经口甲状腺切除术后症状评估量表的编制

Compilation of symptom assessment scale after oral thyroidectomy

目的编制经口甲状腺切除术后症状评估量表, 并对量表的信度和效度进行检验。方法在前期充分进行文献查阅的基础上, 应用德尔菲专家函询等方法编制经口甲状腺切除术后症状评估量表预调查量表。对形成的预调查量表进行测试修改, 然后选择268例经口甲状腺切除术后患者进行正式调查, 应用因子分析形成最终版量表。结果经探索性因子形成4个公因子, 分别为生理状态、认知状态、并发症状态和康复状态。量表共有24个条目, 累计方差贡献率为67.362%。Cronbachα系数为0.923, 总量表的Spearman-Brown折半信度为0.914, 各维度的Spearman-Brown折半信度分别为0.987、0.891、0.941、0.936。患者自我感知校标与该量表的总得分、各维度的得分相关系数分别为0.792、0.567、0.518、0.551、0.535, 量表总得分与4个维度的相关系数分别为0.562~0.714。结论经口甲状腺切除术后症状评估量表具有良好的信效度, 可用于评价甲状腺切除术后的相关症状。

Objective To develop a symptom assessment scale after oral thyroidectomy,and to test the reliability and validity of the scale.Methods On the basis of sufficient literature review in the early stage,Delphi expert correspondence and other methods were used to compile the pre-survey scale for the symptom assessment scale after oral thyroidectomy.The formed pre-survey scale was tested and modified,and then 268 patients were selected for formal survey,and factor analysis was used to form the final version of the scale.Results After exploratory factors,four common factors were formed,namely,physiological state,cognitive state,complication state,and rehabilitation state.There were 24 items in the scale,and the cumulative variance contribution rate was 67.362%.The Cronbach′sαcoefficient was 0.923,the Spearman-Brown splitting reliability of the total scale was 0.914,and the Spearman-Brown splitting reliability of each dimension were 0.987,0.891,0.941,0.936,respectively.The correlation coefficients between the patient′s self-perceived calibration and the total score of the scale and the scores of each dimension were 0.792,0.567,0.518,0.551,0.535,respectively.The correlation coefficients between the total score of the scale and the four dimensions were 0.562-0.714.Conclusion The Symptom Evaluation Scale for Oral Thyroidectomy has good reliability and validity,and can be used to evaluate related symptoms after thyroidectomy.