疲劳量表在癌症患者应用中内在一致性和重测信度的研究

目的探讨中文版简明疲劳量表在癌症患者应用中的内在一致性和重测信度。方法50例癌症患者参与本研究。在上午和下午由护士各自独立地应用中文版简明疲劳量表对患者进行调查,以检验简明疲劳量表的内在一致性和重测信度。结果内在一致性统计分析结果显示,在前后两次调查中简明疲劳量表的Cronbach’s α系数均为0．944;简明疲劳量表的9个项目Cronbach’s α系数范围为0．929～0．944。重测信度统计分析结果显示,简明疲劳量表9个项目的ICC值范围为0．742-0．869。结论中文版简明疲劳量表具有良好的内在一致性和重测信度,本研究为癌症患者应用中文版简明疲劳量表提供了参考依据。     

脑卒中患者生活质量量表中文版信度研究

目的：检验脑卒中患者生活质量疾病专用量表(Stroke Impact Scale．SIS)中文版应用于中国人脑卒中患者的信度。方法：遵照SIS量表的发行机构MAPI推荐的程序及借鉴中山大学公共卫生学院统计学教研室译制经验编译SIS量表中文版，并使用此中文版对中山大学附属第一医院、附属第三医院神经科、康复科初次脑卒中发病后1个月的住院患者30例(年龄41～78岁)进行测量，排除严重的认知障碍等不能完成和不能配合实验者。运用相应的统计学方法从重测信度组内相关系数的分析及内部一致性分析等方面进行信度分析。结果：8个领域的重测信度在0．578-0．994(P&;lt;0．000)。8个领域的组内相关系数(ICC)在0．640～0．901(P&;lt;0．000)。8个领域的内部一致性系数在0．712～0．912。整个测量的重测相关系数、组内相关系数(ICC)及内部一致性系数均大于0．80(P&;lt;0．000)。结论：中文版SIS量表具有良好的信度，适用于脑卒中患者生活质量的评测。     

康复护理日常生活活动评定量表的信度和效度研究

背景：在康复医学中有许多种日常生活活动(ADL)能力评定量表，但符合康复护理程序的评定量表甚少。为此，浙江省康复中心从2000年开始研究设计了康复护理ADL(rehabilitative nursing ADL，RNADL)评定量表，并制定了评定内容和评定标准。目的：探讨康复护理ADL评定量表在患者日常生活活动功能评测中的重测信度、内部一致性及量表的有效信度。设计：重复测量设计。单位：浙江省望江山疗养院，浙江省康复中心。对象：2001-04／2003-04浙江省望江山疗养院康复医学科进行康复治疗的ADL功能障碍的40例患者。方法：对40例住院康复患者用RNADL量表进行评测者内部、评测者之间的信度分析；内部一致性用Cronbach α计算；并分别用RNADL和改良的Barthel指数(MBI)进行出、入院各项目评定，用Peanson分析入院、出院及出入院之间的相关性。主要观察指标：RNADL评定量表的信度和效度检测结果。结果：RNADL评测者内部和评测者之间的信度良好，各项组内相关系数(ICC)范围为0．966～0．998，r=0.996-0.997；内部一致性信度系数a=0．822，各项之间a=0．925，RNADL内部一致性较好。RNADL和MBI的比较研究得出：出、入院RNADL与MBI改变值间相关性良好(r=0.89，P&;lt;0．001)。结论：RNADL．具有很高的重测信度，内部一致性较好，与MBI有良好的关联效度，是康复护理日常生活活动能力可信、有效的评测量表。     

护理行为六维度量表中文版的信效度分析

目的探讨护理行为六维度量表（6-D量表）中文版的信效度,检验其是否适合我国使用。方法采用探索性因素分析、重测信度、内在一致性信度和分半信度对6-D量表进行信度与效度检验。结果对中文版6-D量表进行探索性因子分析,提取了特征值大于1的公因子5个,其累积方差贡献率达到52．293％,内部一致性Cronbach’sα系数、分半系数分别为0．948,0．816,重测信度系数ICC为0．857;除了第8,13,30条目,中文版6-D量表几乎所有的条目在6个因子中都得到了较为充分的表达,均落入所归属的维度中。结论中文版6-D量表被验证具有较好的信效度,适用于我国文化背景下临床护士的能力测评。     

