中国血吸虫病防治杂志
中國血吸蟲病防治雜誌
중국혈흡충병방치잡지
CHINESE JOURNAL OF SCHISTOSOMIASIS CONTROL
2010年
1期
40-46
,共7页
邓瑶%王金胜%袁修柏%贾铁武%王显红%杨坤%何未龙%欧阳善文%贺世豪%崔侠玉%周晓农
鄧瑤%王金勝%袁脩柏%賈鐵武%王顯紅%楊坤%何未龍%歐暘善文%賀世豪%崔俠玉%週曉農
산요%왕금성%원수백%가철무%왕현홍%양곤%하미룡%구양선문%하세호%최협옥%주효농
晚期血吸虫病%SF-36%信度%效度%天花板效应%地板效应
晚期血吸蟲病%SF-36%信度%效度%天花闆效應%地闆效應
만기혈흡충병%SF-36%신도%효도%천화판효응%지판효응
Advanced schistosomiasis%SF-36%Reliability%Validity%Ceiling effect%Floor effect
目的 评价SF-36量表应用于晚期血吸虫病(晚血)患者的信度和效度,为血吸虫病防治工作者选择适宜的健康测量工具提供科学依据.方法 在湖南省汉寿县及湖北省江陵县,以SF-36量表中文版作为生命质量测评工具对晚血患者进行人户调查.评价其应用于晚血患者的信度和效度.结果 SF-36量表在晚血患者生命质量测评中具有良好的分半信度(分半信度系数为0.95)和内部一致性信度(8个维度Cmnbaeh α系数范围为0.86～0.88);效度评价显示集合效度(集合效度试验成功率为97.14%)和区分效度(区分效度试验成功率为87.86%)良好,效标效度尚好(与EQ-5D+C量表患者VAS生命质量自评得分之间的相关系数为0.70),但结构效度欠佳(仅2个维度在因子负荷上与理论模型完全一致).除生理职能和情感职能地板效应分别高达50.31%和48.16%外,其余维度地板效应和天花板效应均不显著.结论 SF-36适用于晚血患者生命质量评价,但尚需根据实际情况对部分条目进行完善.
目的 評價SF-36量錶應用于晚期血吸蟲病(晚血)患者的信度和效度,為血吸蟲病防治工作者選擇適宜的健康測量工具提供科學依據.方法 在湖南省漢壽縣及湖北省江陵縣,以SF-36量錶中文版作為生命質量測評工具對晚血患者進行人戶調查.評價其應用于晚血患者的信度和效度.結果 SF-36量錶在晚血患者生命質量測評中具有良好的分半信度(分半信度繫數為0.95)和內部一緻性信度(8箇維度Cmnbaeh α繫數範圍為0.86～0.88);效度評價顯示集閤效度(集閤效度試驗成功率為97.14%)和區分效度(區分效度試驗成功率為87.86%)良好,效標效度尚好(與EQ-5D+C量錶患者VAS生命質量自評得分之間的相關繫數為0.70),但結構效度欠佳(僅2箇維度在因子負荷上與理論模型完全一緻).除生理職能和情感職能地闆效應分彆高達50.31%和48.16%外,其餘維度地闆效應和天花闆效應均不顯著.結論 SF-36適用于晚血患者生命質量評價,但尚需根據實際情況對部分條目進行完善.
목적 평개SF-36량표응용우만기혈흡충병(만혈)환자적신도화효도,위혈흡충병방치공작자선택괄의적건강측량공구제공과학의거.방법 재호남성한수현급호북성강릉현,이SF-36량표중문판작위생명질량측평공구대만혈환자진행인호조사.평개기응용우만혈환자적신도화효도.결과 SF-36량표재만혈환자생명질량측평중구유량호적분반신도(분반신도계수위0.95)화내부일치성신도(8개유도Cmnbaeh α계수범위위0.86～0.88);효도평개현시집합효도(집합효도시험성공솔위97.14%)화구분효도(구분효도시험성공솔위87.86%)량호,효표효도상호(여EQ-5D+C량표환자VAS생명질량자평득분지간적상관계수위0.70),단결구효도흠가(부2개유도재인자부하상여이론모형완전일치).제생리직능화정감직능지판효응분별고체50.31%화48.16%외,기여유도지판효응화천화판효응균불현저.결론 SF-36괄용우만혈환자생명질량평개,단상수근거실제정황대부분조목진행완선.
Objective To evaluate the reliability and validity of SF-36 in patients with advanced schistosomiasis,so as to proride scientific basis for the selection of suitable tools for health measure.Methods A Chinese version of SF-36 scale was applied to evaluate the health of patients with advanced schistosomiasis by a household survey in Hanshou County of Hunan Province and Jiangling County of Hubei Province,then the reliability and validity of the scale were tested.Results Atotal of 326 patients were investigated in the two counties.The split-half reliability(with a split-half coefficient of 0.95) and the internal consistency (Cronbach'α coefficients of the eight dimensions ranged from 0.86 to 0.88)were satisfying;the convergent and discriminative validity were high with the test successful rates of 97.14%and 87.86%,respectively;the criterion validity was acceptable with a correlation coefficient between the total score of SF-36 and EQ-5D+C VAS score of 0.70.However,the construct validity seemed to be not so reasonable as only 2 dimensions out of 8 were completely in accordance with the theoretical model on factor loading.The percentages of floor effect and ceiling effect in most dimensions were not significant except RP and RE(with the percentages of floor effect of 50.31%and 48.16%,respectively).Conclusions SF-36 is appropriate to be used in patients with advanced schistosomiasis.but some items need to be improved according to the local settings of endemic areas.
