Ömer UYSAL, Alis KOSTANOĞLU, Gülhan YILMAZ GÖKMEN, Gözde BAŞBUĞ MBATA

Alt Ekstremite Lenfödeminde Lenfödem İşlevsellik, Özürlülük ve Yaşam Kalitesi Ölçeği: Türkçe versiyonunun çevirisi, geçerlik ve güvenirlik çalışması

Amaç: Bu çalışmada Alt Ekstremite Lenfödeminde Lenfödem İşlevsellik, Özürlülük ve Yaşam Kalitesi Ölçeği’nin Türkçe diline çevirisi, güvenirlik ve geçerlik çalışması yapıldı. Çalışma planı: Alt ekstremite lenfödem tanısı konan toplam 50 hastadan (14 erkek, 36 kadın; ort. yaş 50.3±12.9 yıl; dağılım 21-70 yıl) original anketin Türkçe versiyonunu yedi gün arayla iki kez cevaplaması istendi. İç tutarlılık, Cronbach alfa kullanılarak test edildi ve test-tekrar test güvenirliği sınıf içi korelasyon katsayısı hesaplanarak değerlendirildi. Yapısal geçerliği, lenfödem anketi ve Kısa Form-36 anket sonuçları karşılaştırarak araştırıldı. Bulgular: Lenfödem anketi toplam skoru, fiziksel fonksiyon skoru, ruhsal fonksiyon skoru, genel görevler/ev işi skoru, hareketlilik skoru ve yaşam alanları/sosyal yaşam skoru test-tekrar test güvenirliği (dağılım: 0.79- 0.93) ve Cronbach alfa değeri (dağılım: 0.79-0.94) mükemmel bulundu. Kısa Form-36 alt ölçeğinin büyük bir kısmı (fiziksel işlevsellik, fiziksel-rol, bedensel ağrı, genel sağlık, canlılık, sosyal işlevsellik, duygusal-zihinsel sağlık rolü) ve lenfödem anketinin alt ölçekleri anlamlı düzeyde ilişkili idi (dağılım: 0.006-0.01). Yalnızca lenfödem toplam skoru, Kısa Form-36 alt ölçeklerinin hiçbiri ile ilişkili değildi. Sonuç: Alt Ekstremite Lenfödeminde Lenfödem İşlevsellik, Özürlülük ve Yaşam Kalitesi Ölçeği’nin Türkçe versiyonu, alt ekstremite lenfödemli hastalar için geçerli ve güvenilir bulundu.

The Lymphedema Functioning, Disability, and Health Questionnaire for Lower Limb Lymphedema: Translation, reliability, and validation study of the Turkish version

Background: This study aims to perform translation, reliability, and validation study of the Lymphedema Functioning, Disability, and Health Questionnaire for Lower Limb Lymphedema into the Turkish language.Methods: A total of 50 patients (14 males, 36 females; mean age 50.3±12.9 years; range 21 to 70 years) diagnosed with lower limb lymphedema were asked to fill out the Turkish version of the original questionnaire two times, seven days apart. Internal consistency was tested using the Cronbach's alpha and the test-retest reliability was assessed by calculating the intra- class correlation coefficient. Construct validity was examined by comparing the results of the lymphedema questionnaire and Short Form-36 questionnaire.Results: The test-retest reliability (range, 0.79 to 0.93) and the Cronbach alpha values (range, 0.79 to 0.94) of the lymphedema questionnaire total scores, physical function scores, mental function scores, general tasks/household scores, mobility scores, and life domains/social life scores were found to be excellent. Most of the Short Form-36 subscale (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health) and the lymphedema questionnaire subscales were significantly correlated (range, 0.006 to 0.01). Only the lymphedema total scores were not correlated with any subscale of the Short Form-36.Conclusion: The Turkish version of the Lymphedema Functioning, Disability, and Health Questionnaire for Lower Limb Lymphedema was found to be valid and reliable for patients with lower limb lymphedema.

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