spracticeХирургическая практикаSurgical practice (Russia)2223-2427АНО "Консорциум "Медицинская техника"10.5922/2223-2427-2024-9-2-2spractice-470Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИРезультаты адаптации опросника FIQL для оценки качества жизни пациентов с анальным недержаниемAdaptation of the FIQL Questionnaire for Patients with Anal Incontinencehttps://orcid.org/0000-0003-2711-2400МаркарьянД. Р.MarkaryanD. R.

Даниил Рафаэлевич Маркарьян, кандидат медицинских наук, доцент кафедры хирургии факультета фундаментальной медицины

119991, Москва, ул. Ленинские горы, 1

Daniil R. Markaryan, Associate Professor, Department of Surgery of the Faculty of Medicine

1 Leninskie Gory, Moscow, 119991

dmarkaryan@gmail.comhttps://orcid.org/0000-0002-2768-4305ЛукьяновА. М.LukianovA. M.

Александр Максимович Лукьянов, аспирант кафедры хирургии факультета фундаментальной медицины

119991, Москва, ул. Ленинские горы, 1

Alexander M. Lukianov, PhD Student, Department of Surgery of the Faculty of Medicine

1 Leninskie Gory, Moscow, 119991

alexmaxl@mail.ruhttps://orcid.org/0000-0003-2330-4229ГармановаТ. Н.GarmanovaT. N.

Татьяна Николаевна Гарманова, кандидат медицинских наук, доцент кафедры хирургии факультета фундаментальной медицины

119991, Москва, ул. Ленинские горы, 1

Tatiana N. Garmanova, Associate Professor, Department of Surgery of the Faculty of Medicine

1 Leninskie Gory, Moscow, 119991

tatianagarmanova@gmail.comhttps://orcid.org/0000-0001-6322-7016КазаченкоЕ. А.KazachenkoE. A.

Екатерина Александровна Казаченко, аспирант кафедры хирургии факультета фундаментальной медицины

119991, Москва, ул. Ленинские горы, 1

Ekaterina A. Kazachenko, PhD Student, Department of Surgery of the Faculty of Medicine

1 Leninskie Gory, Moscow, 119991

ekaterina.k.97@mail.ruhttps://orcid.org/0000-0003-2631-7631КубышкинВ. А.KubyshkinV. A.

Валерий Алексеевич Кубышкин, доктор медицинских наук, академик РАН, заведующий кафедрой хирургии факультета фундаментальной медицины

119991, Россия, Москва, ул. Ленинские горы, 1

Valery A. Kubyshkin, Academician of the Russian Academy of Sciences, Head of the Department of Surgery of the Faculty of Medicine

1 Leninskie Gory, Moscow, 119991

VKubyshkin@mc.msu.ruМосковский государственный университет имени М. В. ЛомоносоваРоссияLomonosov Moscow State UniversityRussian Federation202416072024022235Copyright © Маркарьян Д.Р., Лукьянов А.М., Гарманова Т.Н., Казаченко Е.А., Кубышкин В.А., 20242024Маркарьян Д.Р., Лукьянов А.М., Гарманова Т.Н., Казаченко Е.А., Кубышкин В.А.Markaryan D.R., Lukianov A.M., Garmanova T.N., Kazachenko E.A., Kubyshkin V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.spractice.ru/jour/article/view/470

