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  4. Bladder-related quality of life in people with neurological disorders: reliability and validity of the Turkish version of the King’s Health Questionnaire in people with spinal cord injury

Bladder-related quality of life in people with neurological disorders: reliability and validity of the Turkish version of the King’s Health Questionnaire in people with spinal cord injury

Turk J Urol, 2018 · DOI: 10.5152/tud.2018.45556 · Published: March 9, 2018

Spinal Cord InjuryUrologyNeurology

Simple Explanation

The study aimed to evaluate the reliability and validity of the Turkish version of the King's Health Questionnaire (KHQ) for individuals with spinal cord injury (SCI). It also sought to compare bladder-related quality of life between SCI and multiple sclerosis (MS) patients. The KHQ, a questionnaire assessing the impact of urinary incontinence on quality of life, was translated into Turkish and administered to SCI and MS patients, along with other questionnaires (Qualiveen and SF-36) for comparison. The results indicated that the Turkish KHQ is a reliable and valid tool for assessing bladder-related quality of life in SCI patients. SCI patients reported poorer bladder-related quality of life compared to MS patients.

Study Duration
Not specified
Participants
35 patients with SCI and 57 patients with multiple sclerosis (MS)
Evidence Level
Not specified

Key Findings

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    The Turkish version of the KHQ demonstrated high internal consistency (Cronbach’s alpha: 0.68-0.93) and test-retest reliability (intraclass correlation coefficient: 0.69-0.94) in patients with SCI.
  • 2
    A significant correlation was found between the KHQ sub-scales and the majority of the sub-scores of the Qualiveen scale (p<0.05).
  • 3
    Patients with SCI had significantly higher (worse) scores in some KHQ subscales (incontinence impact, social limitations, emotional problems, incontinence severity, and symptom severity) compared to MS patients (p<0.05).

Research Summary

This study validated the Turkish version of the King's Health Questionnaire (KHQ) for use in patients with spinal cord injury (SCI), demonstrating its reliability and internal consistency. The study found that patients with SCI reported a poorer bladder-related quality of life compared to patients with multiple sclerosis (MS), as measured by the KHQ. The researchers suggest that the Turkish KHQ can be used to determine the effects of urinary incontinence on the quality of life among SCI patients in Turkey and recommend future studies to assess the sensitivity of the KHQ for bladder rehabilitation programs.

Practical Implications

Clinical Assessment

The Turkish version of the KHQ is a reliable and valid tool for assessing bladder-related quality of life in Turkish-speaking SCI patients.

Comparative Studies

The KHQ can be used to compare the impact of bladder dysfunction on quality of life between different neurological conditions, such as SCI and MS.

Rehabilitation Programs

Future research should investigate the KHQ's sensitivity to changes in bladder function following rehabilitation programs for SCI patients.

Study Limitations

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