温哥华瘢痕量表的信度研究

Reliability of vancouver scar scale

目的:测试温哥华瘢痕量表(Vancouverscarscale,VSS)用于评定烧伤后增生性瘢痕的信度,为其在国内的临床应用提供客观依据。方法:32例烧伤患者共84处增生性瘢痕,一周内分2次、每次由2名评定者应用VSS独立进行瘢痕评定,采用等级相关系数(intraclasscorrelateioncoefficient,ICC)检验VSS的重测信度,通过计算机获得Crobachα信度系数检验其内部一致性。结果:VSS的Crobachα信度系数为0.84,组内信度ICC为0.776—0.900,组间信度ICC为0.768—0.936。结论:VSS内部一致性良好,用于评估烧伤后增生性瘢痕具有良好的重测信度。

Objective：To test the reliability of the Vancouver Scar Scale （VSS） assessing the hypertrophic scar and supply objective basis to domestic clinical application.Method：32 cases of burn patients with 84 hypertrophic scar were assessed independently by two assessors using the VSS twice in one week, The reassessed reliability of VSS was checked by intraclass correlation coefficient.In addition, the Crobath α reliability coefficient was got by computer that was used to check the inner continuity.Result：The Crobath ot reliability coefficient of VSS was 0.84.The intraclass reliability ICC was 0.776-0.900.The interclass reliability ICC was 0.768-0.936.Conclusion：The inner continuity of VSS and it＇s reassessed reliability of assessing the hypertrophic scar after bum is good.