Đánh giá tính giá trị và độ tin cậy của bộ công cụ sàng lọc hội chứng tiền kinh nguyệt ở sinh viên nữ tại Trường Đại học Y Dược Huế

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Đình Triệu Vỹ Ngô, Lê Hưng Linh Nguyễn, Hoàng Nhật Anh Trần, Mạnh Linh Trần, Thị Mỹ Duyên Trần, Thị Trà My Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 610.82 Medicine and health

Thông tin xuất bản: Tạp chí Y Dược học - Trường Đại học Y Dược Huế, 2020

Mô tả vật lý: 106-120

Bộ sưu tập: Metadata

ID: 492419

Thêm vào giỏ

Đánh giá tính giá trị và độ tin cậy phiên bản Tiếng Việt của bộ công cụ sàng lọc hội chứng tiền kinh nguyệt PSST. Đối tượng và phương pháp nghiên cứu: Nghiên cứu cắt ngang trên 303 sinh viên nữ tuổi từ 18 - 45 tại trường Đại học Y Dược Huế. Sử dụng bộ công cụ sàng lọc hội chứng tiền kinh nguyệt PSST phiên bản tiếng Anh để chuyển sang phiên bản Tiếng Việt. Các bước thực hiện gồm xin phép đồng ý sử dụng, dịch sang tiếng Việt, dịch ngược tiếng Anh và đánh giá độc lập tính chính xác bản dịch, áp dụng thí điểm và hoàn thiện bản tiếng Việt PSST, sau đó áp dụng sàng lọc hội chứng tiền kinh nguyệt để đánh giá. Chẩn đoán xác định Hội chứng tiền kinh nguyệt và Rối loạn - loạn khí sắc tiền kinh nguyệt theo tiêu chuẩn của Hiệp hội Sản Phụ khoa Hoa Kỳ và Cẩm nang Chẩn đoán và Thống kê Rối loạn Tâm thần (DSM-5) của Hiệp hội Tâm Thần học Hoa Kỳ. Kết quả: Phiên bản tiếng Việt PSST có độ nhạy 81,8%, độ đặc hiệu là 77,4%, giá trị tiên đoán âm tính 97,2%, giá trị tiên đoán dương tính là 30,7% trong phát hiện Hội chứng tiền kinh nguyệt. Hệ số Cronbach's alpha = 0,91. Hệ số Kappa sau kiểm định kiểm tra - tái kiểm tra là 0,44, mức tương hợp 72,0%. Phân tích nhân tố khám phá (exploraotory factor analysis - EFA) thông qua phân tích cấu phần (Principal Component analysis) cho thấy PSST phiên bản tiếng Việt có thể phát hiện Hội chứng tiền kinh nguyệt / Rối loạn - loạn khí sắc tiền kinh nguyệt phù hợp với tiêu chuẩn chẩn đoán DSM-5.To validate the Vietnamese version of the Premenstrual Syndrome Screening Tool (PSST). This was a cross-sectional study including 303 female-students in Hue University of Medicine and Pharmacy, who were between 18 and 45 years of age were approached to participate in this study. The PSST was translated from English to Vietnamese and conversely by obstetrician-gynecologist and psychiatrist independently. This initial version was piloted first in 20 women who were interviewed individually to make sure that participants and interviewers understood the items and the PSST has cultural adaptation before starting the interviews and collecting data. The participants were monitored premenstrual symptoms over at least two consecutive menstrual cycles by the Daily Record of Severity of Problems (DRSP), based on The Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) criteria by American Psychiatric Association. The prevalence of PMS and PMDD screening by Vietnamese PSST were 28.4% and 0.7%, respectively. The Vietnamese PSST showed specificity of 81.8% and sensitivity of 77.4%, high negative predicted value of 97.2% and low positive predicted value of 30.7%. The Cronbach's α was high 0.91. As for test-retest reliability, Vietnamese PSST showed fairly good agreement with Kappa = 0.44, percent agreement = 72.0%. In exploraotory factor analysis using PCA (Principal components analysis) resulted in Vietnamese PSST can capture more cases with high score on PSST who are most likely definte PMS/PMDD by DSM-5 criteria.

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