中文版多维疲乏目录应用于脑卒中患者的信度和效度验证

目的 验证中文版多维疲乏目录（Multidimensional Fatigue Inventory ,MFI-20）应用于脑卒中患者的信度和效度。方法 2019年4月至2020年1月,以收治于上海市2所康复医院的374例脑卒中住院患者作为调查对象,采用自行编制的一般资料调查表、苗雨等修订的中文版MFI-20及中文版疲劳严重程度量表（Fatigue Severity Scale,FSS）对患者进行调查。采用项目分析、相关分析及因子分析等方法对量表的信效度进行检验。结果 MFI-20量表量表总体的Cronbach’s α为0.815,各因子的内部一致性系数为0.714~0.862;共提取出6个公因子,分别为：动力下降、注意力疲劳、躯体性疲劳、活动减少、总体疲劳及精力不足,可累计解释总方差的68.21%。以疲劳严重度量表作为校标,MFI-20与其得分的相关关系数为0.580（P<0.01）。结论 中文版MFI-20用于脑卒中患者具有良好的信度和效度,可较好反应患者的脑卒中后疲劳程度。     

疲劳严重程度评估量表在2型糖尿病患者中应用的信效度分析

目的评价中文版疲劳严重程度评估量表在2型糖尿病患者中应用的信效度。方法采用便利取样的方法,选取2019年4月-2020年4月在我院老年医学科病房住院的2型糖尿病患者200例,将疲劳严重程度评估量表(中文版)应用于2型糖尿病患者,验证量表的信度和效度。结果中文版FSS量表共含9个条目,其Cronbach′sα系数为0.893,Sperman折半信度系数为0.894,重测信度系数为0.905,内容效度为条目水平内容效度指数(I-CVI)0.801～1.000,总量表水平内容效度指数(S-CVI)为0.902。通过探索性因素分析提取出1个公因子,累积方差贡献率为57.81%。验证性因素分析得到各项拟合指数:卡方自由度比1.98、拟合优度指数0.942、调整后拟合优度指数0.921、比较拟合优度指数0.930。采用多维疲劳量表(MFI-20)作为效标,MFI-20总分与中文版FSS量表总分呈显著正相关(r=0.755,P0.05)。结论 FSS-CHI内容简洁,在2型糖尿病患者中应用具有良好的信效度,可作为评估疲劳严重程度的测量工具。     

中文版慢性病资源量表用于社区2型糖尿病病人的信效度检验

[目的]检验中文版慢性病资源量表(CIRS)在社区2型糖尿病病人中应用的信效度,以探讨其适用性。[方法]对455例社区2型糖尿病病人进行问卷调查,采用Cronbach’sα系数检验量表内部一致性信度,相关分析检验重测信度;应用验证性因素分析检验量表结构效度;以2型糖尿病自我管理量表(2-DSCS)得分作为效标检验其效标效度。[结果]总量表Cronbach’sα系数0.840,各维度Cronbach’sα介于0.512~0.838;总量表重测信度0.704,各维度0.508~0.807;验证性因素分析的结果表明量表具有良好的结构效度(χ2/df=2.04,近似误差均方根(RMSEA)=0.048,常规拟合度(NFI)=0.925,TLI=0.941,比较拟合指数(CFI)=0.960,PCFI=0.652,因素负荷量介于0.332~0.903;量表总分与2-DSCS得分指数r=0.563,各维度介于0.217~0.587。[结论]中文版慢性病资源量表具有较好的心理学测量特征,可用于测量社区2型糖尿病病人的社会资源。     

慢性疾病病耻感量表-8在脑卒中患者中应用的信效度研究

目的：调查慢性疾病病耻感量表-8（SSCI-8）在脑卒中患者中的信效度。方法：采用便利抽样的方法抽取204名社区脑卒中患者进行调查,进行信效度检验。结果：项目分析显示中文版SSCI-8能够鉴别高分组和低分组（P<0.01）,各条目得分与SSCI-8总分的相关系数为0.611~0.843;与抑郁、日常生活能力、SF-12心理维度及生理维度的相关系数为0.537、-0.440、-0.450、-0.441（P<0.01）。探索性因子分析提取2个公因子,累计方差贡献率为75.39%,各条目在其相应维度上有较高的因子负荷,验证性因子分析结果显示,各拟合指数均在可接受范围内,SSCI-8的Cronbach’s α系数为0.892,重测信度为0.809。结论：中文版SSCI-8在脑卒中具有较好的信效度,可在脑卒中及神经系统疾病病耻感的相关研究中使用。     

