中西医结合护理（中英文）2023，Vol.9Issue(7)：59-72,14.DOI:10.11997/nitcwm.202307009
慢性肾脏病继发甲状旁腺功能亢进症患者常见症状评估工具心理学测量属性的系统综述
Psychometric properties of instruments for common symptoms experienced by chronic kidney disease patients with secondary hyperparathyroidism:A systematic review
摘要
Abstract
Objective Secondary hyperparathyroidism(SHPT)is a common complication in patients with chronic kidney disease receiving long-term dialysis,but instruments specific to SHPT and their psychometric properties remain unclear.This systematic review aimed to evaluate the psychometric properties of available symptom instruments for SHPT and to provide evidence-based recommendations for the selection of the most suitable patient-reported outcome measure(PROM).Methods This review was conducted following the PRISMA guidelines and the Consensus-based Standards for the Selection of Health Measurement Instruments(COSMIN)methodology.A systematic search of 5 electronic databases was performed.Two independent reviewers screened the studies,extracted the data,and appraised the quality.Quality of evidence was graded using the modified GRADE approach.Results Seven studies investigated four PROMs,including the Dialysis Symptom Index(DSI),Chronic Kidney Disease-Symptom Burden Index(CKD-SBI),Kidney Symptom Questionnaire(KSQ),and Health Questionnaire Specific for End-Stage Renal Disease(HQ-ESRD).All scales showed inconsistent content validity with moderate and very low quality of evidence.Hypothesis testing for construct validity was the most commonly evaluated measurement property and the quality of evidence ranged from moderate to high.Internal consistency showed high level of evidence for sufficient quality of the DSI and the CKD-SBI.Structural validity was insufficient with high-quality evidence for the DSI.Criterion validity and responsiveness had sufficient quality for the DSI and the HQ-ESRD respectively,and the level of evidence was high.Conclusion Current evidence on the methodological quality of existing PROMs is limited and needs further validation.Based on the results synthesized,no evidence was generated regarding which instrument was superior to the others.DSI validated the most psychometric properties among the four scales.High-quality symptom instruments specific to the SHPT developed following the COSMIN methodology are warranted.关键词
慢性肾脏病/心理学测量属性/信度/症状/效度Key words
Chronic kidney disease/Psychometric property/Reliability/Symptom/Validity分类
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周仕依,朱大乔,王月莹,朱冰倩,郭宁媛,陈孜瑾,陶幸娟,吴映晖,张伟,王丽丽..慢性肾脏病继发甲状旁腺功能亢进症患者常见症状评估工具心理学测量属性的系统综述[J].中西医结合护理（中英文）,2023,9(7):59-72,14.基金项目
This study was supported by the Innovation Re-search Team of High-Level Local Universities in Shanghai[SHSMU-ZDCX20212801],Shanghai Jiao Tong University School of Medicine-Nursing Devel-opment Program,and Clinical Research Fund from Health Commission of Shanghai[202140514]. （）
