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Kısa Form-36 (SF-36)'nın Türkçe Versiyonunun Güvenilirliği ve Geçerliliği. Reliability and Validity of the Turkish Version of Short Form-36 (SF-36)
Abstract
Fiziksel hastalıkların izlenmesinde fiziksel parametrelerin yanı sıra psikososyal boyut da önem kazanmaktadır. Kısa Form-36 (SF-36) bir kendini değerlendirme ölçeğidir ve fiziksel fonksiyon, sosyal fonksiyon, rol kısıtlamaları (fiziksel ve emosyonel nedenlere bağlı), mental sağlık, vitalite (enerji), ağrı ve sağlığın genel olarak algılanması gibi sağlığın 8 boyutunu 36 madde ile incelemektedir. Bu çalışmada SF-36’nın Türkçe için güvenilirliği ve geçerliliğinin belirlenmesi amacıyla osteoartriti olan 50 ve kronik bel ağrısı olan 50 hasta değerlendirmeye alınmıştır. SF-36’nın yanısıra Nottingham Sağlık Profili kullanılmıştır. Güvenilirlik çalışmalarında her bir alt ölçeğin Cronbach alfa katsayıları ayrı ayrı hesaplanmıştır ve 0.7324-0.7612 arasında bulunmuştur. Madde-toplam puan korelasyonları ise 0.4712-0.8872 arasında hesaplanmıştır. Geçerlilik çalışmasında ise multitrait-multimethod matriks uygulanmıştır ve korelasyon katsayıları 0.44-0.65 arasında bulunmuştur. Sonuç olarak, SF-36’nın Türkçe için güvenilir ve geçerli olduğu saptanmış ve kronik fiziksel hasta gruplarında kullanılabileceği belirlenmiştir.
... Anahtar Kelimeler: Obezite, metabolik sendrom, impotans, erektil disfonksiyon, kadın cinsel disfonksiyonu, cinsel tatmin Effects of obesity and metabolic syndrome on sexual life İstanbul Tıp Fakültesi Dergisi • J Ist Faculty Med J Ist Faculty Med 2024;87(1): [21][22][23][24][25][26][27][28][29][30][31] MetSynd (17). The presence of MetSynd is associated with an increased risk of ED, even in men with BMI <25 kg/m 2 (18). ...
... Higher scores indicate higher quality of life (23). A Turkish validity and reliability study was conducted (24). ...
... In our study, we found that sexual desire in men was least affected by obesity and MetSynd (24). In contrast, orgasm function and sexual satisfaction scores were 1.5 times lower on average, and general satisfaction scores were 2.5 times lower on average. ...
... The SF-36 scale, which was developed by Ware in 1987 and validity and reliability study was conducted by Koçyiğit et al. in 1999, has been used to assess the QOL of individuals. 18,19 The SF-36 scale is ...
... The SF-36 scale, which was developed by Ware in 1987 and validity and reliability study was conducted by Koçyiğit et al. in 1999, has been used to assess the QOL of individuals. 18,19 The SF-36 scale is ...
... The Turkish version of the Short Form-36 (SF-36) scale was used to assess health-related quality of life. 21 This scale, which evaluates the quality of life with general health, physical functioning, physical role, mental health, emotional role, social functioning, bodily pain, vitality sub-dimensions, gives a total score out of 100 with higher score means better health-related quality of life value of the person. The Cronbach's alpha value of each sub-dimension varies between 0.732-0.761. ...
... The patients were classified as previously diagnosed or newly diagnosed at admission. BECK hopelessness scale (BHS), BECK depression inventory (BDI), and SF-36 scales with Turkish validity and reliability studies were performed [21][22][23]. Psychiatric scale outcomes were compared between suicidal jumpers and accidental falls. All patients were operated under general anesthesia in the prone position and under the guidance of fluoroscopy with a standard posterior approach. ...
Purpose
The aim of the study was to determine the effect of trauma etiology on the management, functional outcomes and psychiatric characteristics of suicide jumpers and patients who accidentally fall from height.
Methods
89 patients (48 accidental falls and 41 suicidal jumpers) who had undergone spinal surgery were included in the study. The patients were evaluated clinically and radiologically. Visual Analog Scale (VAS), Roland Morris Disability Questionnaire (RMDQ) and McGill Pain Questionnaire (MPQ) were performed for functional evaluation. BECK hopelessness scale (BHS), BECK depression inventory (BDI), and SF-36 scales were used for the psychiatric evaluation. All outcomes were compared between suicidal jumpers and accidental falls.
