Abstract：
BACKGROUND: Patients with liver cirrhosis who are candidates for liver transplantation must be evaluated both clinically and socially in order to obtain the optimal outcomes and avoid futile therapeutic measures. For the evaluation of the social aspects in these patients, no validated scale in Spanish is available. The SIPAT (Stanford Integrated Psychosocial Assessment for Transplantation) scale is an instrument that measures the social, family and psychological aspects in candidates for solid organ transplantation. The objective of this study is to adapt and validate an abbreviated version of the SIPAT scale in Spanish for patients with liver cirrhosis.
METHODS: Prospective observational study carried out in the Hepatology Unit of the La Fe Unversity Hospital in Valencia, by questionnaire validation methodology. To analyze the reliability of the questionnaire, the internal consistency of all variables was calculated, for variability an exploratory factor analysis, and for stability the test-retest test was carried out.
RESULTS: 96 patients who were admitted for decompensated cirrhosis to the Hepatology Unit of the La Fe Hospital in Valencia between November 1, 2017 and January 31, 2017 were selected. 84% were men, the mean age was 60.01 (SD 10.12) years. In 73.2% of those admitted, the etiology of cirrhosis was alcoholic. 14.4% had a Child\'s stage A, 57.7% B and 27.8% C. The internal consistency of all variables reached a Cronbach\'s Alpha of 0.766. In the exploratory factor analysis, 6 dimensions of the questionnaire were identified that explain 84.27% of the total variability. To see the stability of the instrument, the measurement was repeated at 2 and 6 months of follow-up, obtaining in the test-retest a kappa agreement of 0.612 and 0.565 respectively.
CONCLUSIONS: The SIPAT-11 questionnaire has good psychometric characteristics in cirrhotic patients who are candidates for liver transplantation. It is easy to complete and can be administered by professionals who are not specialists in the area of Mental Health.
METHODS: Prospective observational study carried out in the Hepatology Unit of the La Fe Unversity Hospital in Valencia, by questionnaire validation methodology. To analyze the reliability of the questionnaire, the internal consistency of all variables was calculated, for variability an exploratory factor analysis, and for stability the test-retest test was carried out.
RESULTS: 96 patients who were admitted for decompensated cirrhosis to the Hepatology Unit of the La Fe Hospital in Valencia between November 1, 2017 and January 31, 2017 were selected. 84% were men, the mean age was 60.01 (SD 10.12) years. In 73.2% of those admitted, the etiology of cirrhosis was alcoholic. 14.4% had a Child\'s stage A, 57.7% B and 27.8% C. The internal consistency of all variables reached a Cronbach\'s Alpha of 0.766. In the exploratory factor analysis, 6 dimensions of the questionnaire were identified that explain 84.27% of the total variability. To see the stability of the instrument, the measurement was repeated at 2 and 6 months of follow-up, obtaining in the test-retest a kappa agreement of 0.612 and 0.565 respectively.
CONCLUSIONS: The SIPAT-11 questionnaire has good psychometric characteristics in cirrhotic patients who are candidates for liver transplantation. It is easy to complete and can be administered by professionals who are not specialists in the area of Mental Health.
摘要：
背景：需要肝移植的肝硬化患者必须在临床和社会上进行评估，以获得最佳结果并避免徒劳的治疗措施。为了评估这些患者的社会方面，没有西班牙语的验证量表。SIPAT（斯坦福移植综合心理社会评估）量表是衡量社会，实体器官移植候选人的家庭和心理方面。这项研究的目的是适应和验证SIPAT量表的缩写版本在西班牙肝硬化患者。
方法：在瓦伦西亚LaFeUnversity医院肝病科进行的前瞻性观察性研究，通过问卷验证方法。为了分析问卷的可靠性，计算了所有变量的内部一致性，对于变异性，探索性因素分析，并且为了稳定性,进行了测试-重测测试。
结果：选择在2017年11月1日至2017年1月31日期间因失代偿性肝硬化入院的96例患者。84%是男性,平均年龄为60.01(SD10.12)岁.73.2%的人承认,肝硬化的病因是酒精性。14.4%的孩子有一个阶段，57.7%B和27.8%C。所有变量的内部一致性达到0.766的Cronbach'sAlpha。在探索性因素分析中，确定了问卷的6个维度，解释了总变异性的84.27％。要看仪器的稳定性，在随访2个月和6个月时重复测量，在测试-重新测试中获得的kappa协议分别为0.612和0.565。
结论：SIPAT-11问卷在适合肝移植的肝硬化患者中具有良好的心理测量特征。它很容易完成，可以由不是心理健康领域专家的专业人士管理。
方法：在瓦伦西亚LaFeUnversity医院肝病科进行的前瞻性观察性研究，通过问卷验证方法。为了分析问卷的可靠性，计算了所有变量的内部一致性，对于变异性，探索性因素分析，并且为了稳定性,进行了测试-重测测试。
结果：选择在2017年11月1日至2017年1月31日期间因失代偿性肝硬化入院的96例患者。84%是男性,平均年龄为60.01(SD10.12)岁.73.2%的人承认,肝硬化的病因是酒精性。14.4%的孩子有一个阶段，57.7%B和27.8%C。所有变量的内部一致性达到0.766的Cronbach'sAlpha。在探索性因素分析中，确定了问卷的6个维度，解释了总变异性的84.27％。要看仪器的稳定性，在随访2个月和6个月时重复测量，在测试-重新测试中获得的kappa协议分别为0.612和0.565。
结论：SIPAT-11问卷在适合肝移植的肝硬化患者中具有良好的心理测量特征。它很容易完成，可以由不是心理健康领域专家的专业人士管理。
