应用SF-36量表测定中国云南和泰国南部肺结核患者效果分析

Application of SF-36 scale on pulmonary tuberculosis patients in Yunnan province of China and southern Thailand

目的 探讨SF-36量表描述中国和泰国肺结核患者生命质量的效果。方法 利用 SF-36量表对中、泰两国肺结核病患者进行面对面的自评调查。结果 在对两国肺结核病患者测定中,SF-36量表各领域中多数领域间的相关系数>0.5。中国肺结核病患者SF-36量表各领域 Cronbach’sα系数均>0.7,泰国肺结核病患者除活力和社会关系两个领域外,其他领域 Cronbach’sα系数均≥0.7。泰国肺结核病患者在社会领域中的得分高于中国患者。结论 中、泰两国肺结核病患者生命质量测评中SF 36量表各维度结构效度不够理想,部分领域存在交叉重叠。但 SF-36 量表测评中国和泰国肺结核病患者生命质量时,有较好的信度。

Objective To explore the effect of SF-36 scale being applied in different countries under different culture and to describe the quality of life of pulmonary tuberculosis patients in China and Thailand. Methods SF-36 scale was applied to pulmonary tuberculosis patients in both countries using face to face interview. Results Many coefficients among domains were greater than 0.5 when quality of life of tuberculosis patient in both countries was measured. Cronbach's coefficient of all domains were greater than (0.7) for tuberculosis patients in China while cronbach's Coefficient of most domains were equal or greater than (0.7) for tuberculosis patients in Thailand except for vitality and social domains. The score of social domain for patients in Thailand was greater than that of China. Conclusion Structure validity was not good for tuberculosis patients in both countries since there were some items overlapped in different domains. However, the reliability was good for measuring quality of life of tuberculosis patients both in China and in Thailand.