摘要
目的评估简短版中医健康量表(The Short Form-Health Scale of Traditional Chinese Medicine,SF-HSTCM)和欧洲五维健康量表(The Three-level Euro Qol Five-dimensional Questionnaire,EQ-5D-3L)在脑卒中恢复期患者中的测量特性及其适用性。方法本研究采用横断面调查的方法,以脑卒中恢复期的患者为研究对象,调查的问卷包括SF-HSTCM、EQ-5D-3L、改良Rankin量表(Modified Rankin Scale,mRS)和巴氏量表(Barthel Index,BI)。统计学方法主要包括用Cronbach’sα系数及验证性因子分析分别评估SF-HSTCM的信度及效度,组内相关系数评估SF-HSTCM、EQ-5D-3L、mRS和BI的重测信度及患者与代理人之间一致性信度,而会聚效度用SF-HSTCM与EQ-5D-3L之间的相关程度来进行评价,并采用非参数检验评估SF-HSTCM的区分效度,多重线性回归的方法分析社会人口学因素对于BI、mRS得分的影响。结果共205人完成了调查,SF-HSTCM在脑卒中恢复期患者中的内在一致性Cronbach’sα系数为0.895,重测信度组内相关系数为0.991;EQ-5D-3L的重测信度结果显示两次调查完全一致的问卷数占总数的90%。结论 SF-HSTCM及EQ-5D-3L均可应用于脑卒中恢复期人群的健康状态评测。
Objective To evaluate the measurement characteristics and applicability of The Short Form-Health Scale of Traditional Chinese Medicine(SF-HSTCM) and The Three-level Euro Qol Five-dimensional Questionnaire(EQ-5D-3L) for patients recovering from stroke.Methods The study followed a cross-sectional design.We investigated patients with stroke on the recovery stage.Questionnaires applied in the study included SF-HSTCM,EQ-5D-3L,Modified Rankin Scale(mRS) and Barthel Index(BI).We analyzed the reliability and validity of SF-HSTCM by the Cronbach’s alpha coefficient and confirmatory factor,test-retest reliability of SF-HSTCM,EQ-5D-3L,mRS and BI,and consistency coefficient between patients and agent by interclass correlation coefficient,correlation between SFHSTCM and EQ-5D-3L by convergent validity,discriminant validity of SF-HSTCM by nonparametric test.The impact of Social and demographic factors on score of BI and mRS was evaluated by multiple linear regression.Results A total of 205 people were investigated.The internal consistency of Cronbach’s α among patients with stroke in the recovery phase was 0.895,intercorrelation coefficient of test-Retest reliability was 0.991.The test-retest reliability result of EQ-5D-3L showed that questionnaires of two surveyswhich was exactly the same,accounting for 90% of the total number.Conclusion SF-HSTCM and EQ-5D-3L can be used to evaluate the health status of the patients with stroke in the recovery phase.
作者
戴琳
温玉成
路桃影
蔡坚雄
王立新
秦敏
吴大嵘
Dai Lin;Wen Yucheng;Lu Taoying;Cai Jianxiong;Wang Lixin;Qin Min;Wu Darong(The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405;The Hospital of Dongguan Dongcheng,Dongguan 523000,Guangdong Province,China;Program for Outcome Assessment in TCM,2nd Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120,China;Department of Neurology,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China;Department of Acupuncture and Rehabilitation,Guangdong Second TCM Hospital,Guangzhou 510095,China)
出处
《首都医科大学学报》
CAS
北大核心
2019年第4期627-634,共8页
Journal of Capital Medical University
基金
国家重点研发计划(2018YFC1706006)
广东省中医院中医药科学技术研究专项(YN2015QN13)
广东省中医院临床路径专项(中医二院《2015》119号)~~
关键词
脑卒中
信度
效度
简短版中医健康量表
欧洲五维健康量表
stroke
reliability
validity
The Short Form-Health Scale of Traditional Chinese Medicine (SF-HSTCM)
The Three-level Euro Qol Five-dimensional Questionnaire (EQ-5D-3L)