MINICHAL用于高校职工高血压患者的信度效度研究

目的对高血压生活质量问卷(MINICHAL)在我国高校职工高血压患者中应用信度和效度进行分析研究,为高校职业场所职工高血压患者的生活质量评价提供有效的工具支持。方法从国内8所高校在职职工中筛查出681例高血压患者进行了高血压生活质量问卷(MINICHAL)调查,使用Cronbach’s alpha和Pearson相关系数评估量表MINICHAL信度;因子分析法评价该问卷的结构效度。结果信度分析显示,MINICHAL问卷的内部一致性α信度系数为0.825,因子1(精神维度)Cronbach’sα值为0.814,因子2(身体维度)Cronbach’sα值为0.816;结构效度采用因子分析共提取两个因子,方差累计贡献率为40.171%,但问卷中条目10本应归为因子1(精神维度),但在本研究中条目10在因子分析中被提取归为至因子2(身体维度)。结论 MINICHAL问卷具有良好的信度和效度,适用于评价高校职工高血压患者的生活质量。     

类风湿关节炎病耻感量表的汉化及信效度检验

目的对类风湿关节炎病耻感量表(ISMI-RA)进行汉化, 并检验其信效度。方法严格遵循Brislin翻译模式对英文版ISMI-RA进行翻译、回译及文化调适, 选取20例患者预调查修订部分条目内容, 形成中文版ISMI-RA。2020年4月至2021年4月采用方便抽样法对258例RA患者进行调查, 评价量表的信效度, 运用Pearson相关组内相关系数(ICC)和Cronbach′s α系数评价量表的重测信度和内部一致性;以慢性疾病病耻感量表为标准, 计算相关系数验证效标效度;通过验证性因子分析评价量表的结构效度。结果总量表内部一致性Cronbach′s α系数为0.86, 各维度的Cronbach′s α系数为0.34～0.93, 重测信度Pearson相关分析显示为0.94, 抵抗病耻感分量表的Cronbach′s α系数为0.34, 过低予以删除后量表Cronbach′s α系数为0.90, 重测信度为0.98;其与慢性病病耻感量表效标系数为0.73(P<0.001), 各分量表为0.52～0.71;由5个因子组成的ISMI-RA理论因子结构显示出次优的模型拟合[逼近均方根误...     

社区老年人健康状况综合评估量表的信效度评价

目的 评价社区老年人健康状况综合评估量表(CGA)在北京地区应用的信度、效度与可接受度。方法 2020年8月至2021年1月,采用方便抽样法选取北京市3个区共1 983名老年人进行CGA量表评价,有效回收问卷1 980份。采用克朗巴赫α(Cronbach′sα)系数评价量表的内部一致性;采用组内相关系数(ICC)评价量表的重测信度及评定者信度;Pearson相关系数对量表进行项目分析,并评价量表的校标效度;探索性因子分析和验证性因子分析评价量表的结构效度;临界比值法评价量表的敏感性;量表有效回收率及填表时间评估量表的可接受性。采用SPSS 22.0及AMOS 22.0软件对数据进行统计分析。结果 总量表的Cronbach′sα系数,重测信度及评定者信度的ICC分别为0.849、0.837及0.899,各维度Cronbach′sα系数,重测信度及评定者信度的ICC分别为0.467～0.833、0.579～0.910及0.280～0.860。项目分析结果显示,各条目得分与其所在维度得分的Pearson相关系数r为0.241～0.934(均P<0.01);与量表总分的相关性系数r为0....     

焦虑和抑郁量表在肝硬化患者临床应用中的信效度评价

目的应用焦虑自评量表(SAS)和抑郁自评量表(SDS)调查肝硬化患者心理障碍状况,评价其在肝硬化患者中应用的信效度。方法应用SAS和SDS量表对138例肝硬化患者进行问卷调查,采用Cronbach’sα系数、分半系数、组内相关系数(ICC)反映量表的同质信度。采用探索性因子分析量表的结构效度,计算Kaiser-MeyerOlkin(KMO)值,并作巴特利特球形检验(BTS)判断因子分析是否合适,采用主成分分析法提取因子。结果本组肝硬化患者焦虑和抑郁患病率分别为38.2%和63.1%;SAS量表的Cronbach’sα系数为0.777,SDS量表的Cronbach’sα系数为0.782,两个量表具有良好的同质性信度;分别对SAS量表提取4个主要因子,其方差解释比例分别为15.4%、14.9%、10.6%和10.2%,4个因子累计解释总方差的51.1%;对于SDS量表提取5个主要因子,其方差解释比例分别为14.0%、12.6%、11.9%、10.3%和8.4%,5个因子累计解释总方差的57.4%;SAS和SDS量表重测分析发现,两次测量结果高度相关(P0.001)。结论应用SAS和SDS量表调查肝硬化患者焦虑和抑郁情况具有良好的信效度,可以用于肝硬化患者心理障碍的测定。     