Results
The RMDQ and ODI questionnaires stated a higher disability in the suicide jump group (p = 0.001 and p = 0.029, respectively). However, the VAS and MPQ questionnaires did not differ in significance between groups (p = 0.182 and p = 0.306, respectively). The SF-36 scale showed that physical function, role emotional, vitality and mental health subdomains were worse in the suicide jump group (p = 0.001, p = 0.029, p = 0.014 and p = 0.030, respectively). BDI scores were significantly higher in the suicide jump group while no difference was observed between the groups in terms of BSH (p = 0.017 and p = 0.940, respectively).
Conclusion
Psychiatric disorders are more common in patients in the suicidal jumpers. The presence of underlying psychiatric problems adversely affects the postoperative functional outcomes of patients with surgically treated spinal fractures. A multidisciplinary approach together with raising awareness in this way can improve the clinical outcomes after orthopedic treatment, even if there is physical disability.
... The Short Form Health Survey (SF-36) is one of the most commonly used questionnaires for assessing health-related quality of life in the general population. Developed by Ware et al. 10 in 1993, it was adapted into Turkish by Koçyiğit et al. 11 in 1999. The SF-36 comprises two main components (physical and mental) and eight sub-domains. ...
Objective: Secondary prevention is crucial in cardiovascular disease to halt disease progression and prevent complications. Comprehensive cardiac rehabilitation (CR) programs, encompassing exercise training, cardiovascular risk factor modification, and psychological intervention components, are conducted by a multidisciplinary team created for this purpose. This study aims to investigate the effects of the comprehensive CR program on quality of life, biophysiological parameters, and psychological features. Methods: Data were collected in phase I (before discharge) and at the follow-up appointment in the early (30 th day) phase III period of CR. The "SF-36 Quality of Life Scale", "Depression, Anxiety, and Stress Scale (DASS-21)", and biophysiological parameters were compared before and after the CR program. Results: The mean age was 61.56 ± 8.22 years, and 27 (51.9%) of the patients were male. All SF-36 sub-dimensions after CR demonstrated a significant increase. The SF-36's main components, the "physical component summary" and the "mental component summary" (30.36±8.38 and 28.53±12.59 vs. 77.27±13.66 and 64.48±6.48; P < 0.001), both showed a significant increase. Depression, anxiety, and stress scores significantly decreased after CR across all variables. A statistically significant decrease in systolic blood pressure, diastolic blood pressure, low-density lipoprotein, and triglyceride levels, as well as an increase in hemoglobin value, were found in the biophysiological parameters. Conclusion: This study demonstrates that implementing all components of the CR program significantly improves patients' quality of life, biophysiological parameters, and psychological features.
... This is a developed scale for the measurement of quality of life. Its Turkish validity and reliability studies were performed [18]. ...
Objective: The role of vitamin D in the etiopathogenesis of fibromyalgia and non-specific musculoskeletal pain is controversial. In our study, we aimed to investigate the effect of vitamin D therapy on quality of life in patients with fibromyalgia. Materials and Methods: Seventy patients diagnosed with fibromyalgia and 65 age-and sex-matched controls were included in the study. Patients were grouped as deficient (<20 ng/mL), inadequate (20-30 ng/mL), and sufficient (>30 ng/mL) according to the levels of vitamin D. Vitamin D replacement was performed for patients with deficiencies and inadequacies. Before and after vitamin D therapy, patients filled in the assessment tools, fibromyalgia impact questionnaire (FIQ), Arizona sexual experience scale (ASEX), Beck depression inventory (BDI), visual analog scale (VAS), and short form-36 (SF-36). Results: Vitamin D deficiencies and inadequacies were observed in 60% of the patients (n=42). Among patients with low and normal levels of vitamin D, no