汉化版日本膝关节骨关节炎功能评估量表的信度研究

摘要 目的：探讨日本膝关节骨关节炎功能评估量表（JKOM）汉化版的信度,为临床应用提供客观依据。 方法：共选取171例KOA患者,按照JKOM的评分标准对上述患者进行膝关节功能评定,并进行信度分析：重测信度用组内相关系数ICC进行分析,内部一致性信度用Cronbach α进行分析。 结果：汉化版JKOM具有良好的重测信度(ICC=0.947—0.993)。健康状态的信度系数Cronbach α为0.632,其余4部分和总量表的信度系数Cronbach α为0.755—0.958,具有较高的内部一致性信度。 结论：汉化版JKOM具有良好的信度,适用于患者膝关节骨性关节炎的评价。     

脑卒中患者生活质量量表中文版信度研究

目的:检验脑卒中患者生活质量疾病专用量表(StrokeImpactScale,SIS)中文版应用于中国人脑卒中患者的信度。方法:遵照SIS量表的发行机构MAPI推荐的程序及借鉴中山大学公共卫生学院统计学教研室译制经验编译SIS量表中文版,并使用此中文版对中山大学附属第一医院、附属第三医院神经科、康复科初次脑卒中发病后1个月的住院患者30例(年龄41～78岁)进行测量,排除严重的认知障碍等不能完成和不能配合实验者。运用相应的统计学方法从重测信度组内相关系数的分析及内部一致性分析等方面进行信度分析。结果:8个领域的重测信度在0.578～0.994(P<0.000)。8个领域的组内相关系数ICC在0.640～0.901(P<0.000)。8个领域的内部一()致性系数在0.712～0.912。整个测量的重测相关系数、组内相关系数(ICC)及内部一致性系数均大于0.80(P<0.000)。结论:中文版SIS量表具有良好的信度,适用于脑卒中患者生活质量的评测。     

康复护理ADL评定量表的信度和效度研究

目的　研究探讨康复护理ADL(ADLS RN)量表在患者日常生活活动功能评测中的信度与效度。方法　对 40例住院康复患者用ADLS RN量表进行评测者内部、评测者之间的信度分析 ;内部一致性用Cronbachα计算 ;并分别用ADLS RN和改良的Barthel指数 (MBI)进行出、入院各项目评定 ,用Pearson分析入院、出院及出入院之间的相关性。结果　ADLS RN评测者内部和评测者之间的信度良好 ,重测信度和评测者之间的相关系数 (ICC)范围分别为 0 .966～ 0 .998和 0 .996～ 0 .997;内部一致性信度系数α =0 .82 2 ,各项之间α =0 .92 5 ,ADLS RN内部一致性较好。ADLS RN和MBI的比较研究得出 :出、入院ADLS RN与MBI改变值间相关性良好 ,r =0 .89,P <0 .0 0 1。结论　ADLS RN具有很高的重测信度 ,内部一致性较好 ,与MBI有良好的关联效度 ,是康复护理日常生活活动能力可信、有效的评测量表。     

功能综合评定量表的研究(二)信度研究

目的 :探讨功能综合评定量表 (functionalcomprehensiveassessment ,FCA)在评测脑血管意外患者中的可信性。方法 :对已明确诊断的 2 0例脑血管意外患者进行评测者内部和评测者之间的信度分析 ,并对FCA的内部一致性进行分析。结果 :FCA评测员内部和评测员之间的信度较好 ,各选项组内相关系数 (ICC)范围在 0 .78— 0 .99(ICC总分 >0 .90 0 )。FCA的内部一致性较好 ,(运动功能α=0 .93 ,认知功能α=0 .98,FCA总分α =0 .96)。结论 :FCA具有很好的重测信度和内部一致性 ,是脑血管意外患者综合功能评定一项可信的评测量表     

偏瘫上肢联合反应分级量表内部一致性与信度研究

目的：研究偏瘫上肢联合反应分级量表（ARRS）的内部一致性与重测信度。方法：22例脑卒中慢性期患者在2周内由同一测试者进行ARRS的检查，进行内部一致性与信度检验。结果：ARRS的Cronbach α系数为0．992：两次ARRS检查组内相关系数为0．983，95％置信区间为0．961-0．993。结论：ARRS具有良好内部一致性与重测信度。     

PEDI量表的信度研究

目的 检验PEDI量表在中国的信度.方法 对21例脑瘫患儿用PEDI量表进行测评后,利用其结果对该最表进行客观信度和重测信度的观察,并对PEDI的内部一致性进行分析.结果 PEDI量表的客观信度和重测信度组内相关系数(ICC)为0.919～0.993,内部一致件(Cronbach α值)自理能力为0.9597～0.9711,移动能力为0.9569～0.9799,社会功能为0.9419～0.9830.结论 PEDI量表具有很好的信度和内部一致性.     