老年脑卒中患者健康行为问卷编制及信效度检验

目的编制老年脑卒中患者健康行为问卷,并检验其信效度。方法以脑卒中二级预防指南为依据,结合健康行为的概念及内容,在参考文献基础上编制老年脑卒中患者健康行为问卷,对176例患者进行问卷调查,经过专家咨询确定问卷内容效度,采取Cronbachα系数和因子分析评价问卷的信度及结构效度。结果老年脑卒中患者健康行为问卷包括基本健康行为、保健行为、预警行为、避免有害环境行为和戒除不良嗜好行为5个维度24个条目。各因子的累积方差贡献率均大于50%。总内容效度指数(S-CVI)为0. 97,各条目(I)-CVI在0. 8～1. 0之间,问卷总Cronbachα系数为0. 734,各分量表Cronbachα系数为0. 622～0. 713。结论老年脑卒中患者健康行为问卷具有良好的内容效度、结构效度和内部一致性信度,可用于评估老年脑卒中患者的健康行为。     

农村老年人口健康状况测评量表信效度检验

目的对自制的农村老年人口健康状况测评量表进行信度、效度检验,检验其在中国农村老年人口中的适用性。方法采用横断面调查法,对烟台农村的1 045名65岁及以上的老年人进行访谈式问卷凋查,收集健康基线资料,分析量表的信度效度。结果农村老年人口健康状况测评量表总的Cronbachα系数为0.758,各维度的Cronbachα为0.629~0.897;分半信度分析结果显示两个半量表的相关系数为0.734,总量表的信度测定Equal-length Spearman为0.818,Guttman Split-half为0.795。效度分析结果显示各指标得分与其维度得分的相关性较大,而与其他维度得分的相关系数较小;因子分析结果得到6个因子,可解释总方差的68.16%。结论所构建的农村老年人口健康状况测评量表具有较高的信度和效度,能比较客观地评价农村老年人口的健康状况。     

中文版Edmonton衰弱评估量表在住院老年病人中的信效度研究

目的 对英文版Edmonton衰弱量表(Edmonton Frailty Scale,EFS)进行翻译、文化调适和信效度评价,探讨该量表在中国老年住院病人中的适用性。方法 获得EFS原作者授权后,对原量表进行翻译、回译及文化调适,建立中文版EFS。使用中文版EFS、简明健康测量表(SF-36)对住院老年病人进行现场测评。分别运用Excel及SPSS 16.0软件进行数据录入及统计分析。采用Cronbach’sα系数、Spearman相关系数评价中文版EFS的内部一致性信度、结构效度及预测效度。结果 对64例老年住院病人进行测评,得到中文版EFS的Cronbach’sα系数为0.703,提示该量表内部一致性信度良好。在结构效度评价中,除第2条“去年住院次数”与总分无关外(P=0.360),其余条目及各维度与量表总分的Spearman相关系数为0.338~0.718(P<0.01),提示该量表的结构效度理想。中文版EFS总评分与SF-36总评分呈负相关(r=-0.622,P<0.01),提示中文版EFS的预测效度理想。结论 中文版EFS具有良好的信效度,可应用于我国老年住院病人的衰弱测评。     

中文版积极老龄量表信效度

目的检验中文版积极老龄量表(AAS)的信效度。方法按照Brislin翻译模式将量表译成中文版本,对350例老年人进行问卷调查,评定问卷的信效度。结果中文版AAS保留36个条目,量表内容效度指数(S-CVI/Ave,均值S-CVI)为1.00,主成分法提取7个公因子,累积贡献率为66.234%。Cronbachα系数为0.932,各维度的Cronbachα系数在0.777~0.913。折半信度系数为0.823,各维度的折半系数在0.684~0.854。重测信度为0.725,各维度的重测信度均>0.7。结论修订后的AAS中文版符合心理学要求,具有良好的信、效度,适用于在中国老龄化背景下对老年人积极老龄状况的测量和评价。     