中文版出院指导质量量表的信效度测评

目的 翻译出院指导质量量表（ Quality Of Discharge Teaching Scale , QDTS ）,并检验中文版量表的信效度。方法 经过翻译,回译和文化调适,确定中文版量表的条目后,对武汉市 167 例出院患者进行问卷调查,评定该工具的信效度。 结果 中文版量表保留 24 个条目,因子分析共提取 3 个公因子,累计贡献率达 65.38% 。整个量表的内容效度指数（ CVI ）为 0.98 ; Cronbach’s α 系数为 0.924 ,各维度的 Cronbach’s α 系数在 0.882～0.935 ; Guttman 折半系数为 0.847 。结论 中文版的出院指导质量量表具有较好的信、效度,适合中国文化背景下对出院指导质量的评价和测量。     

精神科保护性约束评估量表的编制及信效度检验

目的：编制精神科保护性约束评估量表,并评估其信度与效度,为精神科病房保护性约束的使用提供参考依据。方法：通过访谈法,结合文献资料建立保护性约束评估量表的基本框架及发展条目池;经专家咨询及预试验,形成量表。对234名精神疾病患者进行样本测试,评价量表的信度、效度。结果：最终形成了“攻击、自杀、自残、外走、跌倒、坠床”等9个评估指标和27个评估条目。量表总Cronbach’α系数为0.856,各维度的Cronbach’α系数为0.726～0.938;问卷各条目I-CVI的范围为0.80～1.00,S-CVI 为0.98;评定者间信度为0.987。结论：精神科保护性约束评估量表具有较好的信度与效度,作为精神科护士实施保护性约束的测评工具,具有重要的临床应用价值。     

2型糖尿病患者低血糖恐惧-行为量表的研制及信效度分析

目的：制定适合国内2型糖尿病患者使用的低血糖恐惧-行为量表,并检验其信效度。方法：以知信行理论及社会认知理论为理论基础,根据2型糖尿病患者低血糖恐惧行为访谈结果,并参照国外量表内容、文献资料及专家意见构建条目池,经研究小组讨论、收集患者意见、专家函询形成初版量表。以多中心便利抽样法选取351名过去6个月内有过低血糖经历的2型糖尿病患者进行问卷调查,分析该量表的信度和效度。 结果：所编制的低血糖恐惧-行为量表由19个条目组成。量表条目内容效度指数为0.84~1.00,量表平均内容效度指数为0.97;探索性因子分析共提取3个公因子,分别命名为回避、谨慎、维持高血糖,累积方差贡献率46%;量表的重测信度为0.924,Cronbach’s α系数为0.845。结论：研究编制的低血糖恐惧-行为量表有较好的信度和效度,能够作为2型糖尿病患者低血糖恐惧行为的测评工具,为开展和实施低血糖恐惧患者的临床教育工作提供依据。     

青年脑卒中患者自我管理行为量表的编制及信效度检验

目的 编制能够客观评价青年脑卒中患者自我管理行为的量表,并对量表进行信效度检验。 方法 通过回顾相关文献、半结构化访谈、专家函询等方法,形成青年脑卒中患者自我管理行为量表初稿。 选取140例青年脑卒中患者进行调查,对量表信效度进行评价,形成量表终稿。 结果 最终形成的青年脑卒中患者自我管理行为量表包括5个维度、26个条目。 通过探索性因子分析提取5个公因子,累计方差贡献率为75.75%,量表内容效度为0.857,Cronbach’s α 系数为0.908 ,折半信度为0.958,重测信度为 0.923。 结论 该量表具有良好的信效度,可作为评价青年脑卒中患者自我管理行为的工具。     

中文修订版疲劳影响量表在慢性阻塞性肺疾病病人中应用的信度和效度检验

[目的]将中文修订版疲劳影响量表应用于慢性阻塞性肺疾病(COPD)病人,检验量表的可靠性和有效性,为量表在我国临床应用提供理论依据。[方法]先对英文修订版疲劳影响量表进行汉化,再采用方便抽样方法选取2017年5月—2018年5月就诊的136例COPD病人,应用中文修订版疲劳影响量表进行测评,使用SPSS 21.0和AMOS 17.0软件对调查数据进行分析,信度分析采用Cronbach′sα系数、分半信度、重测信度;效度分析采用内容效度、结构效度。[结果]中文修订版疲劳影响量表包含25个条目、4个维度,量表的Cronbach′sα系数为0.953,4个维度的Cronbach′sα系数为0.894～0.966,量表的重测信度为0.912、分半信度为0.944,结构效度采用探索性因子分析得到4个公因子,方差累计贡献率为70.80%,KMO值为0.875,内容效度0.80,各条目间得分相关系数为0.35～0.79,各维度得分与量表总分相关系数为0.517～0.809(P0.05);验证性因子分析证实中文修订版疲劳影响量表在COPD病人中应用各项拟合指数均符合统计学标准。[结论]中文修订版疲劳影响量表在COPD病人中的应用具有较好的信度和效度,是有效评价COPD病人疲劳问题的筛查评估工具。     