Цель. Оценка эффективности культурной и лингвистической адаптации шкалы оценки качества жизни пациентов с анальным недержанием Fecal incontinence quality of life scale (FIQOL) для русскоговорящего населения.Материалы и методы. Проведена культурно-языковая адаптация опросника, которая, согласно международным рекомендациям, состоит из следующих этапов: профессиональный перевод опросников, обратный перевод, критическое обсуждение в междисциплинарном консилиуме с обязательным участием переводчиков, лингвистов, психологов, врачей и пациентов, предварительное тестирование, оценка надежности. Представлены результаты предварительного тестирования. В фазе предварительного тестирования приняли участие 26 пациенток, перенесших хирургическое лечение анального недержания. Всем пациенткам было проведено хирургическое лечение недержания в объеме сфинктеролеваторопластики в период с 2016 по 2022 г.Результаты. Результатом культурной адаптации стал представленный на русском языке опросник Fecal incontinence quality of life scale (FIQL), прошедший все вышеуказанные этапы с внесением исправлений и замечаний в порядке консилиума «врач — переводчик — психолог — пациент». Среднее время, прошедшее с момента операции до проведения опроса, составило 32 месяца (SD = 20). Средний общий балл опросника — 3,2 (SD = 0,62), средний балл по шкале «Стиль жизни» — 3,3 (SD = 0,74), средний балл по шкале «Поведение, повседнев- ные заботы» — 3,2 (SD = 0,65), средний балл по шкале «Депрессия и самоощущение» — 3,4 (SD = 0,91) и средний балл по шкале «Стыд» — 3,2 (SD = 0,71). Оценка надежности опросника, показываемая коэффициентом альфа-Кронбаха, составила 0,94, что соответствует оценке «очень хорошая надежность».Заключение. Представленные данные показывают, что русскоязычная версия опросника Fecal incontinence quality of life scale (FIQL) адаптирована для использования русскоговорящими пациентами и специалистами, надежна и может применяться в качестве основного инструмента оценки качества жизни пациентов с АН.

Aim. To evaluate the effectiveness of the cultural and linguistic adaptation of the Fecal Incontinence Quality of Life Scale (FIQOL) for the Russian-speaking population.Methods: A cultural and linguistic adaptation of the FIQL questionnaire was performed in accordance with international guidelines. This process included several key steps: professional translation of the questionnaire, back translation, and critical discussion within an interdisciplinary council comprising translators, linguists, psychologists, doctors, and patients. Preliminary testing and reliability assessment were also conducted. The results of the preliminary testing are presented in this article. A total of 26 patients who had undergone surgical treatment for anal incontinence (sphincterolevatoroplasty) between 2016 and 2022 participated in the preliminary testing phase.Results. The result of the cultural adaptation is the Russian language version of the Fecal Incontinence Quality of Life Scale (FIQOL), which has undergone all the aforementioned stages with corrections and comments in the order of the council of doctor-translator-psychologist-patient. The average time elapsed from the moment of surgery to the survey was 32 months (SD = 20). The average overall score of the questionnaire was 3.2 (SD = 0.62), the average score on the ‘Lifestyle’ scale was 3.3 (SD = 0.74), the average score on the ‘Behaviour, daily worries’ scale was 3.2 (SD = 0.65), the average score on the ‘Depression and self-perception scale was 3.4 (SD = 0.91) and the average score on the ‘Shame’ scale was 3.2 (SD = 0.71). The assessment of the reliability of the questionnaire, as shown by the alpha-Kronbach coefficient, was 0.94, which corresponds to the assessment of ‘very good reliability’.Conclusion. The presented data show that the Russian version of the Fecal Incontinence Quality of Life Scale (FIQOL) is adapted for use by Russian-speaking patients and specialists, is reliable, and can be used as a primary tool for assessing the quality of life of patients with anal incontinence.

