三种生存质量量表在老年骨创伤术后患者中的适用性研究

Applicability of three quality of life scales in elderly patients after bone trauma surgery

目的比较SF-36量表(the MOS 36-item short form health survey,SF-36量表)、SF-12量表(12-item short form survey,SF-12量表)以及欧洲五维健康量表(EuroQol five dimensions questionnaire,EQ-5D)在老年骨创伤术后患者生存质量中的评估结果差异。方法本研究为横断面研究,运用SF-36量表、SF-12量表以及EQ-5D分别对2020年5月—2021年5月入住四川省成都市某三级甲等医院创伤医学中心的157例老年骨创伤患者进行生存质量调查评估。结果本组157例骨创伤患者,女性96例(61.1%),男性61例(38.9%);年龄65~97岁,平均75.0岁;仅一处骨折133例(84.7%),两处及以上骨折24例(15.3%);仅上肢骨折35例(22.3%),上下肢均存在骨折122例(77.7%)。SF-36量表、SF-12量表以及EQ-5D的Cronbach’sα系数分别为0.877、0.701、0.393,折半信度分别为0.862/0.864、0.738/0.321、0.374/0.551,说明SF-36量表具有良好的内部一致性;结构效度以抽样适合性检验值表示,分别为0.762、0.697、0.612,说明SF-36量表和SF-12量表展示了良好的结构效度;同时效度比较SF-36量表得分(91.9±17.2)分、SF-12量表得分(30.8±6.6)分,计算得出r=0.911,P<0.05,说明SF-36量表与SF-12量表呈现高度的相关性。结论在评估老年骨创伤患者生存质量时,SF-36量表拥有更高的信效度,具有极高的内部一致性,建议相关研究者首选SF-36量表。

To compare the results of quality of life(QoL)of elderly patients following bone trauma surgery,assessed respectively by the MOS 36-item short form survey(SF-36)scale,SF-12 scale and EuroQoL five dimensions questionnaire(EQ-5D).Methods This is a cross-sectional study.The SF-36 scale,SF-12 scale and EQ-5D scale were used to evaluate the QoL of 157 elderly patients with bone trauma,who had surgery in the trauma center of a tertiary hospital in Chengdu,Sichuan Province from May 2020 to May 2021.Results Among the 157 patients,there were 96 females(61.1%)and 61 males(38.9%),aged 65-97 years,mean 75.0 years.Single fractures occupied 84.7%(133 cases)and two or multiple fractures 15.3%(24 cases);35 cases(22.3%)only affected the upper limb and 122 cases(77.7%)affected both the upper and lower limbs.The Cronbacha’sαof SF-36,SF-12 and EQ-5D was 0.877,0.701 and 0.393;while the split-half reliability was 0.862/0.864,0.738/0.321,0.374/0.551,respectively,indicating a good internal consistency of the SF-36.The structure validity,expressed as Kaiser-Meyer-Olkin values,was 0.762,0.697,and 0.612,respectively,revealing better results of SF-36 and SF-12.The concurrent validity ratio of SF-36 scored 91.9±17.2,and SF-12 scored 30.8±6.6,showing a high correlation between the two scales(r=0.911,P<0.05).Conclusion When assessing the QoL of elderly patients following bone trauma surgery,the SF-36 scale has a higher reliability and validity,and extremely high internal consistency,compared with SF-12 and EQ-5D.It is recommended to be the first choice for related researchers.