中国全科医学
中國全科醫學
중국전과의학
Chinese General Practice
2015年
26期
3211-3215
,共5页
董爱淑%朱莲莲%石博文%周爱芽%陈茜茜%郭文坚
董愛淑%硃蓮蓮%石博文%週愛芽%陳茜茜%郭文堅
동애숙%주련련%석박문%주애아%진천천%곽문견
心房颤动%生活质量%问卷调查%SF-36 v2%信效度
心房顫動%生活質量%問捲調查%SF-36 v2%信效度
심방전동%생활질량%문권조사%SF-36 v2%신효도
Atrial fibrillation%Quality of life%Questionnaires%SF-36 v2%Reliability and validity
目的:探讨中文版SF-36 v2量表评价住院心房颤动患者生命质量的适用性。方法于2013年1—9月,采用目的抽样法选取年龄≥18周岁、精神正常、能够自我表达的某三甲医院心内科住院心房颤动患者86例作为调查对象,对其进行问卷调查,包括一般情况调查和SF-36 v2量表调查。通过集合效度和区分效度、内部一致性信度和折半信度、结构效度和判别效度评定SF-36 v2量表评价住院心房颤动患者生命质量的适用性。结果共发放问卷86份,回收有效问卷86份。患者SF-36 v2量表躯体疼痛( BP)、一般健康状况( GH)、生理功能( PF)、生理职能(RP)、情感职能(RE)、社会功能(SF)、活力(ⅤT)、精神健康(mH)8个维度得分转换分分别为:(83.2±16.3)、(34.6±8.4)、(61.5±25.0)、(48.8±31.3)、(59.0±29.7)、(63.7±18.8)、(58.8±16.6)、(61.4±15.0)分;地板效应分别为:1.2%、1.2%、1.2%、7.0%、4.7%、2.3%、1.2%、1.2%;天花板效应分别为:38.4%、1.2%、1.2%、17.4%、10.5%、7.0%、1.2%、2.3%。条目集合效度除GH1(总的来说,你认为你的健康状况是)相关性为0.280,其余34个条目均达到标准,总成功率为97.1%;BP、RE、SF维度的区分效度成功率达到100.0%,GH维度较低,为51.4%,总成功率为84.1%。8个维度的Cronbach′s α系数为0.704~0.939,折半信度为0.732~0.947。SF-36 v2量表通过主成分分析,产生了两大领域,分别代表生理健康和心理健康,共解释66.61%的总方差。年龄与生理健康呈负相关( rs =-0.389,P=0.003),自评健康状况与生理健康、心理健康均呈正相关( rs =0.294、0.367,P=0.010、0.013)。结论 SF-36 v2量表作为SF-36 v1修订版,问题和答案布局更合理,地板效应和天花板效应降低,评价住院心房颤动患者的生命质量有较好的信效度,可用于住院心房颤动患者的生命质量评价。
目的:探討中文版SF-36 v2量錶評價住院心房顫動患者生命質量的適用性。方法于2013年1—9月,採用目的抽樣法選取年齡≥18週歲、精神正常、能夠自我錶達的某三甲醫院心內科住院心房顫動患者86例作為調查對象,對其進行問捲調查,包括一般情況調查和SF-36 v2量錶調查。通過集閤效度和區分效度、內部一緻性信度和摺半信度、結構效度和判彆效度評定SF-36 v2量錶評價住院心房顫動患者生命質量的適用性。結果共髮放問捲86份,迴收有效問捲86份。患者SF-36 v2量錶軀體疼痛( BP)、一般健康狀況( GH)、生理功能( PF)、生理職能(RP)、情感職能(RE)、社會功能(SF)、活力(ⅤT)、精神健康(mH)8箇維度得分轉換分分彆為:(83.2±16.3)、(34.6±8.4)、(61.5±25.0)、(48.8±31.3)、(59.0±29.7)、(63.7±18.8)、(58.8±16.6)、(61.4±15.0)分;地闆效應分彆為:1.2%、1.2%、1.2%、7.0%、4.7%、2.3%、1.2%、1.2%;天花闆效應分彆為:38.4%、1.2%、1.2%、17.4%、10.5%、7.0%、1.2%、2.3%。條目集閤效度除GH1(總的來說,妳認為妳的健康狀況是)相關性為0.280,其餘34箇條目均達到標準,總成功率為97.1%;BP、RE、SF維度的區分效度成功率達到100.0%,GH維度較低,為51.4%,總成功率為84.1%。8箇維度的Cronbach′s α繫數為0.704~0.939,摺半信度為0.732~0.947。SF-36 v2量錶通過主成分分析,產生瞭兩大領域,分彆代錶生理健康和心理健康,共解釋66.61%的總方差。年齡與生理健康呈負相關( rs =-0.389,P=0.003),自評健康狀況與生理健康、心理健康均呈正相關( rs =0.294、0.367,P=0.010、0.013)。結論 SF-36 v2量錶作為SF-36 v1脩訂版,問題和答案佈跼更閤理,地闆效應和天花闆效應降低,評價住院心房顫動患者的生命質量有較好的信效度,可用于住院心房顫動患者的生命質量評價。
목적:탐토중문판SF-36 v2량표평개주원심방전동환자생명질량적괄용성。방법우2013년1—9월,채용목적추양법선취년령≥18주세、정신정상、능구자아표체적모삼갑의원심내과주원심방전동환자86례작위조사대상,대기진행문권조사,포괄일반정황조사화SF-36 v2량표조사。통과집합효도화구분효도、내부일치성신도화절반신도、결구효도화판별효도평정SF-36 v2량표평개주원심방전동환자생명질량적괄용성。결과공발방문권86빈,회수유효문권86빈。환자SF-36 v2량표구체동통( BP)、일반건강상황( GH)、생리공능( PF)、생리직능(RP)、정감직능(RE)、사회공능(SF)、활력(ⅤT)、정신건강(mH)8개유도득분전환분분별위:(83.2±16.3)、(34.6±8.4)、(61.5±25.0)、(48.8±31.3)、(59.0±29.7)、(63.7±18.8)、(58.8±16.6)、(61.4±15.0)분;지판효응분별위:1.2%、1.2%、1.2%、7.0%、4.7%、2.3%、1.2%、1.2%;천화판효응분별위:38.4%、1.2%、1.2%、17.4%、10.5%、7.0%、1.2%、2.3%。조목집합효도제GH1(총적래설,니인위니적건강상황시)상관성위0.280,기여34개조목균체도표준,총성공솔위97.1%;BP、RE、SF유도적구분효도성공솔체도100.0%,GH유도교저,위51.4%,총성공솔위84.1%。8개유도적Cronbach′s α계수위0.704~0.939,절반신도위0.732~0.947。SF-36 v2량표통과주성분분석,산생료량대영역,분별대표생리건강화심리건강,공해석66.61%적총방차。년령여생리건강정부상관( rs =-0.389,P=0.003),자평건강상황여생리건강、심리건강균정정상관( rs =0.294、0.367,P=0.010、0.013)。결론 SF-36 v2량표작위SF-36 v1수정판,문제화답안포국경합리,지판효응화천화판효응강저,평개주원심방전동환자적생명질량유교호적신효도,가용우주원심방전동환자적생명질량평개。
