中文版成人血友病活动能力评估量表的信度和效度研究

The reliability and validity of the Chinese version of the adult haemophilia activities list

目的 检验成人血友病活动能力评估量表（HAL）汉化后的信度和效度。 方法 对原始问卷进行翻译、回译、校对后最终形成HAL中文版，将中文版HAL及中文版关节炎生活质量测量量表2-短卷（AIMS-SF）通过直接发放问卷或邮件形式交由华中科技大学同济医学院附属协和医院血友病诊疗中心登记治疗的成人血友病患者完成填写，共发放150例问卷，搜集到98例有效问卷，应用SPSS 20.0版统计软件对数据进行处理与分析，对问卷内部一致性信度、分半信度、内容效度、结构效度、聚集效度进行检验。 结果 问卷总量表及各维度的Cronbach′s α系数均在0.7以上；总量表的分半信度r=0.970，各维度分半信度均大于0.7；各维度得分与总分及各维度条目得分与该维度得分的Pearson相关系数均大于0.6；问卷各维度间相关系数小于各维度与总量表间的相关系数；HAL总分和AIMS2-SF总分及AIMS2-SF“躯体”维度得分相关性均较好（分别为r=0.640,P〈0.01；r=0.576，P〈0.01）。 结论 中文版HAL具有良好的信度和效度。

Objective To test the the reliability and validity of the Chinese version of the adult haemophilia activities list （HAL）. Methods A Chinese version of the HAL was prepared by translation, back-translation and revision. Adult hemophilia patients were used to test it and a short-form arthritis impact measurement scale （AIMS-SF） simultaneously. A total of 98 valid questionnaires were collected. The internal consistency, reliability, split-half reliability, content validity, construct validity and convergent validity were tested. Results The Cronbach′s α coefficients for the total questionnaire and its dimensions were all 0.7 or more. The half-reliability test produced a Spearman correlation coefficient of 0.97. The Pearson correlation coefficients relating each dimension score with the total score and each dimension′s entry score with the dimension score were all greater than 0.6. The correlation coefficient between the dimensions of the two questionnaires was smaller than the correlation coefficients relating each dimension with the total scale. There was relatively good correlation between the HAL sum score and the AIMS2-SF sum score （r=0.640, P≤0.01）, as well as between the HAL sum score and the AIMS2-SF physical score （r=0.576, P≤0.01）. Conclusion The Chinese version of the adult HAL has good reliability and validity.