statistically significant difference was observed in their values. In scales examined after vitamin D replacement therapy, statistically significant differences were observed in the FIQ, BDI, VAS, and SF-36 compared with pre-treatment. Conclusion: Vitamin D deficiency seems to be linked to the pathogenesis of fibromyalgia. Vitamin D supple-mentation may improve the quality of life in patients with fibromyalgia. ÖZ Amaç: D vitamininin fibromiyalji ve nonspesifik kas-iskelet sistemi ağrılarının etyopatogenezindeki rolü tartışmalıdır. Çalışmamızda fibromiyalji hastalarında D vitamini tedavisinin yaşam kalitesi üzerine etkisini araştırmayı amaçladık. Gereç ve Yöntem: Çalışmaya fibromiyalji tanısı konulan 70 hasta ve yaş-cinsiyet olarak benzer 65 kişi kontrol grubu olarak dahil edildi. D vitamini düzeylerine göre hastalar, eksiklik (<20 ng/mL), yetersizlik (20-30 ng/mL) ve yeterli (> 30 ng/mL) olarak gruplandırıldı. Eksiklik ve yetersizlik saptanan hastalar için D vitamini replasmanı yapıldı. D vitamini tedavisinden önce ve sonra, hastalar yaşam kalitesi formları olan fibromiyalji etkilenme an-keti (FEA), Arizona cinsel yaşantılar ölçeği (ACYÖ), Beck depresyon ölçeği (BDÖ), Vizüel Analog skala (VAS) and Kısa form-36 (KF-36) ile değerlendirildi. Bulgular: D vitamini eksikliği ve yetersizliği hastaların % 60'ında (n=42) gözlendi. D vitamini düşük ve normal hastalar arasında yaşam kalitesi açısından istatistiksel fark saptanmadı. D vitamini replasman tedavisinden sonra yapılan incelemelerde FEA, BDÖ, VAS 'ya göre ağrı skoru ve KF-36' da tedavi öncesi ile karşılaştırıldığında istatistiksel olarak anlamlı farklılıklar gözlendi. Sonuç: D vitamini eksikliği fibromyalji patogeneziyle bağlantılı görünmektedir. Fibromyalji hastalarında D vitamin replasmanı yapmak hayat kalitesini yükseltebilir.
Amaç: Bu araştırma, yetişkinlerde sağlık ve beslenme okuryazarlık düzeylerini belirlemek ve bunların beslenme bilgisi, diyet kalitesi ve yaşam kalitesi ile ilişkilerini belirlemek amacıyla gerçekleştirilmiştir.Bireyler ve Yöntem: Kesitsel tipte planlanan bu çalışma İstanbul’da yaşayan 400 yetişkin bireyin gönüllü katılımı ile Şubat– Mayıs 2022 tarihleri arasında tamamlanmıştır. Çalışmada katılımcılara sosyodemografik verilerine yönelik soruları içeren bir anket formu, “Yetişkinlerde Sağlık Okuryazarlığı Ölçeği (YSOÖ)”, “Yetişkinlerde Beslenme Okuryazarlığı Değerlendirme Aracı (YBOYDA)”, “Yetişkinler İçin Beslenme Bilgi Düzeyi Ölçeği (YETBİD)”, “Yaşam Kalitesi Ölçeği- Kısa Formu (SF-36)”, “Sağlıklı Yeme İndeksi-2015 (SYİ-2015)” ve üç günlük besin tüketim kaydı uygulanmıştır. Bulgular: Yaşla YSOÖ puanı (r=0.117, p=0.019), okuduğunu anlama ve yorumlama (r=0.148, p=0.003), besin etiketi ve sayısal okuryazarlık (r=0.181, p<0.001) puanları arasında pozitif yönlü anlamlı ilişki bulunmuştur. Ayrıca bel çevresi (r=-0.165, p=0.001) ve bel/boy oranıyla (r=-0.155, p=0.002) besin etiketi ve sayısal okuryazarlık arasında negatif yönlü anlamlı ilişki vardır. YSOÖ ve YBOYDA puanları ile YETBİD, SYİ-2015 ve SF-36’nın bazı alt boyut puanları arasında pozitif yönlü anlamlı ilişki olduğu saptanmıştır (p<0.001). YSOÖ puanının 1 birim artması ile SYİ-2015, YETBİD alt boyutlarından “temel beslenme ve besin-sağlık ilişkisi” ve “besin tercihi” puanlarının sırasıyla 1.761, 0.890 ve 0.435 birim arttığı bulunmuştur (p<0.001). YBOYDA puanının 1 birim artması ile SYİ-2015, YETBİD alt boyutlarından “temel beslenme ve besin-sağlık ilişkisi” ve “besin tercihi” puanlarının sırasıyla 0.749, 0.652 ve 0.385 birim arttığı belirlenmiştir (p<0.001).Sonuç: Sağlık ve beslenme okuryazarlığı beslenme bilgisi, diyet ve yaşam kalitesi ile yakından ilişkilidir. Bu sebeple, toplum sağlığının korunması, diyet ve yaşam kalitesinin arttırılması için beslenme ve sağlık okuryazarlıklarının toplumda bilinirliğinin ve konuya ilişkin farkındalığın ilgili eğitimlerle arttırılması önemlidir. Bu konuda daha fazla araştırma yapılması sağlığın iyileştirilmesine ve toplum sağlığının korunmasına katkı sağlanması açısından yararlı olacaktır.Anahtar kelimeler: Sağlık okuryazarlığı, beslenme okuryazarlığı, beslenme bilgisi, diyet kalitesi, yaşam kalitesi