林氏就业准备量表在工伤职业康复中信度和效度的研究

目的测量林氏就业准备量表(LASER)普通话版本的信度和效度。同时观察重返工作岗位信心对于不同就业准备阶段 影响。方法共85 例四肢骨折的受伤工人参与本次研究。资料收集主要通过面谈的方式获得。信度测试包括重测信度和内部一致性测试。效度检验主要通过因子分析方法解释结构效度。重返工作岗位信心对于不同阶段受伤工人就业准备的影响采用方差分析。结果主成分分析法提取到4 个因子。重测组内相关系数(ICC)为0.27~0.89,而4 个阶段的内部一致性为0.691~0.796。重返工作岗位信心的强弱与不同准备阶段有较大的关系。结论LASER普通话版本的结构效度能反映受伤工人重返工作岗位的准备过程。部分条目信度较低,该版本需要在进一步修改后才能使用。     

The test-retest reliability of a revised version of the Readiness for Interprofessional Learning Scale (RIPLS)

The original version of the Readiness for Interprofessional Learning Scale (RIPLS) was published by Parsell and Bligh in 1999. The only aspect of reliability considered by the authors was the internal consistency. A revised version for use with undergraduate students was published in 2005 (McFadyen et al., 2005). That paper also reported internal consistency of the revised version. Subsequently a sample from one professional group (n = 65) was used to assess test-retest reliability, over a one week period, of each of the 19 items and of the sub-scale totals, using Weighted Kappa and the intra-class correlation (ICC) respectively, and these results are reported in the present paper. The test-retest reliability of the individual items using Weighted Kappa was satisfactory, with the exception of two items (Items 11 and 12). The ICC results for the sub-scale totals were all in excess of 0.60 with the exception of sub-scale two. This revised version of RIPLS would appear to have good reliability in three of its sub-scales but further research, with larger samples, is required before the fourth sub-scale can be reliably assessed.     

The test-retest reliability of a revised version of the Readiness for Interprofessional Learning Scale (RIPLS)

The original version of the Readiness for Interprofessional Learning Scale (RIPLS) was published by Parsell and Bligh in []. The only aspect of reliability considered by the authors was the internal consistency. A revised version for use with undergraduate students was published in 2005 (McFadyen et al., []). That paper also reported internal consistency of the revised version. Subsequently a sample from one professional group (n = 65) was used to assess test-retest reliability, over a one week period, of each of the 19 items and of the sub-scale totals, using Weighted Kappa and the intra-class correlation (ICC) respectively, and these results are reported in the present paper. The test-retest reliability of the individual items using Weighted Kappa was satisfactory, with the exception of two items (Items 11 and 12). The ICC results for the sub-scale totals were all in excess of 0.60 with the exception of sub-scale two. This revised version of RIPLS would appear to have good reliability in three of its sub-scales but further research, with larger samples, is required before the fourth sub-scale can be reliably assessed.     

Reliability and validity of measurement and associations between disability and behavioural factors in patients with Colles' fracture

The aims of the study were to 1) investigate the test-retest reliability, the internal consistency in instruments that measure behavioural factors and disability as well as to investigate convergent validity between the Disabilities of the Arm, Shoulder, and Hand Outcome Questionnaire (DASH) and the Patient-Rated Wrist Evaluation (PRWE), in patients with Colles' fracture; and 2) assess the relationship between the behavioural measures and the region-specific measures addressing the patient perceptions of impairment, functional loss, and disability. Two samples (sample 1?=?16; sample 2?=?16) of patients with the fracture immobilised in plaster cast were included. The participants answered the Patient-Rated Wrist Evaluation (PRWE), Disabilities of the Arm, Shoulder, and Hand Outcome Questionnaire (DASH), Tampa Scale of Kinesophobia (TSK), Catastrophizing Subscale (CAT) of the Coping Strategies Questionnaire (CSQ), and Self-Efficacy Scale (SES) twice. Test-retest reliability was satisfactory for all instruments. The internal consistency examined with Cronbach's alpha was between 0.68 and 0.97. Because acceptable to good test-retest reliability and internal consistency were demonstrated for the PRWE, DASH, TSK, CAT of the CSQ, and SES, they can be used to detect and monitor fear of movement/(re)injury, catastrophic cognitions, and self-efficacy in patients with radius fracture in the acute and subacute phase. Generally low to moderate correlations were found between behavioural and region-specific measures, indicating that there are two distinct concepts that are not interchangeable.     