недержаниерезультаты лечениякачество жизниFIQLкультурная адаптацияAnal incontinencetreatment resultsquality of lifeFIQLcultural adaptationReferencesRockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG, Wexner SD, Bliss D, Lowry AC. Fecal Incontinence Quality of Life Scale: quality of life instrument for patients with fecal incontinence. Dis Colon Rectum. 2000 Jan;43(1):9—16; discussion 16-7. https://doi.org/10.1007/BF02237236Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG, Wexner SD, Bliss D, Lowry AC. Fecal Incontinence Quality of Life Scale: quality of life instrument for patients with fecal incontinence. Dis Colon Rectum. 2000 Jan;43(1):9—16; discussion 16-7. https://doi.org/10.1007/BF02237236Rogers RG, Coates KW, Kammerer-Doak D, Khalsa S, Qualls C. A short form of the Pelvic Organ Prolapse/ Urinary Incontinence Sexual Questionnaire (PISQ-12). Int Urogynecol J Pelvic Floor Dysfunct. 2003 Aug;14(3):164—8; discussion 168. https://doi.org/10.1007/S00192-003-1063-2Rogers RG, Coates KW, Kammerer-Doak D, Khalsa S, Qualls C. A short form of the Pelvic Organ Prolapse/ Urinary Incontinence Sexual Questionnaire (PISQ-12). Int Urogynecol J Pelvic Floor Dysfunct. 2003 Aug;14(3):164—8; discussion 168. https://doi.org/10.1007/S00192-003-1063-2Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum. 1993 Jan;36(1):77—97. https://doi.org/10.1007/BF02050307Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum. 1993 Jan;36(1):77—97. https://doi.org/10.1007/BF02050307Peterson AC, Sutherland JM, Liu G, Crump RT, Karimuddin AA. Evaluation of the Fecal Incontinence Quality of Life Scale (FIQL) using item response theory reveals limitations and suggests revisions. Qual Life Res. 2018 Jun;27(6):1613—1623. https://doi.org/10.1007/s11136-018-1826-3Peterson AC, Sutherland JM, Liu G, Crump RT, Karimuddin AA. Evaluation of the Fecal Incontinence Quality of Life Scale (FIQL) using item response theory reveals limitations and suggests revisions. Qual Life Res. 2018 Jun;27(6):1613—1623. https://doi.org/10.1007/s11136-018-1826-3Duelund-Jakobsen J, Buntzen S, Lundby L, Laurberg S, Sørensen M, Rydningen M. One-stage implant in sacral neuromodulation for faecal incontinence — short-term outcome from a prospective study. Colorectal Dis. 2024 Mar 11. https://doi.org/10.1111/codi.16936Duelund-Jakobsen J, Buntzen S, Lundby L, Laurberg S, Sørensen M, Rydningen M. One-stage implant in sacral neuromodulation for faecal incontinence — short-term outcome from a prospective study. Colorectal Dis. 2024 Mar 11. https://doi.org/10.1111/codi.16936Gachabayov M, Angelos G, Orangio G, Abcarian H, Bergamaschi R; Hemorrhoids Study Group. Transanal Hemorrhoidal Dearterialization With Mucopexy Versus Ferguson Hemorrhoidectomy for Prolapsed Internal Hemorrhoids: A Multicenter Prospective Study. Ann Surg. 2023 Sep 1;278(3):376—382. https://doi.org/10.1097/SLA.0000000000005961Gachabayov M, Angelos G, Orangio G, Abcarian H, Bergamaschi R; Hemorrhoids Study Group. Transanal Hemorrhoidal Dearterialization With Mucopexy Versus Ferguson Hemorrhoidectomy for Prolapsed Internal Hemorrhoids: A Multicenter Prospective Study. Ann Surg. 2023 Sep 1;278(3):376—382. https://doi.org/10.1097/SLA.0000000000005961Bharucha AE, Gantz MG, Rao SS, Lowry AC, Chua H, Karunaratne T, Wu J, Hamilton FA, Whitehead WE. Comparative effectiveness of biofeedback and injectable bulking agents for treatment of fecal incontinence: Design and methods. Contemp Clin Trials. 