保髋治疗股骨头坏死的特异性量表

Specific scale of hip-preserving treatment for osteonecrosis of the femoral head

背景:目前评价保髋治疗的疗效标准较多,没有统一标准,因此保髋治疗的疗效缺乏一定的可比性。目的:参考WHO生存质量量表发展模式及医药领域量表研制与应用指南,试图研制一款特异性的用于评价保髋治疗疗效的生存质量量表。方法:通过复习文献和小组讨论,在相关理论指导下,参照一般量表制定的程序化方式,制定理论模型,通过患者访谈形成条目池,优化条目并初步筛选后形成预调查表。用预调查表进行现场调查,借助专家重要性评分、因子分析、离散趋势法、逐步回归、判别分析和Cronbach’sα系数等统计学方法筛选条目,形成终选量表。结果与结论:终量表包括生理、心理、社会及健康意识4个领域,分疼痛、跛行、关节功能、积极因素、消极因素、社会角色、社会关系、健康的自我评价、对疾病的了解9个方面,外加一条独立条目,共32个条目。终选量表一旦完成其科学性考核,将是一款适用于股骨头坏死保髋治疗疗效评价的特异性量表,将对接受保髋治疗的患者提供一个更为全面的疗效评价。

BACKGROUND： There are many criteria used to evaluate the curative effects of hip-preserving treatment for osteonecrosis of the femoral head, and there have been no consistent criteria, so the curative effects of hip-preserving treatment lack comparability to some extent. OBJECTIVE： To develop a specific scale used to evaluate the curative effect of hip-preserving treatment reference to WHO Quality of Life Scale model of development and scale development and application of the medical field guide. METHODS： Through the literature review and panel discussions, to design the theory model in reference to general scale under the guidance of related theory. Through the patient interview to form the entries pool, optimize the entries and get preliminary screening then form questionnaire. The field investigations were performed by pre-questionnaire, with the help of experts’ importance ratings, factor analysis, discrete trend method, regression, discriminant analysis and Cranach’s alpha coefficients to screen the entries, and finally form the eventually selected scale. RESULTS AND CONCLUSION： The eventually scale including four areas： physiological, psychological, social and health consciousness. The scale was divided into nine aspects： pain, limp, joint function, the positive and negative factors, social role, social relations and healthy self-evaluation and understanding of disease, plus an independent entry, a total of 32 entries. Once the eventually selected scale of the hip-preserving treatment of osteonecrosis of the femoral head completed its scientific assessment, it will be a specific scale to evaluate the curative effect of the hip-preserving treatment of osteonecrosis of the femoral head, and will provide a more comprehensive outcomes assessment to the patients who accept the hip-preserving treatment of osteonecrosis of the femoral head.