2型糖尿病病人饮食行为依从性检测量表的构建及其信效度验证

[目的]构建2型糖尿病病人饮食行为依从性检测量表,验证其信效度。[方法]采取访谈法、文献回顾法,同时对照《中国居民膳食指南》等创建量表条目,通过专家评议的方法,同时调查336例2型糖尿病病人,以核验量表的信度及效度。[结果]最后创建23个条目、5个维度的量表。其整体Cronbach′sα系数是0.887,每个维度的Cronbach′sα系数是0.741~0.883;再次检测的信度是0.933;探索性因子剖析获取5个公因子,量表整体累积方差贡献率是60.712%;验证性因子剖析结论表明近似误差均方根(RMSEA)是0.068,比较拟合指数(CFI)是0.879,表明模型有较佳的拟合性。[结论]创建的2型糖尿病病人饮食行为依从性检测量表信度和效度均较高,在临床操作时可以当作测量评判的手段加以运用。     

多维疲劳量表应用于肿瘤患者的信度和效度验证

目的 评价多维疲劳量表的信效度.方法 将多维疲劳量表(MFI-20)译成中文版,通过174例肿瘤患者进行信效度测量.结果 量表含3个公因子共20个条目,为心理疲劳、躯体疲劳、精神疲劳,共解释总方差的56.21％;疲劳量表总得分与生命质量量表总得分的相关系数为-0.647;整体量表内部一致性为0.867,公因子的内部一致性分别为0.755、0.782、0.613.结论 MFI-20具有很好的效度及高度的内在一致性.     

Validation of the Chinese version of Multidimensional Fatigue Inventory-20 in Chinese patients with cancer

Goals of work

The purpose of this research is to study the validation of the Chinese version of Multidimensional Fatigue Inventory-20 in measuring fatigue status of the patients with cancer in China.

Materials and methods

The original English version of the Multidimensional Fatigue Inventory-20 was translated into a Chinese version, which was applied to measure the fatigue status of cancer patients prior to commencing chemotherapy and during the last week of chemotherapy, respectively. The reliability and criterion-related validity of the Chinese version of the Multidimensional Fatigue Inventory-20 were assessed by calculating Cronbach's α and Pearson correlation coefficients. The construct validity was analyzed by employing factor analysis.

Main results

There were three dimensions in the Chinese version of the MFI-20, which measures the physical, mental, and spiritual fatigue of patients with cancer. All of the correlation coefficients between EORTC QLQ-C30V3.0 and MFI-20 were statistically significant (P?α coefficient was more than 0.8 and 0.7 for total MFI-20 and for the three dimensions of the Chinese version of the MFI-20, respectively.

Conclusions

The Chinese version of the MFI-20 is a reliable and valid instrument to assess fatigue in Chinese patients with cancer.     

Assessment of fatigue in patients with fibromyalgia and chronic widespread pain. Reliability and validity of the Swedish version of the MFI-20

OBJECTIVES: Fibromyalgia (FM) and Chronic Widespread Pain (CWP) are common diseases in primary care and, in addition to the pain they cause, fatigue is a major problem. Fatigue is regarded as a multidimensional concept and instruments assessing fatigue should therefore cover several different dimensions. The Multidimensional Fatigue Inventory (MFI-20) measures five different dimensions of fatigue. The aim of the study was to investigate the test-retest reliability and convergent construct validity of the Swedish version of the MFI-20 in female patients with FM or CWP. METHODS: To investigate the convergent construct validity, 166 female patients with FM or CWP completed the Swedish version of the MFI-20 and a Visual Analogue Scale (VAS) measuring global fatigue. Thirty-six of the 166 patients completed the Swedish version of the MFI-20 on two occasions, one day apart to evaluate the test-retest reliability. RESULTS: Spearman's correlation coefficient revealed a significant association between each of the five subscales of the MFI-20 and the VAS for global fatigue. General Fatigue had the highest correlation with the VAS (rs = 0.62, p < 0.001), while Reduced Motivation had the lowest (rs = 0.32, p <0.001). The intra-class correlation coefficients (ICC) were satisfactory for all the five subscales of the MFI-20. CONCLUSION: The results of this study indicate that the Swedish version of the MFI-20 is a reliable tool for assessing the degree of fatigue in patients with FM or CWP. This study also supports the theory that fatigue is a multidimensional concept and different aspects of fatigue should be measured separately.     

Assessment of fatigue in patients with fibromyalgia and chronic widespread pain. Reliability and validity of the Swedish version of the MFI-20

Objectives. Fibromyalgia (FM) and Chronic Widespread Pain (CWP) are common diseases in primary care and, in addition to the pain they cause, fatigue is a major problem. Fatigue is regarded as a multidimensional concept and instruments assessing fatigue should therefore cover several different dimensions. The Multidimensional Fatigue Inventory (MFI-20) measures five different dimensions of fatigue. The aim of the study was to investigate the test-retest reliability and convergent construct validity of the Swedish version of the MFI-20 in female patients with FM or CWP.