Objective To evaluate the application of the Chinese version of SF-36 v2 scale in assessing the quality of life of patients with atrial fibrillation. Methods Using purposive sampling method,we enrolled 86 patients who were admitted into the Department of Cardiology of a grade -3 and first -class hospital from January to September in 2013. The inclusion criteria were age≥18,eunoia and clear self - expression. Questionnaire surveys were conducted on the subjects,including general information and SF-36 v2. The application of SF-36 v2 scale in assessing the quality of life of inpatients with atrial fibrillation was evaluated by convergent validity,discriminative validity,internal consistency reliability,split-half reliability, construct validity and discriminant validity. Results A total of 86 questionnaires were distributed, and 86 effective questionnaires were taken back. The scores of eight dimensions in SF -36 v2 scale,including bodily pain( BP),general health( GH),physical function( PF),role-physical( RP),role-emotion( RE),social function( SF),vitality(ⅤT), and mental health(mH)were:(83. 2 ±16. 3),(34. 6 ±8. 4),(61. 5 ±25. 0),(48. 8 ±31. 3),(59. 0 ±29. 7),(63. 7 ± 18. 8),(58. 8 ± 16. 6)and(61. 4 ± 15. 0),respectively;the floor effects were:1. 2%,1. 2%,1. 2%,7. 0%,4. 7%, 2. 3%,1. 2% and 1. 2% respectively;the ceiling effects were:38. 4%,1. 2%,1. 2%,17. 4%,10. 5%,7. 0%,1. 2%and 2. 3% respectively. The item-convergent validity of 34 items achieved the standard except the item of GH1 ( in general, what do you think about your health) with a convergent validity of 0. 280,and the total success rate of item-convergent validity was 97. 1%. The dimensions′success rates of discriminative validity for BP,RE and SF were 100. 0%,and that for GH was 51. 4%,and the total success rate of discrimination validity was 84. 1%. Cronbach′sαcoefficients of the eight dimensions were within 0. 704-0. 939,and the split-half reliability was within 0. 732 -0. 947. By factor analysis,two common factors were confirmed, separately representing physical health and mental health, altogether making contribution of 66. 61% total variance. Age and physical health were negatively correlated(rs = -0. 389,P=0. 003),and self-evaluated health condition was positively correlated with physical health and mental health(rs =0. 294,0. 367;P=0. 010,0. 013). Conclusion As the revision of SF-36 v1,SF-36 v2 scale is more friendly in the layout of questions and answers,and the floor effect and ceiling effect are reduced. It also shows comparatively well reliability and validity. Therefore,we can believe that the SF-36 v2 scale could be used to assess the quality of life of patients with atrial fibrillation.