健康调查简表评价颅骨修补术后病人生存质量信效度

RELIABILITY AND VALIDITY OF 36-ITEM SHORT-FORM HEALTH SURVEY IN EVALUATING QUALITY OF LIFE AFTER CRANIOPLASTY

目的评价健康调查简表(SF-36量表)在颅骨修补术后病人生存质量研究中可靠性、真实性。方法选择颅骨修补术后神志清楚、言语正常病人270例,对其生存质量进行横断面调查,研究中利用组内相关系数、克龙巴赫和古特曼系数等指标进行量表信度评估,运用验证性因子分析评价量表的结构效度。结果本量表重测信度的组内相关系数为0.85,95%置信区间为0.81~0.88,各维度克龙巴赫系数α和古特曼系数λ6均>0.70;量表的两因子二阶模型结构效度为0,差异无统计学意义(P>0.05)。结论SF-36量表可用于评价神志清楚、言语正常病人颅骨修补术后生存质量。

Objective To investigate the reliability and validity of 36-Item Short-Form Health Survey(SF-36)scale in evaluating quality of life after cranioplasty.Methods A cross-sectional survey was performed to assess the quality of life of 270 patients with normal consciousness and linguistic function after cranioplasty.Intraclass correlation coefficient,Cronbach’s coefficient,and Gutmann coefficient were used to evaluate the reliability of the scale,and a confirmatory factor analysis was used to evaluate the structural validity of the scale.Results For the test-retest reliability of the scale,the intraclass correlation coefficient was 0.85(95%CI=0.81-0.88),and a value of>0.70 was obtained for the Cronbach’s coefficientαand the Gutmann coefficientλ6 of each dimension.The two-factor second-order model of the scale had a structural validity of 0,with statistical significance(P>0.05).Conclusion SF-36 scale can be used to evaluate the quality of life of patients with normal consciousness and linguistic function after cranioplasty.