自测健康评定量表的研究(英文)

Research on self-rated health measurement scale

背景:以往的许多研究仅采用一个综合的自评指标(优、好、中、差)来测量自测健康,这种测量未能反映自测健康的真正内涵。由于文化背景、社会结构和价值观念的不同,不同国家对自测健康的内涵界定也就存在差异。目前,中国尚未建立适合自己的自测健康指标体系及其评价方法,因此,开展符合中国国情的自测健康定量化测量方法研究势在必行。目的:基于WHO的健康定义,顺应医学模式从生物医学模式向生物-心理-社会医学模式的转变,以及健康测量从一维到多维、群体到个体、负向到正向的转变,致力于自测健康的定量化测量方法研究,从生理、心理和社会健康三个方面筛选自测健康评价指标,研制自测健康评定量表,克服以往自测健康测量的不足,力求比较全面、具体、准确地反映自测健康的真正内涵。设计:横断面调查研究。单位:南方医科大学南方医院药学部、南方医科大学医学心理学教研室、暨南大学统计系。对象:本研究于2002-01/2003-12在南方医科大学南方医院药学部、南方医科大学医学心理学教研室、暨南大学统计系完成。在广东省广州市、海南省海口市选取2000个个体进行现场测试。在首次回收量表中,随机抽取335个个体,其中广州市地方高校学员60人,军队高校学员90人,海口市解放军187医院皮肤科皮肤病患者50人,解放军广州军区?

BACKGROUND:Previous research always adopts a general self rated indicator(excellent,good,fair,poor) to assess people's own health.However,this kind of measurement hardly reflects the real meaning of self rated health.Due to the cultural background,social structure and values,there is difference on the connotation of self rated health among different countries.At present,China has not established its own self rated health indicator system and assessment methods.Thus,it is necessary for us to conduct research on quantitative methods of self rated health that is suitable for Chinese situation.<OBJECTIVE:Based on the definition of health by WHO, the medical model has changed from biological medical mode to biological mental social medical mode while the measurement of health has experienced changes form one dimensional to multiple dimensional,population to individual,and negative to positive.It requires that research on self rated health measurement methods should screen self rated health assessment indicators from physical,mental and social health aspects in order to overcome the shortage of the previous ones while developing self rated health measure scale therefore it can reflect the real meaning of self rated health more roundly, detailed and accurately. <DESIGN:A cross sectional study.<SETTINGS:Department of Pharmacology,Nanfang Hospital,Southern Medical University;Department of Psychology,Southern Medical University;Department of Statistics, Jinan University.<PARTICIPANTS:This study was completed in the Department of Pharmacology,Nanfang Hospital,Southern Medical University;Department of Psychology,Southern Medical University;Department of Statistics, Jinan University from January 2002 to December 2003.Totally 2 000 individuals were selected from Guangzhou and Haikou cities to conduct in field testing.From the returned questionnaires,335 individuals were randomly selected among which there were 60 students in universities of Guangzhou,90 students from military universities,50 patients suffered from skin disease in the 187 Hospital of Chinese PLA in Haikou city,30 inpatients of the Department of Traditional Chinese Medicine,Chinese PLA General Hospital of Guangzhou Military Area Command,50 retired cadres of the Chinese PLA Convalescent Hospital of Guangzhou Military Area Command,and 55 pregnant women from the Dongshan District Hospital Health Care for Women and Children of Guangzhou city.Inclusive criteria:aged 14 to 65 years old,patients can independently finish daily life,study and work with mild situation,and normal healthy pregnant women,educational level was higher than junior high school.Exclusive criteria:younger than 14 or older than 65 years old,moderate or severe patients(impacted daily study,work and life),pregnant women with primary or secondary diseases and people with mental problem or suffering from metal symptoms,educational level was lower than junior high school.<INTERVENTIONS:Testing was repeated at the interval of 1 and 4 weeks after first testing to the 60 students of universities in Guangzhou city,90 students in military universities,50 patients suffered from skin diseases in the 187 Hospital of Chinese PLA in Haikou city,30 inpatients of the Department of Traditional Chinese Medicine, Chinese PLA General Hospital of Guangzhou Military Area Command,50 retired cadres of the Chinese PLA Convalescent Hospital of Guangzhou Military Area Command.Fifty five pregnant women from the Dongshan District Hospital Health Care for Women and Children of Guangzhou city were taken the testing again 1 week and 42 days after delivery.Delphi method was used to preselect the indicators by consulting 50 experts for 3 to 5 rounds.In field investigation and statistic analysis were applied to screen and confirm the indicators.Psychometric techniques,such as reliability,validity and responsiveness,were used to check the scale. Linear analogue self assessment was adopted to perform quantitative self assessment.<MAIN OUTCOME MEASURES:Reliability, validity and responsiveness of SRHMS V1.0. <RES