Methods. To investigate the convergent construct validity, 166 female patients with FM or CWP completed the Swedish version of the MFI-20 and a Visual Analogue Scale (VAS) measuring global fatigue. Thirty-six of the 166 patients completed the Swedish version of the MFI-20 on two occasions, one day apart to evaluate the test-retest reliability.

Results. Spearman's correlation coefficient revealed a significant association between each of the five subscales of the MFI-20 and the VAS for global fatigue. General Fatigue had the highest correlation with the VAS (rs = 0.62, p<0.001), while Reduced Motivation had the lowest (rs = 0.32, p<0.001). The intra-class correlation coefficients (ICC) were satisfactory for all the five subscales of the MFI-20.

Conclusion. The results of this study indicate that the Swedish version of the MFI-20 is a reliable tool for assessing the degree of fatigue in patients with FM or CWP. This study also supports the theory that fatigue is a multidimensional concept and different aspects of fatigue should be measured separately.     

Dimensions of fatigue during radiotherapy

The aim of the present study was to describe fatigue in a group of irradiated cancer patients. Fatigue was assessed prospectively in 81 Swedish cancer patients, using the Multidimensional Fatigue Inventory (MFI-20), which was also validated in the study, the Karolinska Sleepiness Scale and a Borg CR10 scale before curative radiotherapy, at the end of therapy and 1 and 3 months after treatment. The mean age of these patients was 56 years; 90% were female; and 65% were being treated for cancer of the breast. The absorbed radiation dose was 50 Gy or lower in 90% of the patients. A clear peak in experienced fatigue according to the three scales was seen at the end of treatment. In the MFI-20 the dimensions of General fatigue, Physical fatigue and Reduced activity, were more pronounced than the aspects of Mental fatigue and Reduced motivation. Comparison with other studies using the same instrument in other irradiated patients revealed a similar pattern. The internal consistency of the Swedish version of the MFI-20 was good. The MFI-20 is shown to be a valid instrument for assessing fatigue in patients undergoing radiotherapy.     

Psychometric Properties of the Multidimensional Fatigue Inventory (MFI-20), Derived From Seven Samples

ContextFatigue is a frequent symptom in patients suffering from chronic diseases. The Multidimensional Fatigue Inventory (MFI-20) is often used to measure fatigue. The aim of this article was to test the scale structure of the questionnaire.MethodsThe MFI-20 data were obtained from seven samples, including general population samples and samples of patients with different diseases (N between 122 and 1993). Five confirmatory factor analysis (CFA) models were tested for each sample.ResultsThe scale structure postulated by the original test authors could not be confirmed by the CFAs. The inclusion of a method factor which considers the positive versus the negative orientation of the items yielded a better model fit. Cronbach's alpha was acceptable for most of the samples and scales: the total score of the MFI-20 reached alpha coefficients above 0.89. A short form of the MFI-20 which is restricted to the 10 positively oriented items (MFI-10) showed relatively good CFA indices.ConclusionThe factorial validity of the MFI-20 is insufficient, an issue which is due, at least in part, to the inclusion of positively and negatively oriented items. Nevertheless, we recommend maintaining the scale structure of the MFI-20 and not searching for alternative structures.     

耳穴埋籽配合五行音乐疗法在血液透析疲劳患者中的应用效果观察

目的：评价耳穴埋籽配合五行音乐在血液透析疲劳患者中的应用效果。方法：将60例血液透析疲劳患者随机分为观察组和对照组,各30例,对照组采用常规护理,观察组除常规护理外,给予耳穴埋籽配合五行音乐干预。两组在干预前后采用修改版多维疲劳量表（multidimensional fatigue inventory-20,MFI-20)和肾脏病相关生活质量评价量表（KDQOL-SFTM）评价患者疲劳程度和生活质量。结果 干预后,观察组疲劳三个维度（心理疲劳、躯体疲劳、活动减少）得分均低于对照组,差异有统计学意义（P＜0.01）;生活质量13个维度得分均高于对照组,差异有统计学意义（P＜0.05）。结论：耳穴埋籽配合五行音乐可有效缓解血液透析患者疲劳程度,改善生活质量,且该疗法操作简便、经济安全,患者易于接受。     

简版脑卒中患者专门生存质量量表的汉化及信度、效度检验

目的 开发建立适用于我国脑卒中康复期患者生存质量评估的中文版量表.方法 在POST教授的简版脑卒中患者专门生存质量量表(the short version of the stroke specific quality of life scale,SV-SS-QoL)的基础上,采用双人翻译-回译的方法对英文版SV-SS-...