大学生艾滋病相关行为潜在风险评估量表开发研究

目的近年中国大学生艾滋病疫情上升明显,主要是男男同性性行为传播。通过开发量表及时发现大学生中艾滋病预防意识不足的个体,为后续开展针对性的健康教育和干预提供参考。方法设计4个维度12个题项的量表,选取7所高校1 831名男性本科学生进行调查,分别采用临界比率值、Cronbachα系数、验证性因子分析,对量表进行题目区分度、信度、效度评价。使用SPSS 19.0和AMOS 21.0软件进行数据分析。结果设计的量表包括认知态度、情感心理、性幻想吸引、行为特征4个维度,12个题项,每个题项有4个尺度。12个题项的区分度P均0.05,量表总体信度的Cronbachα系数为0.961,四个维度的Cronbachα系数分别为0.617、0.940、0.927、0.901。验证性因子分析显示,构想的4个维度、12个题项与数据拟合效果较好,因子载荷差异均具有统计学意义(P均0.001)。结论设计的量表具有良好的区分度、信度和结构效度,可以用于评价大学生艾滋病预防意识情况。     

《医务人员对HIV感染者羞辱和歧视量表》在助产医疗机构中的调整应用和信效度检验北大核心CSCD

目的将《医务人员对HIV感染者羞辱和歧视量表》中文版调整后用于助产医疗机构医务人员的艾滋病歧视水平测量并评价其信效度。方法通过调试国际标准化量表,形成深圳市助产机构医务人员艾滋病歧视量表,采用Cronbach’sα系数和分半信度评价问卷信度,采用相关性分析、探索性因子分析和验证性因子分析法评价问卷效度。结果调试后的量表包含15个条目,探索性因子分析提取5个公因子,累积贡献率为72.272%。验证性因子分析显示,各条目分数与所在维度总分之间的标准化参数估计值在0.364~0.939之间。量表结构模型拟合指标基本都达到适配标准。量表的Cronbach’sα系数为0.817,分半信度为0.716。各条目与总量表的Spearman相关系数在0.389~0.629之间(P<0.05),各维度与总量表的Spearman相关系数均在0.495~0.690之间(P<0.05)。结论调试后的量表具有良好的信效度,可用于测量助产医疗机构医务人员艾滋病歧视水平。     

瑞金简易记忆测试量表对阿尔茨海默病患者筛查效用的初步研究

目的:为研发适合中国人群的记忆力筛查量表,采用瑞金简易记忆测试(RISMET)量表对阿尔茨海默病(AD)患者进行检测,评价其效用。方法:分别对57例AD患者和46名正常对照者行RISMET量表和简易智能状态检查(MMSE)量表测评,比较2组得分情况;以内部相关系数(ICC)计算重测信度,Cronbach’sα系数评价内部一致性;以受试者工作特征(ROC)曲线评价RISMET量表对于筛查AD患者的敏感性和特异性。结果:①MMSE、RISMET量表及其分项得分(包括定向力、瞬间记忆、逆行性记忆、相似性、画钟测验、计算力、语言流畅性和回忆8项)均AD组0.7;③Spearman相关分析显示RISMET量表与MMSE量表呈正相关(P=0.726,P=0.000),每一分项与总分的相关性均大于2个分项的相关性,具有统计学差异(P     

流动人口结核病患者“跨区域转诊健康教育模式”实施效果分析

目的 评价流动人口肺结核患者“跨区域转诊健康教育模式”的实施效果。方法 把486例流动人口肺结核病人随机分为研究组和对照组,分别实施“跨区域转诊健康教育模式”和“常规的健康教育模式”。从患者对结核病知识知晓率和遵医行为等2个方面评价其实施效果。结果研究组结核病知识的知晓率为95.5％,对照组为79.6％,研究组肺结核患者的结核病知识知晓率明显高于对照组,且差异有统计学意义（P<0.05）;研究组肺结核患者的遵医行为为88.2％,对照组为64.2％,研究组肺结核患者的遵医行为明显高于对照组,且差异有统计学意义（P<0.05）。结论 “跨区域转诊健康教育模式”对提高流动人口肺结核病人的结核病知识知晓率和遵医行为有明显的效果,可在跨区域转诊流动人口肺结核患者管理中推广使用。     

流动人口肺结核患者健康教育现况分析

目的调查了解流动人口肺结核患者结核病健康教育的获得情况和需求。方法采用问卷调查方式,对流动人口肺结核患者的性别、年龄、文化程度、职业以及患者结核病防治知识的知晓情况以及对健康教育的需求等进行调查。结果流动人口肺结核患者在发现结核病前接受过有关结核病防治知识宣传的人数不到一半,而不同的文化程度、性别、不同年龄组之间差异无统计学意义。流动人口肺结核患者对于肺结核预防、治疗和相关政府政策知识的需求率均超过70%。患者对于肺结核知识的获得途径以医务人员宣传、广播电视、报刊杂志、张贴画为主,且不同的文化程度之间差异有统计学意义。结论了解目标人群对结核防治健康教育的需求情况,才能更好地有针对性地开展健康教育工作,从而有助于提高流动人口结核病的发现率。     