2021 Aug;107:106464. https://doi.org/10.1016/j.cct.2021.106464Bharucha AE, Gantz MG, Rao SS, Lowry AC, Chua H, Karunaratne T, Wu J, Hamilton FA, Whitehead WE. Comparative effectiveness of biofeedback and injectable bulking agents for treatment of fecal incontinence: Design and methods. Contemp Clin Trials. 2021 Aug;107:106464. https://doi.org/10.1016/j.cct.2021.106464‘t Hoen LA, Utomo E, Schouten WR, Blok BF, Korfage IJ. The fecal incontinence quality of life scale (FIQL) and fecal incontinence severity index (FISI): Validation of the Dutch versions. Neurourol Urodyn. 2017 Mar;36(3):710—715. https://doi.org/10.1002/NAU.23003‘t Hoen LA, Utomo E, Schouten WR, Blok BF, Korfage IJ. The fecal incontinence quality of life scale (FIQL) and fecal incontinence severity index (FISI): Validation of the Dutch versions. Neurourol Urodyn. 2017 Mar;36(3):710—715. https://doi.org/10.1002/NAU.23003Dehli T, Martinussen M, Mevik K, Stordahl A, Sahlin Y, Lindsetmo RO, Vonen B. Translation and validation of the Norwegian version of the fecal incontinence quality-of-life scale. Scand J Surg. 2011;100(3):190— 5. https://doi.org/10.1177/145749691110000310Dehli T, Martinussen M, Mevik K, Stordahl A, Sahlin Y, Lindsetmo RO, Vonen B. Translation and validation of the Norwegian version of the fecal incontinence quality-of-life scale. Scand J Surg. 2011;100(3):190— 5. https://doi.org/10.1177/145749691110000310Mak TW, Leung WW, Ngo DK, Lee JF, Hon SS, Ng SS. Translation and validation of the traditional Chinese version of the faecal incontinence quality of life scale. Int J Colorectal Dis. 2016 Feb;31(2):445—50. https://doi.org/10.1007/s00384-015-2462-9Mak TW, Leung WW, Ngo DK, Lee JF, Hon SS, Ng SS. Translation and validation of the traditional Chinese version of the faecal incontinence quality of life scale. Int J Colorectal Dis. 2016 Feb;31(2):445—50. https://doi.org/10.1007/s00384-015-2462-9Himmler M, Mühlbauer J, Schwarzer N, Stein R, Younsi N. Urinary and Fecal Continence in Adolescent and Adult Patients With Cloacal Exstrophy. Urology. 2022 Jun;164:293—299. https://doi.org/10.1016/j.urology.2022.01.009Himmler M, Mühlbauer J, Schwarzer N, Stein R, Younsi N. Urinary and Fecal Continence in Adolescent and Adult Patients With Cloacal Exstrophy. Urology. 2022 Jun;164:293—299. https://doi.org/10.1016/j.urology.2022.01.009Minguez M, Garrigues V, Soria MJ, Andreu M, Mearin F, Clave P. Adaptation to Spanish language and validation of the fecal incontinence quality of life scale. Dis Colon Rectum. 2006 Apr;49(4):490—9. https://doi.org/10.1007/S10350-006-0514-5Minguez M, Garrigues V, Soria MJ, Andreu M, Mearin F, Clave P. Adaptation to Spanish language and validation of the fecal incontinence quality of life scale. Dis Colon Rectum. 2006 Apr;49(4):490—9. https:// doi.org/10.1007/S10350-006-0514-5Dedeli O, Fadiloglu C, Bor S. Validity and reliability of a Turkish version of the Fecal Incontinence Quality of Life Scale. J Wound Ostomy Continence Nurs. 2009 Sep-Oct;36(5):532—8. https://doi.org/10.1097/WON.0B013E3181B36010Dedeli O, Fadiloglu C, Bor S. Validity and reliability of a Turkish version of the Fecal Incontinence Quality of Life Scale. J Wound Ostomy Continence Nurs. 2009 Sep-Oct;36(5):532—8. https://doi.org/10.1097/WON.0B013E3181B36010Hsu LF, Hung CL, Kuo LJ, Tsai PS. An abbreviated Faecal Incontinence Quality of Life Scale for Chinese-speaking population with colorectal cancer after surgery: cultural adaptation and item reduction. Eur J Cancer Care (Engl). 2017 Sep;26(5). https://doi.org/10.1111/ECC.12547Hsu LF, Hung CL, Kuo LJ, Tsai PS. An abbreviated Faecal Incontinence Quality of Life Scale for Chinese-speaking population with colorectal cancer after surgery: cultural adaptation and item reduction. Eur J Cancer Care (Engl). 