浙江医学
浙江醫學
절강의학
ZHEJIANG MEDICAL JOURNAL
2013年
23期
2071-2073
,共3页
谭云飞%朱俊鹏%仇雅菊%廖峥娈%于恩彦
譚雲飛%硃俊鵬%仇雅菊%廖崢孌%于恩彥
담운비%주준붕%구아국%료쟁련%우은언
生活质量%验证性因子分析%抑郁
生活質量%驗證性因子分析%抑鬱
생활질량%험증성인자분석%억욱
Quality of life%Confirmatory factor Analysis%Depression
目的:探讨老年人生活质量问卷(CASP-19)的适用性。方法应用验证性因子分析的方法,对该问卷在国外及台湾研究中形成的3种不同因子结构进行验证,并探讨性别、年龄、文化程度和抑郁程度对生活质量以及其不同维度的影响。结果由12个条目组成,包含“控制力与自主性”、“愉悦感”和“自我实现”3个因子的模型具有最高拟合度,卡方拟合优度为1.11,拟合优度指数为0.84,调整拟合优度指数为0.76,比较拟合指数为0.96,塔克尔-勒威斯指数为0.95,近似误差均方根为0.05。女性在CASP总分和愉悦感评分低于男性(P<0.05),抑郁和“控制力与自主性”、“愉悦感”和“自我实现”具有显著的负相关(r=-0.49、-0.67、-0.54, P<0.05)。结论本研究提示该生活质量问卷,特别是其包含12条目的缩减版具有良好的适用性。
目的:探討老年人生活質量問捲(CASP-19)的適用性。方法應用驗證性因子分析的方法,對該問捲在國外及檯灣研究中形成的3種不同因子結構進行驗證,併探討性彆、年齡、文化程度和抑鬱程度對生活質量以及其不同維度的影響。結果由12箇條目組成,包含“控製力與自主性”、“愉悅感”和“自我實現”3箇因子的模型具有最高擬閤度,卡方擬閤優度為1.11,擬閤優度指數為0.84,調整擬閤優度指數為0.76,比較擬閤指數為0.96,塔剋爾-勒威斯指數為0.95,近似誤差均方根為0.05。女性在CASP總分和愉悅感評分低于男性(P<0.05),抑鬱和“控製力與自主性”、“愉悅感”和“自我實現”具有顯著的負相關(r=-0.49、-0.67、-0.54, P<0.05)。結論本研究提示該生活質量問捲,特彆是其包含12條目的縮減版具有良好的適用性。
목적:탐토노년인생활질량문권(CASP-19)적괄용성。방법응용험증성인자분석적방법,대해문권재국외급태만연구중형성적3충불동인자결구진행험증,병탐토성별、년령、문화정도화억욱정도대생활질량이급기불동유도적영향。결과유12개조목조성,포함“공제력여자주성”、“유열감”화“자아실현”3개인자적모형구유최고의합도,잡방의합우도위1.11,의합우도지수위0.84,조정의합우도지수위0.76,비교의합지수위0.96,탑극이-륵위사지수위0.95,근사오차균방근위0.05。녀성재CASP총분화유열감평분저우남성(P<0.05),억욱화“공제력여자주성”、“유열감”화“자아실현”구유현저적부상관(r=-0.49、-0.67、-0.54, P<0.05)。결론본연구제시해생활질량문권,특별시기포함12조목적축감판구유량호적괄용성。
Objective To investigate the application of the scale of quality of life for elder people (CASP- 19). Methods Three models of factor structure of CASP- 19 derived from other studies were examined with confirmatory factor analysis. The in-fluence of gender, age, education level and depressive level on quality of life was measured by CASP- 19 and its subscales was examined in the meantime. Results The model of the shortened version of this scale, the CASP- 12 showed the best model fit (X2/df=1.11, GFI=0.84, AGFI=0.76, CFI=0.96, TLI=0.95, RMSEA=0.05). Three factors exist in this model, i.e. control and autono-my, pleasure, and self- realization. The total scores of CASP and scores of pleasure in female were lower than male (P<0.05), and depressive score was negatively correlated with control and autonomy, pleasure, and self- realization (r=- 0.49,- 0.67,- 0. 54; P<0.05). Conclusion CASP- 19, especial y its shortened version, the CASP- 12 may be the proper choice in China presently.