CAJ | 학술논문

目的:制定老年骨质疏松性胸腰椎压缩性骨折患者生存质量量表,寻求符合我国国情的针对老年骨质疏松性胸腰椎压缩性骨折的生存质量测量工具.方法:制定老年骨质疏松性胸腰椎压缩性骨折患者生存质量量表,进行预试验、调查、统计学分析、筛选条目池,并对量表进行信度及效度测试.结果:最终问卷由生理能力(a1、a3、a6)、心理能力(b2、b5、b7)、独立性能力(c2、c4)、患者的社会关系改变(d1、d2、d5)、对环境的满意度(e1、e4、e5)构成;量表的效度提示,量表与年龄显示弱相关(r=-0.16,P<0.05);与性别显示弱相关(r=0.12, P<0.05);量表结构效度,对量表的14个条目得分进行因子分析,KMO值为0.573,BrateLett球形检验显示有统计学意义(154.973,P<0.001),说明量表可使用因子分析.以特征根大于1提取5个公因子,能解释总变异的64.5%;量表内部一致性克朗巴赫α系数为0.725,分半信度为0.71.完成第一次测评后,选取医院内部具有本科以上学历的医生、护士,在被试2周后使用相同问卷再次进行测评,共51人完成两次测评,结果显示2周后重测信度为0.87(r=0.87,P<0.001).结论:效度、信度满意,本量表能较全面、准确地反映老年骨质疏松性压缩性骨折病人的生存质量状况.
목적:제정노년골질소송성흉요추압축성골절환자생존질량량표,심구부합아국국정적침대노년골질소송성흉요추압축성골절적생존질량측량공구.방법:제정노년골질소송성흉요추압축성골절환자생존질량량표,진행예시험、조사、통계학분석、사선조목지,병대량표진행신도급효도측시.결과:최종문권유생리능력(a1、a3、a6)、심리능력(b2、b5、b7)、독립성능력(c2、c4)、환자적사회관계개변(d1、d2、d5)、대배경적만의도(e1、e4、e5)구성;량표적효도제시,량표여년령현시약상관(r=-0.16,P<0.05);여성별현시약상관(r=0.12, P<0.05);량표결구효도,대량표적14개조목득분진행인자분석,KMO치위0.573,BrateLett구형검험현시유통계학의의(154.973,P<0.001),설명량표가사용인자분석.이특정근대우1제취5개공인자,능해석총변이적64.5%;량표내부일치성극랑파혁α계수위0.725,분반신도위0.71.완성제일차측평후,선취의원내부구유본과이상학력적의생、호사,재피시2주후사용상동문권재차진행측평,공51인완성량차측평,결과현시2주후중측신도위0.87(r=0.87,P<0.001).결론:효도、신도만의,본량표능교전면、준학지반영노년골질소송성압축성골절병인적생존질량상황.
@@@@Objective: To formulate the osteoporotic thoracolumbar compression fracture pa-tients quality of life scale, and explore the measuring tool of osteoporotic thoracolumbar compres-sion fracture patient quality of life which conformed to our country national condition. Methods:Formulated the osteoporotic thoracolumbar compression fracture patient quality of life scale and proceeded trial test, research, statistical analysis, screened item pool, tested the reliability and validi-ty of the scale. Results:The final questionnaire consisted of physical ability (a1, a3, a6), mental abil-ity (b2, b5, b7), independence ability (c2, c4), social relations change of patients (d1, d2, d5), and the satisfaction of the environment (e1, e4, e5). The validity of scale prompted that scale and age displayed weak correlation (r=-0.16, P<0.05), and scale and gender displayed weak correlation (r=0.12, P<0.05). The scale structure validity:proceeded factorial analysis to 14 item score, the KMO was 0.537, BrateLett spherical test showed that there is statistical significance (154.973, P<0.001). It could explain that scale can use factor analysis. According to characteristic root greater than 1 ex-tracted 5 common factors, which can explained 64.5% total variation; Scale internal consistency krona Bachαcoefficient was 0.725, split-half reliability was 0.71. Completed the first time evalua-tion, selected doctors and nurses with bachelor degree or above within hospital, and texted again with the same questionnaire after 2 weeks. There were 51 people finishing 2 texts. The result showed that test-retest reliability after 2 weeks was 0.87 (r=0.87, P<0.001). Conclusion:It is satis-fied with validity and reliability. The scale can reflect the condition of osteoporotic thoracolumbar compression fracture patients quality of life comprehensively and accurately.