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李 莉,陈善佳,方云华,周小炫,陶 静,吴 毅,陈卓铭,陈红霞,姜迎萍,陈立典.中文版SF-36用于评价亚急性脑卒中患者生存质量的信度和效度[J].中国康复医学杂志,2017,(5):509~515
中文版SF-36用于评价亚急性脑卒中患者生存质量的信度和效度    点此下载全文
李 莉  陈善佳  方云华  周小炫  陶 静  吴 毅  陈卓铭  陈红霞  姜迎萍  陈立典
福建中医药大学康复医学院,福州,350003
基金项目:“十二·五”国家科技支撑计划项目(2013BAI10B01)
DOI:
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摘要:
      摘要 目的:检测中文版健康调查简表SF-36(the medical outcomes study 36-item short-form, SF-36)用于中国亚急性期脑卒中后遗症人群的生存质量评估的信度和效度情况。 方法:选取福建中医药大学附属康复医院、复旦大学附属华山医院、暨南大学附属第一医院、广东省中医院和新疆维吾尔自治区中医院五家合作单位,共377例(女性35.73%,平均年龄60.95±10岁)脑卒中后遗症患者,在完成第一次评估后的6—7天,随机选取75例患者进行SF-36重测。量表的信度分析采用内部一致性和重测信度,效度分析采用内容效度和结构效度检验。 结果:①中文版SF-36量表内部一致性Cronbach α系数为0.801(0.761—0.807);量表重测信度ICC为0.731(0.672—0.884)②对量表的8项内容的得分进行探索性因子分析,共抽取了3个公因子,总体方差解释力为67.3%。 结论:中文版SF-36量表在评估我国亚急性期脑卒中患者具有良好的信度和效度,是一个可靠、有效的适用于临床脑卒中患者生存质量的测量工具。
关键词:生存质量  脑卒中  信度  效度
To assess the reliability and validity of Chinese version SF-36 in evaluating the quality of life for sub-acute post-stroke patients    Download Fulltext
College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, 350003
Fund Project:
Abstract:
      Abstract Objective: To assess the reliability and validity of the MOS 36-Item short form health survey(SF-36) in evaluating the quality of life for sub-acute post-stroke patients. Method: A total of 377 subacute post-stroke patients(female35.37%,mean of age 60.95±10 years old) in five hospitals (the Affiliated Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine, the Affiliated Huashan Hospital of Fudan University, the Guangdong Province Hospital of TCM, the First Affiliated Hospital of Jinan University, and Xinjiang Uygur Autonomous Region Hospital of TCM) were assessed with the SF-36-FZ. Moreover, at 6-7 days after the first assessment, a random sample of 75 subjects received retest. The reliability was tested using internal consistency and retest reliability. Validity was tested using content validity and construct validity. Result: ①The values of Cronbach alpha for internal consistency of SF-36-Chinese Version was 0.801(0.761—0.807) and the values of ICC for test-retest reliability was 0.731(0.672—0.884).②To analysis the 8 content of the scale with exploratory factor analysis, three common factors were extracted, which accounted for the overall variance of 67.3%. Conclusion: SF-36-Chinese version had a good reliability and validity in evaluating the sub-acute post-stroke patients, which is a reliable and valid screening instrument to assess the quality of life of clinical stroke patients.
Keywords:quality of life  stroke  reliability  validity
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