diary is responsive to change.ConclusionsUsing the ICIQ psychometric validation methodology, a bladder diary was developed for the assessment of LUTS and shown to be valid, reliable, and responsive to change. The 3-d diary has been accepted as the ICIQ bladder diary.Patient summaryIn this study, patients and clinicians developed and tested a diary in which patients can record their urinary symptoms. The resulting 3-d diary is called the ICIQ bladder diary and is available for adult men and women with urinary symptoms.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Urology - Volume 66, Issue 2, August 2014, Pages 294–300
نویسندگان
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