Turkish validation of a new scale from older people’s perspectives: Older people’s quality of life-brief (OPQOL-brief)

IntroductionThere are various ‘quality of life’ scales developed for older people. Although quality of life is a subjective concept, most of these scales are based on expert opinions rather than perspectives of older people. The aim of this study is to evaluate validity and reliability of Older People’s Quality of Life-brief scale (OPQOL-brief), which is based on perspectives of older people, in Turkish population.MethodsA cross-sectional study was implemented in a Geriatric medicine outpatient clinic. Total number of 168 older patients who speak in Turkish fluently were recruited. Comprehensive geriatric assessment and OPQOL-brief was applied to all participants together with another quality of life scale validated in Turkish population, CASP-19 (Control, Autonomy, Self-realization, Pleasure). Validity was evaluated with construct validity, convergent validity and discriminant validity. Reliability was assessed with internal consistency and test-retest reliability.ResultsMean age of the study population was 73.3 ± 5.9 years. Female participants were 64.9% (n = 109). Internal consistency was assessed by Cronbach’s α coefficient. OPQOL-brief scale demonstrated high internal consistency (Cronbach’s α = 0.876). Test-retest reliability was assessed by interclass correlation coefficient (ICC) and showed high reliability (ICC = 0.98, 95%CI = 0.96-0.99, p < 0.001). Strong and significant correlation was detected between OPQOL-brief and CASP-19 scales (r = 0.763, p < 0.001).ConclusionTurkish version of OPQOL-brief has acceptable validity and reliability in Turkish population. The scale can be used to measure quality of life of older people.     

Validity and Specificity of the Persian Version of the Saint George Respiratory Questionnaire

Introduction. The Saint George Respiratory Questionnaire (SGRQ) is a well-known questionnaire for evaluating the quality of life in asthmatic patients. It has been translated to Persian and its validity and specificity should be evaluated for chronic obstructive pulmonary disease patients. In this study, we attempted to improve the questionnaire’s adaptability to Persian culture and also evaluate its validity, specificity, and applicability among asthmatics at our tertiary referral center. Materials and methods. Previously translated and psychometrically evaluated SGRQ for chronic obstructive pulmonary disease patients was made more adaptive to Persian. Upon acceptability of the questionnaire by a small group of patients, 301 asthmatics referred for spirometry and completed the form. Consistency was evaluated using Cronbach’s α coefficient and validity was assessed by comparison of scores with other measures of asthma exacerbation. These measures included FEV1, patient’s clinical presentation, visual analog scale (used to assess difficulty breathing), Katz activity index and section scores of the General Health Questionnaire, anxiety, depression, and social impact. Results. The study group included 165 female and 139 male asthmatics with a mean age of 44.4 ± 1.0 years. Measurement of consistency for the SGRQ revealed Cronbach’s α to be 0.699 for symptoms, 0.805 for activity, 0.879 for impact, and 0.916 for the total questionnaire. By omitting question 8, time of wheezing during the day increased Cronbach’s coefficient of the symptoms section to 0.719. Omitting “uselessness of respiratory drugs” from the impact section increased Cronbach’s α to 0.881. However, scoring of the section then varied from the original questionnaire. A statistically significant correlation was found between the SGRQ sections and total score (using Katz index and General Health Questionnaire, p < .001). Conclusion. Our study showed good validity and reliability for the Persian version of SGRQ for a population of asthmatics referred to our tertiary pulmonary clinic.     

The Turkish validity and reliability of the venous insufficiency epidemiological and economic study-quality of life/symptoms scales

The aim of the study was to test Turkish validity and reliability of Venous Insufficiency Epidemiological and Economic Study-Quality of Life/Symptoms (VEINES-QoL/Sym) in patients with chronic venous insufficiency (CVI). A total of 118 patients with CVI hospitalized in 3 different hospitals were enrolled in this study. VEINES-QoL/Sym, translated to Turkish with a standard methodology, was applied to the patients and was evaluated for acceptability, reliability, validity, and responsiveness. Cronbach α (including if item deleted) values were used for the reliability analysis. Construct and criterion validity approaches were used for validity analysis. Cronbach α values are .86 for the VEINES-QOL and .81 for the VEINES-Sym. No problematic items were observed for the scale. The VEINES-QoL/Sym was significantly sensitive to clinical, etiology, anatomy, and pathophysiology (CEAP) classification, indicating good criterion validity. Significant correlation was found between scores of SF-36 and VEINESQoL (r = .43-.66). Turkish version of the VEINES-QOL/Sym was found reliable and valid for Turkish patients with CVI.     

