中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2013年
21期
1615-1618
,共4页
曹强%田野%赛力克·马高维亚
曹彊%田野%賽力剋·馬高維亞
조강%전야%새력극·마고유아
血栓形成%肺栓塞%生活质量
血栓形成%肺栓塞%生活質量
혈전형성%폐전새%생활질량
Thrombosis%Pulmonary Embolism%Quality of life
目的 探讨健康调查简表测定下肢深静脉血栓形成患者的生活质量,以寻找良好的疾病评估标准.方法 采用健康调查简表,对新疆医科大学第一附属医院血管甲状腺外科2009年6月至2013年3月间收治的179例下肢深静脉血栓形成患者进行调查,对测量结果进行可行性、信度、效度、反应度、天花板效应和地板效应分析.结果 (1)可行性分析:量表完成时间为(10.4±2.9)min,完成率为100％；(2)信度分析:总量表和各个维度的分半信度均高于0.8；整个量表的Cronbach'sα系数以及去掉一项内容后得到的Cronbach's α系数均高于0.8；各个维度的组内相关系数高于0.6；(3)效度分析:量表各维度的Pearson相关系数均高于0.6；因子分析所产生的2个主成分可解释总变异的67.011％,经最大方差旋转后产生2个公共因子与量表的理论结构假设基本一致；(4)反应度分析:治疗后各维度得分均较治疗前高,且差异具有统计学意义(P＜0.01)；(5)天花板效应和地板效应:躯体角色功能和情绪角色功能2个维度天花板效应显著,分别为24.81％、36.62％,躯体角色功能维度地板效应显著为31.76％.结论 健康调查简表可较好的应用于下肢深静脉血栓形成患者生活质量评价,但个别条目需进一步完善.
目的 探討健康調查簡錶測定下肢深靜脈血栓形成患者的生活質量,以尋找良好的疾病評估標準.方法 採用健康調查簡錶,對新疆醫科大學第一附屬醫院血管甲狀腺外科2009年6月至2013年3月間收治的179例下肢深靜脈血栓形成患者進行調查,對測量結果進行可行性、信度、效度、反應度、天花闆效應和地闆效應分析.結果 (1)可行性分析:量錶完成時間為(10.4±2.9)min,完成率為100％；(2)信度分析:總量錶和各箇維度的分半信度均高于0.8；整箇量錶的Cronbach'sα繫數以及去掉一項內容後得到的Cronbach's α繫數均高于0.8；各箇維度的組內相關繫數高于0.6；(3)效度分析:量錶各維度的Pearson相關繫數均高于0.6；因子分析所產生的2箇主成分可解釋總變異的67.011％,經最大方差鏇轉後產生2箇公共因子與量錶的理論結構假設基本一緻；(4)反應度分析:治療後各維度得分均較治療前高,且差異具有統計學意義(P＜0.01)；(5)天花闆效應和地闆效應:軀體角色功能和情緒角色功能2箇維度天花闆效應顯著,分彆為24.81％、36.62％,軀體角色功能維度地闆效應顯著為31.76％.結論 健康調查簡錶可較好的應用于下肢深靜脈血栓形成患者生活質量評價,但箇彆條目需進一步完善.
목적 탐토건강조사간표측정하지심정맥혈전형성환자적생활질량,이심조량호적질병평고표준.방법 채용건강조사간표,대신강의과대학제일부속의원혈관갑상선외과2009년6월지2013년3월간수치적179례하지심정맥혈전형성환자진행조사,대측량결과진행가행성、신도、효도、반응도、천화판효응화지판효응분석.결과 (1)가행성분석:량표완성시간위(10.4±2.9)min,완성솔위100％；(2)신도분석:총량표화각개유도적분반신도균고우0.8；정개량표적Cronbach'sα계수이급거도일항내용후득도적Cronbach's α계수균고우0.8；각개유도적조내상관계수고우0.6；(3)효도분석:량표각유도적Pearson상관계수균고우0.6；인자분석소산생적2개주성분가해석총변이적67.011％,경최대방차선전후산생2개공공인자여량표적이론결구가설기본일치；(4)반응도분석:치료후각유도득분균교치료전고,차차이구유통계학의의(P＜0.01)；(5)천화판효응화지판효응:구체각색공능화정서각색공능2개유도천화판효응현저,분별위24.81％、36.62％,구체각색공능유도지판효응현저위31.76％.결론 건강조사간표가교호적응용우하지심정맥혈전형성환자생활질량평개,단개별조목수진일보완선.
Objective To explore the roles of short form-36 health survey scale in the evaluation of deep vein thrombosis (DVT) patients.Methods A total of 179 DVT patients were recruited from Department of Vascular and Thyroid Surgery,First Mfiliated Hospital,Xinjiang Medical University from June 2009 to March 2013.They were surveyed with short form-36 health survey scale.Then the feasibility,reliability,validity,responsibility,ceiling effect and floor effect were analyzed.Results Feasibility analysis:completion time was (10.4 ± 2.9) min and finishing rate 100％.Reliability analysis:all split-half reliability coefficients and Cronbach's α were above 0.8.all internal consistency coefficients were above 0.6.Validity analysis:all Pearson coefficients were above 0.6.Two principal components were extracted by factor analysis and it accounted for 67.011％ of total variance.After maximal variance rotation,two common factors were generated.And it was almost the same with the theoretic structural assumption of scale.Responsibility analysis:all score of every degree at post-treatment were higher than at pre-treatment.And it was statistically significant (P ＜ 0.01).Ceiling and floor effects:there was remarkable ceiling effect on role physical (RP) and emotional role (RE) (24.81％,36.62％).Remarkable floor effect on RP was 31.76％.Conclusion Short form-36 health survey scale is satisfactory in the evaluation of quality of life among DVT patients.But specific items need further improvement.
