中文版慢性病治疗功能评估-疲劳量表在维持性血液透析患者中的信效度评定

Reliability and validity of Chinese version of the Function Assessment of Chronic Illness Therapy-Fatigue(FACIT-F) in patients undergoing maintenance hemodialysis

目的探讨中文版慢性病治疗功能评估-疲劳量表(FACIT疲劳量表)在维持性血液透析患者中应用的信效度。方法首先与FACIT机构取得联系,取得中文版FACIT疲劳量表。对203例维持性血液透析患者发放中文版FACIT疲劳量表、修订版Piper疲乏量表(RPFS)、医院焦虑抑郁量表(HADS)及匹兹堡睡眠质量指数(PSQI)进行问卷调查,同时收集同期血液透析的特征指标。结果中文版FACIT疲劳量表的Cronbach'sα系数为0.929,重测信度为0.965,效标关联效度为-0.464(P<0.01),与HADS的相关系数为-0.632(P<0.01),与PSQI的相关系数为-0.556(P<0.01)。量表与血红蛋白的相关系数为0.189(P<0.01),与其他指标未检测到相关性。结论中文版FACIT疲劳量表具有良好的信效度,适合在国内维持性血液透析患者中进行应用。

Objective To test the reliability and validity of Chinese version of the Function Assessment of Chronic Illness Therapy-Fatigue（FACIT-F） in patients undergoing maintenance hemodialysis. Methods Totally 203 patients with maintenance hemodialysis were investigated with Chinese version FACIT-F,Piper Fatigue Scale（RPFS）, Hospital Anxiety and Depression Scale（HADS） and Pittsburgh Sleep Quality Index（PSQI）. Results The Cronbach＇s a coefficient of Chinese version FACIT-F was 0.929,the test-retest reliability was 0.965 ,and the criterion validity was -0.464（P〈0.01 ）. The correlation coefficient was -0.632 with HADS score,-0.556 with PSQI score,and 0.189 with the level of hemoglobin. Conclusion The Chinese version FACIT-F has good validity and reliability,which can be used as a valid tool for the measurement of fatigue in patients with maintenance hemodialysis in China.