| 更年期症状全面评估量表的信度与效度评价 |
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| 引用本文： | 更年期症状全面评估量表的信度与效度评价. 更年期症状全面评估量表的信度与效度评价[J]. 首都医科大学学报, 2021, 42(4): 511-520. DOI: 10.3969/j.issn.1006-7795.2021.04.002 |
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| 作者姓名： | 更年期症状全面评估量表的信度与效度评价 |
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| 作者单位： | 首都医科大学附属北京妇产医院内分泌科,北京100026;首都医科大学公共卫生学院卫生管理与政策学系,北京100069 |
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| 基金项目： | 国家自然科学基金(81671411),北京市医院管理中心登峰计划(DFL20181401), 国家更年期保健特色专科建设单位[(2020)30],首批北京市级妇幼保健专科示范单位“更年期保健专科”[(2017)35号]。 |
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| 摘 要： | 目的 本研究旨在探讨中国女性更年期症状全面评估量表的信度与效度。方法 于2018年至2020年期间收集了2 487 名年龄在40~83岁之间的中国女性的数据。采用临界比值法、Cronbach's α系数法、因子分析法对更年期症状量表的条目进行筛选。结果 确定量表的概念框架:更年期症状量表包括负面情绪和认知症状、肢体活动障碍、性相关症状、生殖系统症状、自主神经紊乱症状、关节肿痛、肢体感觉异常、精力减退症状、泌尿系统症状、血管舒缩症状及睡眠障碍等11个维度。构建条目池:形成的条目池包括54个条目。通过探索性因子分析提取出10个因子,其累计方差贡献率为61.28%。更年期量表总的Spearman-Brown相关系数为0.866,Guttman Split-half为0.852,相关系数为0.763,Cronbach's alpha 系数范围为0.778~0.914。结论 初步证明为中国女性开发的更年期症状全面评估量表是一种有效可靠的工具,其结构模型合理,条目具有较好的内部一致性和历时稳定性,可以更全面地测量我国更年期女性相关心理症状,具有潜在的推广应用前景。临床工作者可以利用此量表测量更年期患者的症状,进而对其进行相应的干预并评价干预效果。
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| 关 键 词： | 更年期症状 量表 信度 效度 |
| 收稿时间： | 2021-05-18 |
Evaluation of reliability and validity of the Comprehensive Assessment of Menopausal Symptoms Scale |
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| Zhang Lingyan,Ruan Xiangyan,Li Xingming,Cui Yamei,Gu Muqing,Liu Yulan,Zhen Jie. Evaluation of reliability and validity of the Comprehensive Assessment of Menopausal Symptoms Scale[J]. Journal of Capital Medical University, 2021, 42(4): 511-520. DOI: 10.3969/j.issn.1006-7795.2021.04.002 |
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| Authors: | Zhang Lingyan Ruan Xiangyan Li Xingming Cui Yamei Gu Muqing Liu Yulan Zhen Jie |
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| Affiliation: | 1. Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China; 2. Department of Health Mangement and Policy, School of Public Health, Capital Medical University, Beijing 100069, China |
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| Abstract: | Objective To investigate the reliability and validity of the Comprehensive Assessment Scale for Menopausal Symptoms in Chinese women. Methods The data were collected from 2 487 Chinese women aged 40-83 between 2018 and 2020. The critical ratio method, Cronbach's alpha coefficient method and factor analysis method were used to screen the items of menopausal symptom scale. Results The conceptual framework of the scale was define with 11 dimensions included in the Menopause Symptom Scale: negative emotional and cognitive symptoms, limb dyskinesia, sex-related symptoms, reproductive symptoms, autonomic nervous disorder symptoms, joint swelling and pain, limb paresthesia, energy loss symptoms, urinary symptoms, vasomotor symptoms, and sleep disorders. The pool consisting of 54 entries was constructed. Ten factors were extracted by exploratory factor analysis, and their cumulative variance contribution rate was 61.28%. The total Spearman-Brown correlation coefficient was 0.866, Guttman Split-half was 0.852, the correlation coefficient was 0.763, and the Cronbach's alpha coefficient range was 0.778-0.914. Conclusion The comprehensive assessment scale for menopausal symptoms developed for Chinese women has proved to be an effective and reliable tool with reasonable structure model, good internal consistency and diachronic stability of items, which can measure the related psychological symptoms of Chinese menopausal women more comprehensively and has potential application prospects. Clinicians can use this scale to measure the symptoms of menopausal patients, and then intervene accordingly and evaluate the intervention effect. |
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| Keywords: | menopausal symptoms scale reliability validity |
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