CAJ | 학술논문

目的研究简体中文版Oswestry功能障碍指数(SCODI)评定社区综合康复治疗腰椎间盘突出症(LDH)的疗效及信度、效度,为全面推广社区综合康复治疗LDH提供参考依据.方法共选取在社区接受康复治疗的LDH患者165例,根据其病情程度给予相应康复治疗.于治疗前及治疗3个月后,分别采用SCODI、Roland-Morris功能障碍问卷(RMDQ)及目测类比评分(VAS)对患者进行评估;并对SCODI量表的信度及效度进行分析,其中信度分析指标包括内部一致性Cronbach's α系数、重测信度内部相关系数(ICC);效度分析指标包括Spearman相关系数(分析效标效度)及因子分析(分析构架效度),并对SCODI评分及RMDQ、VAS结果进行相关性分析.结果不同程度病情LDH患者经社区相应康复治疗后,发现上述各量表评分均较治疗前明显改善,提示社区综合康复治疗能有效改善LDH患者病情,促进生活质量提高;本研究还同时发现SCODI量表在评价LDH患者疗效方面具有较好的信度及效度,其结果与RMDQ、VAS评分具有明显相关性.结论社区综合康复治疗能显著改善LDH患者病情,促进生活质量提高;采用SCODI量表评定LDH患者疗效具有良好的信度及效度,可作为康复疗效评价指标之一,为全面推广社区综合康复治疗LDH提供参考依据.
목적 연구간체중문판Oswestry공능장애지수(SCODI)평정사구종합강복치료요추간반돌출증(LDH)적료효급신도、효도,위전면추엄사구종합강복치료LDH제공삼고의거.방법 공선취재사구접수강복치료적LDH환자165례,근거기병정정도급여상응강복치료.우치료전급치료3개월후,분별채용SCODI、Roland-Morris공능장애문권(RMDQ)급목측류비평분(VAS)대환자진행평고;병대SCODI량표적신도급효도진행분석,기중신도분석지표포괄내부일치성Cronbach's α계수、중측신도내부상관계수(ICC);효도분석지표포괄Spearman상관계수(분석효표효도)급인자분석(분석구가효도),병대SCODI평분급RMDQ、VAS결과진행상관성분석.결과 불동정도병정LDH환자경사구상응강복치료후,발현상술각량표평분균교치료전명현개선,제시사구종합강복치료능유효개선LDH환자병정,촉진생활질량제고;본연구환동시발현SCODI량표재평개LDH환자료효방면구유교호적신도급효도,기결과여RMDQ、VAS평분구유명현상관성.결론 사구종합강복치료능현저개선LDH환자병정,촉진생활질량제고;채용SCODI량표평정LDH환자료효구유량호적신도급효도,가작위강복료효평개지표지일,위전면추엄사구종합강복치료LDH제공삼고의거.
Objective To explore the reliability and validity of the simplified Chinese version of the Oswestry disability index (SCODI) and the curative effect of community-based rehabilitation for patients with lumbar disc herniation (LDH). Methods 165 patients with LDH received community-based rehabilitation according to the severity of their LDH. Before treatment and after 3 months, the SCODI, the Roland-Morris disability questionnaire (RMDQ) and a visual analogue scale (VAS) were used to evaluate the effects. The reliability and validity of the SCODI was thus tested. The reliability analysis included internal consistency as measured by Cronbach's coefficient,and test-retest reliability as measured by an interclass correlation coefficient (ICC). The validity analysis used Spearman's correlation coefficient (for concurrent efficacy validity) and factor analysis (for construct validity). The correlation between SCODI, RMDQ and VAS results was analyzed. Results There was statistically significant functional improvement and better QOL in LDH patients after community-based rehabilitation. The SCODI showed good validity and reliability. There was significant correlation among the SCODI, RMDQ and VAS results. Conclusion Community-based rehabilitation can significantly alleviate symptoms for patients with LDH and improve their QOL.The SCODI is a reliable and valid instrument for measuring the curative effect of community-based rehabilitation on patients with LDH.