摘要
引进EORTC QLQ-C30,验证其在中国大陆的应用情况,为中国肿瘤学领域生活质量研究提供有效和实用的评定工具。运用随机对照实验设计,测查了289名癌症病人,结果显示各分量表中项目与所属量表的相关均高于与其他量表的相关,各分量表间呈中等偏下相关,量表因子结构分析与EORTC结果大体相似,三种方法检验的临床效度均较高。由此得出QLQ-C30各项心理测量学特性均达到要求,临床效度和实用性也比较好,在中国大陆的癌症病人中是可行的、可信的、有效的和敏感的。
The purpose of this study was to evaluate the psychometric properties and clinical validity of the EORTC QLQ-C30 in a sample of cancer patients in China. 289 cancer patients were randomly assigned to one of four conditions factorial design. The data showed that: within all scales, items correlated significantly higher with its own scale than with another scale; the most scales structure of questionnaire were similar to the data of EORTC except a little difference, which might be due to cultural difference. Validity was shown by hoe findings: first while all interscale correlations were statistically significant the correlation was moderate, indicating that the scales were assessing distinct components of the quality of life construct; second, most of the functional (except social, cognitive function) and symptom measures discriminated clearly between patients differing in clinical status as defined by the Karnofsky performance status scale; third, there were changes (some of them were statistically significant changes) in the expected direction, in all scales, for patients whose performance status had improved or worsened during the course of treatment. These results support the EORTC QLQ-C30 as a reliable, responsive, and valid measure of the quality of life of cancer patients in clinical research settings in China.
出处
《心理学报》
CSSCI
CSCD
北大核心
2000年第4期428-442,共15页
Acta Psychologica Sinica
基金
国家自然科学基金项目!(39770265)的部分资助。