CAJ | 학술논문

目的:翻译成年癫痫患者生活质量问卷-31-P(QOLIE-31-P) ,分析其信度和效度,并利用该量表进行癫痫患者生活质量(quality of life,QOL)的调查和影响因素分析.方法:将英文版QOLIE-31-P翻译成中文版QOLIE-31-P,用QOLIE-31-P量表现场及信函调查成年癫痫患者200例,其中49例患者3周内再次填写量表,以考察量表的重测信度、内部一致性信度、结构效度.结果:QOLIE-31-P中文版重测信度相关系数为0 725~0 912(P<0 001) ,Cronbach's α系数为0 627~0 898;探索性因素分析获得7个因子,累计解释总方差的64 9%.发作频率与患者QOL的相关系数为-0 81(P<0 05).强直阵挛发作患者QOLIE-31-P总分较其他发作类型患者低,两者比较有显著性差异(t=-2 568,P<0 05).结论:翻译的QOLIE-31-P中文版与英文原版相似,具有良好的信度和效度,适合用于我国成年癫痫患者生活质量的评价.发作频率与生活质量有显著负相关,强直阵挛发作患者较其它发作类型患者生活质量差,并有显著差异.
목적:번역성년전간환자생활질량문권-31-P(QOLIE-31-P) ,분석기신도화효도,병이용해량표진행전간환자생활질량(quality of life,QOL)적조사화영향인소분석.방법:장영문판QOLIE-31-P번역성중문판QOLIE-31-P,용QOLIE-31-P량표현장급신함조사성년전간환자200례,기중49례환자3주내재차전사량표,이고찰량표적중측신도、내부일치성신도、결구효도.결과:QOLIE-31-P중문판중측신도상관계수위0 725~0 912(P<0 001) ,Cronbach's α계수위0 627~0 898;탐색성인소분석획득7개인자,루계해석총방차적64 9%.발작빈솔여환자QOL적상관계수위-0 81(P<0 05).강직진련발작환자QOLIE-31-P총분교기타발작류형환자저,량자비교유현저성차이(t=-2 568,P<0 05).결론:번역적QOLIE-31-P중문판여영문원판상사,구유량호적신도화효도,괄합용우아국성년전간환자생활질량적평개.발작빈솔여생활질량유현저부상관,강직진련발작환자교기타발작류형환자생활질량차,병유현저차이.
Objective: To develop and validate a Chinese version of the Patient-Weighted Quality of Life in Epilepsy Questionnaire (QOLIE-31-P). Methods: The original English version of the QOLIE-31-P was translated into the Chinese language.The inventory was then completed by 200 adult patients with epilepsy;and 49 patients also completed the scale twice within three weeks.Test retest,internal consistency reliabilities,construct validity,and some influential factors for quality of life in adults with epilepsy were assessed. Results: Test retest reliability (Pearson's correlation coefficient) for the Chinese version of the QOLIE-31-P ranged from 0.725 to 0.912 (P< 0.001),and the internal consistency reliability (Cronbach's α coefficient ) ranged from 0 627 to 0 898.Factor analysis showed that there were seven factors,which explained the total variance for 64.9%.The coefficient of seizure frequency with the quality of life was -0 81(P<0 05).The QOLIE-31-P score of the patients with tonic clonic seizure was 55.7±16.6,and that of other seizure type was 61.4±18.7(t=-2.568,P<0.05). Conclusions: The psychometric properties of the Chinese version of the QOLIE-31-P have satisfactory reliability and validity,and can be applied to assess quality of life in Chinese adult patients with epilepsy.