脑卒中患者生命质量测定量表QLICD-ST研制中的条目筛选

Item Screening in Developing a Quality of Life Instrument QLICD-ST for Patients with Stroke

目的初步得出适合中国人脑卒中患者的生命质量量表的特异模块.方法采用议题小组和核心小组的程序化决策方式,通过定性访谈和定量调查分析相结合的方法对条目进行初步筛选、评价和修改形成初步量表,随机抽取31名脑卒中患者和30名医务工作者进行问卷调查,采用变异度法、因子分析、相关分析、病人重要性评分及医生重要性评分法对结果进行分析.结果采用上述5种方法分别选出34、21、40、18和20个条目,最终得出包含18个条目的特异模块,包含躯体、症状、副作用和心理等方面.结论脑卒中生命质量测定量表特异模块按严格程序执行,具有较好的代表性和内容效度.

Objective To develop a specific module of the quality of life instrument for patients with storke. Methods Using the structured group （nominal group and focus group） methods and the qualitative and quantitative theory and methodology in developing rating scales, items were preliminary screened, evaluated and modified. And the data measured from 31 cases of stroke patients and 30 doctors/nurses were analyzed by 5 statistical procedures： method of coefficient of variation, correlation analysis, factor analysis, patients＇ importance rating procedure and doctors＇ importance rating procedure. Results 34, 21, 40, 18 and 20 items were selected by above statistical procedures, respectively, and thus 18-items specific module, including physical, symptom, side-effects and psychological facets was formed finally. Conclusions The specific module developed on the strict procedures has good content validity and representativeness.