摘要
目的 建立适合中国类风湿关节炎（ｒｈｅｕｍ ａｔｏｉｄ ａｒｔｈｒｉｔｉｓ，ＲＡ）病人的生命质量量表，为客观评价目前的干预措施提供科学手段。方法 采用专题小组访谈方式及借鉴国外建立量表的经验制定本量表。结果 本量表包括四个亚量表即：生理、心理、社会功能和健康自我认识。选择５０例ＲＡ 病人进行量表的试用。统计分析：①条目分析：修订后各α亚量表内部间条目相关数在０．２１３～０．８４８０ 之间；各条目与所在亚量表相关系数分别为生理０．６４７～０．８４５、心理０．３８１～０．５９８、社会０．３０７～０．８６８ 和健康自我认识０．３４８～０．５４５；各亚量表总α系数均大于０．７０，且依此去除每一条目后的α系数较各亚量表总α系数低。②重测信度：各条目ＩＣＣ值在０．６２～０．９０；③因子分析显示四个亚量表条目分布合理。结论 本量表适应于成年人活动性ＲＡ，具有可行性、有效性和真实性。本量表是建立中国人ＲＡ 生命质量量表的一次尝试。
Objective To develop a Chinese questionnaire for assessm entofthe quality oflife(QQL) in patients w ith rheum afoid arthritis (RA). Method The originalQOLQuestionnaire w asestablished by focusgroup discussion (FGD) w ith RA patients, as w ellas referring to som e foreign inventories. The contents ofrevised QOL questionnaire consisted of four sub-scales:physical,em otional/ psychological, socialfunctions and self-recognized health status. Each item ofthis question- naire had been tested and analyzed tw ice by 50 RA patients every tim e. Result ①An inter-item correlation for each ofthe foursub-scales w as rangefrom 0.213 to 0.8480.Item -totalsub-scale correlation was 0.647～0.845, 0.381～0.598, 0.307～ 0.858 and 0.348～0.545 respectively. Cronbach's alpha for the totalsub-scale was allabove 0.70 and itdecrease com pared w ith the overallsub-scale alpha, When each item om itted from the subscale in turn. ②Test-retestreliability forthe 29 item s w as0.62～0.90. ③Factoranalysis show ed preservation ofthe4-com ponentstructure. Conclusion ①Itsuggested thatQOL questionnaire for RA is a practical, reliable and valid instrum ent. ②Itcan be used to evaluate the outcom es of the RA pa- tients, especially fortheir physical, em otional/ psychological, socialfunctions and self-recognized health status.
出处
《中国行为医学科学》
CSCD
1999年第1期9-12,共4页
Chinese Journal of Behavioral Medical Science
关键词
类风湿关节炎
生命质量
量表
Arthritis Rheum atoid Quality oflife Questionnaire