Adaptation and validation of the Turkish version of the Nasal Obstruction Symptom Evaluation scale

Background

The Nasal Obstruction Symptom Evaluation (NOSE) scale is a questionnaire used to assess the quality of life in patients with nasal obstruction. The aim of this study was to validate the Turkish translation of the NOSE questionnaire.

Methods

The NOSE questionnaire was translated into Turkish and then back to English. Fifty patients with septal deviation leading to nasal obstruction and 50 healthy subjects without any nasal complaints and pathologies were recruited into the study. The Cronbach α was used to test internal consistency. The Mann‐Whitney U test was used to compare the NOSE scores of the 2 groups. Psychosomatic features (reliability, repeatability, validity, responding) were evaluated by concerning the criteria as test‐retest procedure, self consistency, within‐score and inter‐score correlation and sensitivity of responding between the 2 groups.

Results

There was no statistically significant difference between patients and healthy subjects in terms of age, gender, and body mass index. Test‐retest results among control subjects also did not demonstrate significant difference and the Cronbach α value of the NOSE scale was found to be 0.966. There was a positive correlation among every question of the NOSE scale and it was statistically significantly different from the control group. Total scores of the NOSE scale were significantly higher than the control group.

Conclusion

The Turkish version of the NOSE scale is a valid tool for assessing patients with septal deviation and measuring the subjective severity of nasal obstruction.     

中文版8条目Morisky用药依从性问卷在2型糖尿病患者中应用的信效度评价

目的 探讨中文版8条目Morisky用药依从性问卷（MMAS-8）评估T2DM患者用药依从性的信效度.方法 选取T2DM患者182例,以中文版MMAS-8和用药依从性视觉模拟评分（MAVAS）为研究工具收集资料,采用信度分析、相关分析及因子分析等评价量表信效度.结果 中文版MMAS-8的Cronbach,5α系数为0.65,组内相关系数（ICC）为0.80.结构分析共提取2个公共因子,共解释总方差的45.4％.中文版MMAS8评分与MA-VAS评分相关（r=0.75,P＜0.01）.血糖达标（HbA1c＜7％）组MMAS-8评分较血糖未达标（HbA1 c≥7％）组高[（6.8±1.3）vs（5.6±1.7）,t=4.68,P＜0.01].结论 中文版MMAS-8信效度较好,可用于评估T2DM患者的用药依从性.     

疾病家庭负担量表应用于晚期血吸虫病的信度和效度

目的 评价疾病家庭负担量表(family burden scale of diseases,FBS)应用于晚期血吸虫病(晚血)的信度和效度,为晚血家庭负担评价工具的选择提供科学依据.方法 在湖南省汉寿县及湖北省江陵县,以FBS作为测评工具对晚血患者家属进行入户调查,评价其应用于晚血的信度和效度.结果共调查家属318名,...     

Design and Validation of a Comprehensive Fecal Incontinence Questionnaire

Purpose  Fecal incontinence can have a profound effect on quality of life. Its prevalence remains uncertain because of stigma, lack of consistent definition, and dearth of validated measures. This study was designed to develop a valid clinical and epidemiologic questionnaire, building on current literature and expertise. Methods  Patients and experts undertook face validity testing. Construct validity, criterion validity, and test-retest reliability was undertaken. Construct validity comprised factor analysis and internal consistency of the quality of life scale. The validity of known groups was tested against 77 control subjects by using regression models. Questionnaire results were compared with a stool diary for criterion validity. Test-retest reliability was calculated from repeated questionnaire completion. Results  The questionnaire achieved good face validity. It was completed by 104 patients. The quality of life scale had four underlying traits (factor analysis) and high internal consistency (overall Cronbach alpha = 0.97). Patients and control subjects answered the questionnaire significantly differently (P < 0.01) in known-groups validity testing. Criterion validity assessment found mean differences close to zero. Median reliability for the whole questionnaire was 0.79 (range, 0.35–1). Conclusions  This questionnaire compares favorably with other available instruments, although the interpretation of stool consistency requires further research. Its sensitivity to treatment still needs to be investigated.