中文版PedsQL多维疲乏量表在变应性鼻炎患儿中的信度和效度评价

Reliability and validity testing of the Chinese version PedsQL multidimensional fatigue scale in children and adolescents with allergic rhinitis

目的:在患有过敏性鼻炎(AR)的儿童青少年中应用中文版PedsQLTM儿童多维疲乏量表(MFS),并进行该量表的信效度评价与分析。方法:采用便利抽样的方法,于2022年7月-2023年7月从天津市南开区王顶堤医院儿童保健科及天津市第一中心医院耳鼻咽喉头颈外科门诊抽取400名儿童青少年及家长作为调研对象,调查工具包括AR患儿的一般资料问卷、中文版PedsQLTMMFS,最终完成389名研究对象的全部有效资料的收集,其中196例为AR组,193名为非AR组,根据调研结果对PedsQLTMMFS的信度和效度进行逐一检验。结果:量表内部一致性信度家长代评量表Cronbach′s系数总体是0.915,3个分维度的Cronbach′s系数范围是0.776~0.923,患儿自评量表的Cronbach′s系数总体是0.910,3个分维度的Cronbach′s系数范围是0.712~0.905;家长代评及患儿自评量表总体和3个分维度的重测信度ICC值最低为0.852;家长代评及患儿自评量表的每一个条目与其所属维度均呈现较强的相关性,与其他两个维度呈现较弱的相关性;在结构效度检测中,家长代评量表和儿童自评量表的各拟合指数结果较好,两个量表均RMSEA<0.08、均χ^(2)/df<4、均RMR<0.05、均CFI>0.9、均TLI>0.9、均GFI>0.9,表明量表因子模型拟合具有较好的效果;AVE均大于或接近0.5,CR均>0.7,基本说明量表的聚合效度尚可。结论:中文版PedsQLTMMFS具有较高的信度及效度,可以作为我国AR儿童青少年疲乏研究的一种科学、有效的测量工具。

Objective:The Chinese version PedsQL multidimensional fatigue scale(MFS)was applied to children and adolescents with allergic rhinitis,and the reliability and validity were evaluated and analyzed.Methods:By convenience sampling,400 children and adolescents and their parents from the Department of Pediatric Health in Wangdingdi Hospital and the Department of Otolaryngology Head and Neck Surgery Outpatient in Tianjin First Central Hospital in Tianjin from July 2022 to July 2023 were included in the investi-gation.A general information questionnaire and the Chinese version of the PedsQLTM MFS were used in the survey.Finally,effective and valid data collection was completed for 389 subjects including 196 subjects with allergic rhinitis and 193 subjects without allergic rhinitis.According to the investigation results,the reliability and validity of PedsQLTM MFS were tested one by one.Results:The overall Cronbach's coefficient of the parent surrogate rating scale was 0.915,and the coefficient range of the three sub dimensions was 0.776 to 0.923,and the overall Cronbach's of the children self-rating scale was 0.910,and the coefficient range of the three sub dimensions was 0.712 to 0.905.The lowest retest reliability ICC value of overall and three sub dimensions in parent surrogate rating scale and children self-rating scale was 0.852.In terms of correlation between various items and dimensions of the scale,each item of two scales had a strong correlation with its corresponding dimension,while showing a weak correlation with the other two dimensions.In the convergent validity test,the parent surrogate rating scale and children self-rating scale were good,with RMSEA<0.08,X^(2)/df<4,RMR<0.05,CFI>0.9,TLI>0.9,and GFI>0.9 for both scales,indicating that the factor model fitting of the scales had good results.AVE was greater than or close to 0.5,and CR was greater than 0.7,indicating that the aggregation validity of the scale was still acceptable.Conclusion:The Chinese version PedsQLTM MFS has high reliability and validity,and can be used as a scientific and effective measurement tool in the re-search field of fatigue in children and adolescents with allergic rhinitis in China.