脑卒中影响量表的测试研究

A research about testing the stroke impact scale

目的探讨应用汉化的脑卒中影响量表(SIS)的可行性。方法使用汉化的SIS量表对130例中老年首发脑卒中患者发病后1个月时的生存质量进行评定,并对其中的105例患者在发病后进行为期3个月的随访评定。根据结果对该量表的信度、效度、反应度和可行性进行全面分析。结果SIS量表8个分量表和总量表中表示内部一致性的克朗巴赫α系数(Cronbach′sα)均>0.8,重测结果的组内相关系数ICC(intraclasscorrelation coefficients,ICC)值均>0.7(P<0.05)。各分量表的Pearson相关系数均>0.5(P<0.05)。因子分析法提取的8个因子总共解释总体变量的80%。情绪、ADL/IADL、移动能力、参与4个方面及总分方面的变化差异有显著性(P<0.05)。结论汉化SIS量表具有良好的信度、效度、反应度和可行性,可应用于临床和社区护士对中老年脑卒中患者的生存质量和护理效果的评定。

Objective To evaluate the feasibility of using Stroke Impact Scale（Chinese version）. Methods Using the SIS（Chinese version） to evaluate the quality of life in 130 wrinkly and elderly with first stroke, and follow up 105 patients among them lasting 3 months. Analyzed the reliability, validity, responsibility and feasibility of SIS（Chinese version）. Results The Cronbaeh＇s a of 8 domains and the total were all 〉0.8, the test - retest ICC of 8 domains and the total were all 〉0.7, the index of Pearson Correlation in 8 domains were all 〉0.5. 8 factors can explain the 80% of the whole variable. There were significant differences in the aspects of emotion, ADL/IADL, moving ability, participating and the total score （P 〈 0.05）. Conclusion The SIS（Chinese version） showed perfect reliability, validity, responsibility and feasibility. It could be used to evaluate the QOL and the effect of nursing in the wrinkly and elderly with first stroke.