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Oxford Knee Score 牛津大学膝关节评分(中英文对照版)
翻译:高绪仁 (徐州医科大学附属医院骨科关节外科医学博士、博士后、副主任医师、副教授)
Prior to completing the questionnaire please complete the following:
在完成这个膝关节评分调查表之前,请您填写以下项目:
Name:
患者姓名:
Age:
年龄:
Date of Birth:
出生时间(年月日):
Hospital:
医院:徐州医科大学附属医院暨徐州二院 骨科关节外科
Inpatient Ward:
病区:
Bed Number:
床号
Hospital ID:
住院号:
On which side of your body is the affected knee for which you are receiving treatment?
您现在正在接受治疗的膝关节是那一侧的膝关节:
Left Knee
左腿
Right Knee
右腿
Both:
双侧膝关节:
If you said ‘both’, please complete the first questionnaire thinking about the right side. A second questionnaire, for the left side, will follow.
如果您是双侧膝关节都有问题,请您先填写右膝关节的情况调查表,然后再填写一张左侧膝关节情况的调查表。
Date of Today:
今天的时间(年月日):
Relating to your symptoms in the past 4 weeks(Tick one for every question.):
在过去的4星期中,和您膝关节相关的12个问题(请在每个题目后面的5个选项前选一个打钩):
1 How would you describe the pain you usually have from your knee?
一、您怎么描述您的膝关节疼痛的通常情况?
1 None
1 没有疼痛
2 Very mild
2 非常轻微的疼痛
3 Mild
3 轻微的疼痛
4 Moderate
4 中等程度的疼痛
5 Severe
5 严重的疼痛
2 Have you had any trouble with washing and drying yourself (all over) because of your knee?
二、您有没有由于您的膝关节而感到在洗澡和擦干全身的时候有困难?
1 No trouble at all
1 一点儿困难没有
2 Very little trouble
2 有很少一点儿的困难
3 Moderate trouble
3 有中等程度的困难
4 Extreme difficulty
4 非常困难
5 Impossible to do
5 不可能完成
3 Have you had any trouble getting in/out of a car or using public transport because of knee?
三、您在上下小轿车或使用公共交通工具的时候有没有因为您的膝关节问题而感到困难?
1 No trouble at all
1 一点儿困难没有
2 Very little trouble
2 有很少一点的困难
3 Moderate trouble
3 有中等程度的困难
4 Extreme difficulty
4 非常困难
5 Impossible to do
5 不可能完成
4 How long have you been able to walk for before pain from the knee becomes severe? (stick allowed)
四、在您的膝关节变得疼痛严重之前您能走多长时间?(使用拐杖或不适用拐杖均可)
1 No pain >30 min
1 走30分钟以上也不疼
2 16 - 30 min
2 16到30分钟之间
3 5 - 15 min
3 5到15分钟之间
4 Around the house only
4 只能在住的房子周边转转
5 Not at all/pain severe on walking
5 一点不能走路,一走就膝关节严重疼痛
5 After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your knee?
五、坐在桌边吃过饭后,当您站起来的时候由于您的膝关节问题您感觉到您的膝关节有多疼痛?
1 Not at all painful
1 一点儿也不疼痛
2 Slightly painful
2 轻度的疼痛
3 Moderately painful
3 中等程度的疼痛
4 Very painful
4 非常疼痛
5 Unbearable
5 难以忍受的疼痛
6 Have you been limping when walking because of your knee?
六、由于您的膝关节问题,当您行走的时候,您会走路瘸么?
1 Rarely / never
1 很少/从来没有
2 Sometimes or just at first
2 有时候或刚刚开始起步的时候
3 Often, not just at first
3 经常出现,而不仅仅是刚开始起步的时候
4 Most of the time
4 大部分时间
5 All of the time
5 一直瘸
7 Could you kneel down and get up again afterwards?
七、您能够跪下,然后再站起来么?
1 Yes, easily
1 可以,很容易
2 With little difficulty
2 稍微有一点儿困难
3 With moderate difficulty
3 有轻度的困难
4 With extreme difficulty
4 很困难
5 No, impossible
5 不可能做到,站不起来
8 Have you been troubled by pain from your knee in bed at night?
八 晚上在床上您还会感觉到您的膝关节疼痛问题给您带来的困扰么?
1 Not at all
1 一点儿没有
2 Only one or two nights
2 只1到2个夜晚出现这种现象
3 Some nights
3 有一些夜晚出现这种现象
4 Most nights
4 大部分的夜晚
5 Every night
5 每一个夜晚
9 How much has pain from your knee interfered with your usual work / housework?
九 来自您膝关节的疼痛对您的您的日常工作/家务工作造成了多大的影响?
1 Not at all
1 一点影响没有
2 A little bit
2 有一点儿
3 Moderately
3 中等程度
4 Greatly
4 非常严重
5 Totally
5 完全影响了
10 Have you felt that your knee might suddenly ‘give way’ or let you down?
十 您是否感觉到您的膝关节可能会突然出现打软腿现象或差点要摔倒的现象?
1 Rarely / never
1 几乎没有/从来没有
2 Sometimes or just at first
2 有时候或刚起步的的时候
3 Often, not just at first
3 经常出现,不局限于刚刚起步的时候
4 Most of the time
4 大部分时间
5 All of the time
5 所有的时间,总是如此,一直都能感觉到
11 Could you do the household shopping on your own?
十一 您能够自己出去购物购买家庭日常生活用品么?
1 Yes, easily
1 能,很容易
2 With little difficulty
2 有一点儿困难
3 With moderate difficulty
3 有中等程度的困难
4 With extreme difficulty
4 相当困难
5 No, impossible
5 不能,不可能做到
12 Could you walk down a flight of stairs?
十二 您能够从两层楼之间的楼梯台阶走下完整一段楼梯的距离么?
1 Yes, easily
1 能,很容易
2 With little difficulty
2 有一点儿困难
3 With moderate difficulty
3 有中等程度的困难
4 With extreme difficulty
4 相当困难
5 No, impossible
5 不能,不可能做到
Finally, please check back that you have answered each question.Thank you very much.
最后,请回头检查一遍您已经回答了每一个问题。谢谢您!
Signature:
调查者签名:
Date and Time:
日期和时间:
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