2017 Sep;26(5). https://doi.org/10.1111/ECC.12547Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993 Dec;46(12):1417—32. https://doi.org/10.1016/0895-4356(93)90142-NGuillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993 Dec;46(12):1417—32. https://doi.org/10.1016/0895-4356(93)90142-NBeaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186—91. https://doi.org/10.1097/00007632-200012150-00014Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186—91. https://doi.org/10.1097/00007632-200012150-00014Супонева Н.А., Пирадов М. А., Рябинкина Ю. В., Юсупова Д. Г., Зимин А. А., Кириченко О. А., Бузган Н. Г., Яцко К. А., Сергеев Д. В., Зайцев А. Б., Легостаева Л. А., Язева Е. Г., Щербакова Е. С., Бундхун П., Рамчандани Н. М., Пистойа Ф. Шкала оценки сопутствующих заболеваний у ареактивных пациентов (CoCoS): лингвокультурная адаптация русскоязычной версии (сообщение). Общая реаниматология. 2022;18(2):65—75.Suponeva NA, Piradov MA, Ryabinkina YuV, Yusupova DG, Zimin AA, Kirichenko OA, Buzgan NG, Yatsko KA, Sergeev DV, Zaytsev AB, Legostayeva LA, Yazeva EG, Shcherbakova ES, Bundhun P, Ramchandani NM, Pistoia F. Comorbidities Coma Scale (CoCoS): Linguistic and Cultural Adaptation of the Russian-Language Version. General Reanimatology. 2022;18(2):65—75 (in Russ.). https://doi.org/10.15360/1813-9779-2022-2-65-75;.Boldori HM, Ciconet RM, Viegas K, Schaefer R, Santos MND. Cross-cultural adaptation of the scale National Emergency Department Overcrowding Score (NEDOCS) for use in Brazil. Rev Gaucha Enferm. 2021 May 21;42:e20200185. https://doi.org/10.1590/1983-1447.2021.20200185Boldori HM, Ciconet RM, Viegas K, Schaefer R, Santos MND. Cross-cultural adaptation of the scale National Emergency Department Overcrowding Score (NEDOCS) for use in Brazil. Rev Gaucha Enferm. 2021 May 21;42:e20200185. https://doi.org/10.1590/1983-1447.2021.20200185Coenen P, Zegers AD, Stapelfeldt CM, de Maaker-Berkhof M, Abma F, van der Beek AJ, Bültmann U, Duijts SFA. Cross-cultural translation and adaptation of the Readiness for Return To Work questionnaire for Dutch cancer survivors. Eur J Cancer Care (Engl). 2021 Mar;30(2):e13383. https://doi.org/10.1111/ECC.13383.Coenen P, Zegers AD, Stapelfeldt CM, de Maaker-Berkhof M, Abma F, van der Beek AJ, Bültmann U, Duijts SFA. Cross-cultural translation and adaptation of the Readiness for Return To Work questionnaire for Dutch cancer survivors. Eur J Cancer Care (Engl). 2021 Mar;30(2):e13383. https://doi.org/10.1111/ECC.13383.León-Salas B, Bilbao-González A, de Pascual Y Medina AM, Esteva M, Toledo-Chávarri A, Fuentes-Sánchez C, Bohn-Sarmiento U, Padrón-Peña P, González-Sánchez S, Valcárcel-López R, Trujillo-Martín MDM. Cross-cultural adaptation, reliability and validity of the Spanish version of the long-term quality of life questionnaire. Front Oncol. 2024 Mar 19;14:1375125. https://doi.org/10.3389/fonc.2024.1375125León-Salas B, Bilbao-González A, de Pascual Y Medina AM, Esteva M, Toledo-Chávarri A, Fuentes-Sánchez C, Bohn-Sarmiento U, Padrón-Peña P, González-Sánchez S, Valcárcel-López R, Trujillo-Martín MDM. Cross-cultural adaptation, reliability and validity of the Spanish version of the long-term quality of life questionnaire. Front Oncol. 2024 Mar 19;14:1375125. https://doi.org/10.3389/fonc.2024.1375125Del Greco L, Walop W, Eastridge L. Questionnaire development: 3. Translation. CMAJ. 1987 Apr 15;136(8):817—8.Del Greco L, Walop W, Eastridge L. Questionnaire development: 3. Translation. CMAJ. 1987 Apr 15;136(8):817—8.

The authors declare that there are no conflicts of interest present.