特发性肺纤维化患者生活质量特异性量表的汉化及信度效度的初步验证

目的：形成中文版特发性肺纤维化患者生活质量特异性量表（ATAQ-IPF）,并检验其在中国特发性肺纤维化患者中的信度、效度。方法：取得原作者同意并授权后,将量表进行翻译、回译和文化调试,应用翻译和修订的中文版量表ATAQ-IPF和圣乔治呼吸问卷（SGRQ）对75名特发性肺纤维化患者进行调查,采用项目分析方法测定中文版ATAQ-IPF量表各条目的鉴别能力,进行重测信度、内部一致性信度、内容效度、效标关联效度的初步评定。结果 ：中文版ATAQ-IPF量表含74个条目,除条目49外,各条目与其所属维度的相关系数为0.305~0.962;ATAQ-IPF量表与圣乔治呼吸问卷（SGRQ）的效标关联效度为0.611（P〈0.01）;Cronbach’sα系数为0.945。结论：中文版量表ATAQ-IPF有较好的信度、效度,可用于评价特发性肺纤维化患者的生活质量。     

医院患者安全文化调查问卷中文版信效度检验

目的：测量中文版医院患者安全文化调查问卷（ Hospital Survey on Patient Safety Culture , HSOPSC）在临床医务人员使用的信效度,并进一步验证其在我国文化文化背景下的适用性。方法采用便利抽样,从北京市4家三级综合医院抽取422名临床医务工作者,通过问卷及各个维度的Cronbach ’ sα对问卷的内部一致性信度进行测评。间隔2周重新使用中文版HSOPSC对20名受试者进行测评,考察其重测信度。分别通过专家判断法和探索性因子分析对问卷的内容效度和结构效度进行测评。结果中文版HSOPSC总的Cronbach’sα系数为0．892,重测与首次测量总分的相关系数为0．854（P＜0．001）。与原版问卷相比中文版HSOPSC减少了一个因子,经过探索性因子分析共提取出11个公因子,11个公因子的累计贡献率为63．167％。结论中文版HSOPSC具好非常好的信度和可接受的效度。可用于我国临床医务人员患者安全文化的测评。     

Reliability and validity of measurement and associations between disability and behavioural factors in patients with Colles' fracture

The aims of the study were to 1) investigate the test-retest reliability, the internal consistency in instruments that measure behavioural factors and disability as well as to investigate convergent validity between the Disabilities of the Arm, Shoulder, and Hand Outcome Questionnaire (DASH) and the Patient-Rated Wrist Evaluation (PRWE), in patients with Colles' fracture; and 2) assess the relationship between the behavioural measures and the region-specific measures addressing the patient perceptions of impairment, functional loss, and disability. Two samples (sample 1?=?16; sample 2?=?16) of patients with the fracture immobilised in plaster cast were included. The participants answered the Patient-Rated Wrist Evaluation (PRWE), Disabilities of the Arm, Shoulder, and Hand Outcome Questionnaire (DASH), Tampa Scale of Kinesophobia (TSK), Catastrophizing Subscale (CAT) of the Coping Strategies Questionnaire (CSQ), and Self-Efficacy Scale (SES) twice. Test-retest reliability was satisfactory for all instruments. The internal consistency examined with Cronbach's alpha was between 0.68 and 0.97. Because acceptable to good test-retest reliability and internal consistency were demonstrated for the PRWE, DASH, TSK, CAT of the CSQ, and SES, they can be used to detect and monitor fear of movement/(re)injury, catastrophic cognitions, and self-efficacy in patients with radius fracture in the acute and subacute phase. Generally low to moderate correlations were found between behavioural and region-specific measures, indicating that there are two distinct concepts that are not interchangeable.     

中文版库欣综合征患者生活质量问卷的信效度研究

目的评价中文版库欣综合征患者生活质量问卷(Cushing-Qol)的信度和效度。方法采用中文版库欣综合征患者生活质量问卷(Cushing-Qol)和简明健康调查问卷(SF-36)对79名库欣综合征患者进行问卷调查,应用SPSS 19.0软件对问卷的调查结果统计分析,检验问卷的内部一致性和重测信度以及内容效度、结构效度、效标关联效度。结果中文版Cushing-Qol问卷的内部一致性信度Cronbach’sα系数值为0.890,重测信度(2周后)为0.881,各条目的重测信度均大于0.7,折半信度为0.866;该问卷的内容效度指数CVI为0.95,探索性因子分析结果显示问卷为单维度,中文版Cushing-Qol问卷与SF-36量表的相关系数为0.732,表明两者呈强相关。结论中文版Cushing-Qol问卷具有较好的信度和效度,可作为库欣综合征患者生活质量评估的可靠工具应用于临床实践和相关研究中。