摘要
背景与目的患者行肺部手术后常常出现咳嗽,目前尚缺乏专门评估术后咳嗽的工具。本研究对中文版莱斯特咳嗽问卷(Leicester Cough Questionnaire in Mandarin-Chinese,LCQ-MC)改良并进行验证,探讨其临床应用价值。方法 2015年9月-2016年12月四川大学华西医院胸外科单个医疗组共250例行胸腔镜肺部手术的患者参与调查,其中121例患者完成LCQ-MC,129例患者完成简化LCQ-MC,并进行信度和效度检验。结果新问卷保留LCQ-MC的框架与评分方式,由生理、心理和社会3个维度,共12个条目构成。量表内容效度良好,内容效度指数达到0.83;与日间咳嗽症状积分对比标准效度高(r=-0.578,P<0.001),与夜间咳嗽症状积分和健康调查简表总分(Chinese version of the Medical Outcome Study 36-item Short-Form Healthy Survey,SF-36)对比标准效度中等(r=-0.358,P=0.004;r=0.346,P=0.030),与医院焦虑与抑郁评分总分(Hospital Anxiety and Depression Scale,HADS)对比标准效度较弱(r=-0.241,P=0.046);内部一致性良好,克朗巴赫α系数在0.71-0.84之间;1周后重测信度良好(n=30,r=0.81-0.95)。结论简化版中文版莱斯特咳嗽问卷有良好的信度和效度,可应用于临床。
Background and objective Patients often have cough after lung surgery, and there is a lack of tools to specifically assess postoperative coughs. LCQ-MC （Leicester Cough Questionnaire in Mandarin-Chinese） was revised and validated to explore its value on clinical application. Methods A total of 250 patients undergone the lung operation of single medical team, from September 2015 to December 2016 in the Department ofThoracic Surgery,West China Hospital, Sichuan University, were investigated. Among them, 121 patients completed LCQ-MC and 129 patients completed simplified LCQ-MC, we verified the reliability and validity. Results The new questionnaire was not changed in terms of content layout and the scoring method of LCQ-MC, consisting of 12 items and three domains （physical, psychological and social）. There was good content validity （S-CVI/UA=0.83）. Concurrent validity was high when the simplified LCQ-MC was compared with daytime cough symptom score （r=-0.578, P〈0.001）. There was a moderate relationship with response to night-time cough symptom score （r=-0.358, P=-0.004） and SF36 total score （r=0.346, P=0.030）, and weak relationship with the Hospital Anxiety and Depression Scale total score （r=-0.241,P=0.046）. Cronbach＆#39;s alpha coefficients of simplified LCQ-CM total and three domains varied between 0.79 and 0.89.One week apart test-retest reliability （n=30） was high （r=0.88-0.96）. Conclusion Simplified LCQ-MC has good reli-abilityand validity that can be used for clinical applications.
出处
《中国肺癌杂志》
CAS
CSCD
北大核心
2017年第7期468-472,共5页
Chinese Journal of Lung Cancer
基金
四川省科技厅基金项目(No.2015SZ0158)资助~~
关键词
胸腔镜肺部手术
莱斯特咳嗽问卷
咳嗽
肺部疾病
信度
效度
Video-assisted thoracic surgery
Leicester Cough Questionnaire in Mandarin-Chinese （LCQ-MC）
Cough
Pulmonary disease
Reliability
Validity
