| 黎景波,丘开亿,谢有书,宋秋爽,杨颖平,张 严,叶官生,陈荣培.中文版上肢功能障碍问卷用于手与上肢外伤的信度和效度研究[J].中国康复医学杂志,2023,(4):466~471 |
| 中文版上肢功能障碍问卷用于手与上肢外伤的信度和效度研究 点此下载全文 |
| 黎景波 丘开亿 谢有书 宋秋爽 杨颖平 张 严 叶官生 陈荣培 |
| 广东省工伤康复医院，广州市，510440 |
| 基金项目：广东省中医药局科研基金项目(20202032) |
| DOI：10.3969/j.issn.1001-1242.2023.04.005 |
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| 摘要： |
| 摘要
目的：探讨中文版上肢功能障碍问卷(DASH)用于手与上肢外伤的信度和效度，为手与上肢外伤患者提供综合疗效指标的评估方法。
方法：招募手与上肢外伤患者964例参与研究。患者入院时进行DASH问卷自评，3天内进行问卷的第2次评估。采用Cronbach α信度系数、折半信度法、组内相关系数(intra-class coefficient correlation， ICC)进行问卷信度分析；采用相关分析和因子分析，进行问卷内容和结构效度的分析。
结果：①DASH问卷具有良好的内部一致性。DASH总分Cronbach α信度系数为0.969，其中ADL、症状、工作、休闲娱乐部分的Cronbach α信度系数分别为0.949、0.885、0.907、0.966。DASH总分的折半信度系数为0.904，其中ADL、症状、工作、休闲娱乐部分折半信度系数分别为0.932、0.867、0.867、0.955。②DASH问卷具有良好的重测信度。DASH总分的ICC值为0.875，95%CI为0.783—0.929，其中ADL、症状、工作、休闲娱乐部分的ICC值分别为0.79、0.846、0.889、0.92。③DASH问卷具有较高的内容效度，每项内容与DASH总分的相关性均显著，r为0.539—0.729(P=0.000)。④DASH问卷具有较好的结构效度，累积方差贡献率为66.369%。
结论：中文版上肢功能障碍问卷应用于手与上肢外伤患者的评估，具有良好的信度和效度，为临床提供了一种综合疗效指标的评估方法，值得推广应用。 |
| 关键词：上肢功能障碍问卷 手与上肢功能 手与上肢外伤 信度 效度 |
| The reliability and validity of the Chinese version of the DASH questionnaire for upper extremity trauma Download Fulltext |
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| Guangdong Work Injury Rehabilitation Hospital， Guangzhou， 510440 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To explore the reliability and validity of the Chinese version of the upper extremity dysfunction qestionnaire (the disabilities of the arm, shoulder and hand, DASH) for hand and upper extremity trauma and provide a comprehensive evaluation method for the treatment of hand and upper extremity trauma patients.
Method： Nine hundred and sixty four patients with hand and upper extremity trauma were recruited to participate in the study. A self-evaluation of the DASH questionnaire was performed when the patient was admitted， and the second assessment of the questionnaire was completed within 3 days. Cronbach α reliability coefficient， half-reliability method， and intra-group correlation coefficient (ICC) were used to analyze the questionnaire's reliability； correlation analysis and factor analysis were used to analyze the content and structure validity of the questionnaire.
Result： ①The DASH questionnaire has good internal consistency. The Cronbach α reliability coefficient of the DASH total score is 0.969， and the Cronbach α reliability coefficients of the ADL， symptoms， work， leisure， and entertainment sections are 0.949， 0.885， 0.907， and 0.966， respectively. The DASH total score's half-reliability coefficient is 0.904， and the half-reliability coefficients of ADL， symptoms， work， leisure， and entertainment are 0.932， 0.867， 0.867， 0.955， respectively. ②The DASH questionnaire has good test-retest reliability. The total score of DASH has an ICC value of 0.875 and a 95% CI of 0.783 to 0.929. The ICC values of ADL， symptoms， work， leisure， and entertainment are 0.79， 0.846， 0.889， and 0.92. ③The DASH questionnaire has high content validity， and the correlation between each content and the total score of DASH is significant， r is 0.539—0.729 (P=0.000). ④The DASH questionnaire has good structural validity， and the cumulative variance contribution rate is 66.369%.
Conclusion： The Chinese version of the disabilities of the arm， shoulder and hand has good reliability and validity for evaluating patients with hand and upper extremity trauma. It provides a clinical evaluation method for comprehensive efficacy indicators and is worthy of popularization and application. |
| Keywords:the disabilities of the arm, shoulder and hand questionnaire hand and upper extremity function hand and upper extremity trauma reliability validity |
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