SF-36量表测量伤残人员生存质量的信度与效度
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摘要
目的评价SF-36量表在测量地震伤残人员生存质量中的信度和效度。方法利用自填法及访谈相结合的方式调查201例绵竹市某镇地震伤残人员,用重测信度和Cronbach'sα系数分析SF-36信度;因子分析方法分析效度。结果 SF-36各领域的重测信度分别为:生理功能(PF)0.78、生理问题对功能的限制(RP)0.85、躯体疼痛(BP)0.92、健康总体评价(GH)0.82、活力(VT)0.77、社会功能(SF)0.71、心理问题对功能的限制(RE)0.79、精神健康(MH)0.66;各领域的Cronbach'sα系数分别为:PF 0.89、RP 0.75、BP 0.84、GH 0.86、VT 0.78、SF 0.72、RE0.86、MH 0.50。因子分析共提取了6个主成分,基本反映了量表的8个维度,与量表的结构构思基本相符。结论自填法及面对面访谈相结合的方式,将SF-36量表用于该地地震伤残人员生存质量测定具有较好的信度和效度。
Objective To evaluate the validity and reliability of the MOS-36-item Short Form of Health Survey(SF-36) measuring the quality of life(QOL) of disabled people injured in the earthquake.Methods A total of 201 disabled people injured in the earthquake in a town of Mianzhu city were investigated via questionnaire combined with a face-to-face interview.The reliability of the SF-36 was assessed by test-retest reliability and Cronbach's α coefficient.The validity was assessed through factor analysis.Results The test-retest reliability of the SF-36 included: physical functioning(PF) 0.78,role limitation due to physical problems(RP) 0.85,body pain(BP) 0.92,general health(GH) 0.82,vitality(VT) 0.77,social functioning(SF) 0.71,role limitation due to emotional problems(RE) 0.79,and mental health(MH) 0.66.The Cronbach's α coefficients were as the follows: PF 0.89,RP 0.75,BP 0.84,GH 0.86,VT 0.78,SF 0.72,RE 0.86,and MH 0.50.Six principal components were extracted by factor analysis and the constructs of the obtained instrument were consistent with the conceived concept in essence.Conclusion The SF-36 survey could measure the QOL in disabled people injured in the earthquake with better reliability and validity by questionnaire combined with a face-to-face interview.
Objective To evaluate the validity and reliability of the MOS-36-item Short Form of Health Survey(SF-36) measuring the quality of life(QOL) of disabled people injured in the earthquake.Methods A total of 201 disabled people injured in the earthquake in a town of Mianzhu city were investigated via questionnaire combined with a face-to-face interview.The reliability of the SF-36 was assessed by test-retest reliability and Cronbach's α coefficient.The validity was assessed through factor analysis.Results The test-retest reliability of the SF-36 included: physical functioning(PF) 0.78,role limitation due to physical problems(RP) 0.85,body pain(BP) 0.92,general health(GH) 0.82,vitality(VT) 0.77,social functioning(SF) 0.71,role limitation due to emotional problems(RE) 0.79,and mental health(MH) 0.66.The Cronbach's α coefficients were as the follows: PF 0.89,RP 0.75,BP 0.84,GH 0.86,VT 0.78,SF 0.72,RE 0.86,and MH 0.50.Six principal components were extracted by factor analysis and the constructs of the obtained instrument were consistent with the conceived concept in essence.Conclusion The SF-36 survey could measure the QOL in disabled people injured in the earthquake with better reliability and validity by questionnaire combined with a face-to-face interview.
引文
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[9]张骏,何廷尉,罗德儒,等.SF-36评价中风患者生命质量的信度和效度[J].中国行为医学科学,2001,10(5):416-419.
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[14]王燮辞.地震后的心理应激与应对策略[J].继续教育研究,2008,6(11):168-169.
[2]Beaumont J,Lai JS,Cella D,et al.Validation of the SF-36inpatients with systemic lupus erythematosus(SLE):PSY49[J].Value in Health,2009,12(7):A384.
[3]李战胜.山东省农村脑卒中患者生命质量及其影响因素研究[D].山东:山东大学社会医学与卫生事业管理,2008.
[4]董莉萍,杨丽芬,杜瑞红.SF-36量表用于甲亢患者生活质量测定的信度与效度评价[J].中国地方病防治杂志,2008,23(1):20-24.
[5]何朝阳,张博然,李梅华.SF-36量表在肺结核病人中使用的信度和效度[J].中国公共卫生,2004,20(3):282-283.
[6]姜宝法,徐涛,廖玫珍,等.SF-36量表在深圳市农村老年人中的应用[J].中国心理卫生杂志,2003,17(5):291-293.
[7]万崇华,方积乾.SF-36量表用于肝癌患者生活质量测定的效果评价[J].肿瘤,2005,25(5):492-494.
[8]王文娟.SF-36量表在糖尿病患者生存质量测量中的应用[J].中国临床康复,2002,6(7):932-934.
[9]张骏,何廷尉,罗德儒,等.SF-36评价中风患者生命质量的信度和效度[J].中国行为医学科学,2001,10(5):416-419.
[10]孙振球.医学统计学[M].人民卫生出版社,2008:536-537.
[11]郭念锋.心理咨询师(基础知识)[M].民族出版社,2005:350.
[12]关守义.克龙巴赫系数研究述评[J].心理科学,2009,32(3):685-687.
[13]杨小湜,王阳.SF-36量表的信度和效度评价[J].解剖科学进展,2009,15(4):383-385.
[14]王燮辞.地震后的心理应激与应对策略[J].继续教育研究,2008,6(11):168-169.
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