Studies have shown the frequency of anxiety and depression and decreased quality of life (QoL) in patients with allergic diseases. The aim of this study was to evaluate anxiety and depression symptoms and QoL in patients with asthma, allergic rhinitis (AR), urticaria/angioedema (U/A) and drug allergy without any psychiatric diagnosis and to compare these four diseases in these respects. In this cross-sectional study demographic and clinical characteristics were collected from patients’records. Hospital Anxiety and Depression Scale (HADS) and Short Form 36 (SF-36) were used to assess anxiety and depression symptoms and QoL. A total of 159 patients were included in the study and grouped as asthma (n=43, 27.1%), AR (n=45, 28.3%), U/A (n=44, 27.7%) and drug allergy (n=27, 17%). There was a significant difference in HADS anxiety score and SF-36 physical functioning subscore (p<0.001 and p=0.001, respectively). HADS anxiety score was higher in the U/A group and SF-36 physical functioning was lower in asthma group. Among asthmatics, SF-36 subscores of physical role functioning, emotional role functioning, social role functioning were lower in the patients at step 4 and 5 (n=22, 51.2%) than in those at step 2 and 3 (n=21, 48.8%) (p=0.001, p=0.031 and p=0.005, recpectively). In the U/A group, there was a positive moderate correlation between the urticaria activity score 7 and the HADS anxiety score (r:0.579, p<0.001). Our study showed that U/A patients had more anxiety symptoms comparing to other allergic diseases. Disease activity and severity had a significant relationship with anxiety level in U/A patients and with QoL in asthmatics.
The relationship between alexithymia and quality of life has attracted the attention of researchers recently. However, these studies have been conducted on patient groups or the general population. This study aims to determine the simultaneous effect of the level of alexithymia on the components of quality of life in a healthy university student population using the structural equation model. The sample of this cross-sectional study consists of 183 healthy volunteer university students without mental and physical illnesses. Sociodemographic Data Form, Short Form-36 (SF-36) Quality of Life Scale, and Toronto Alexithymia Scale (TAS-20) were applied to the participants. In this current study, 48.6% (n = 89) of the participants were female and 51.4% (n = 94) were male, and the mean age was 21.88 ± 2.11 years. 13.1% (n = 24) of the volunteers were categorized as alexithymic, 25.2% (n = 46) as borderline alexithymic and 61.7% (n = 113) as non-alexithymic. It has been shown that Toronto Alexithymia Scale has an inverse significant and moderate effect on the SF-36 Quality of Life Scale (Standardized regression coefficient -0.40). Our study shows that alexithymia has a detrimental impact on the quality of life of healthy university students who are not suffering from any medical or mental illnesses. It is thought that it would be beneficial to develop specific intervention methods for alexithymic individuals to remove these alexithymia-related problems and improve quality of life. Longitudinal research in the future will be beneficial in explaining the causal relationships between alexithymia and quality of life.
Objectives To determine the volume status of patients undergoing hemodialysis using the bioimpedance method and to investigate the relationship of volume status with the patients’ quality of life, anxiety, depression, and sleep quality. Material and Method This cross-sectional study included a total of 100 patients undergoing hemodialysis at the Hemodialysis Unit in March 2016. The volume status of the patients was determined using bioelectrical impedance analysis (BIA) performed with a body composition monitor before their mid-week hemodialysis sessions. The quality of life was evaluated using the 36-item Short Form Survey, sleep quality was assessed using the Pittsburg Sleep Quality Index (PSQI), depression screening was performed with the Beck Depression Inventory, and anxiety screening was undertaken with the Beck Anxiety Inventory. The patients were divided into three groups according to the extracellular fluid/ total body fluid (ECF/TBF) ratio, which is one of the BIA parameters: Group 1
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