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。     

多维疲劳量表中文版应用于飞行员的信度和效度验证

目的评价多维疲劳量表中文版的信效度。方法应用多维疲劳量表中文版对196例飞行员进行调查。结果量表每个条目与所属维度得分的相关系数均大于0.50,提取4个公因子,可以解释总变异的54.83%。量表内部一致性信度为0.872,各维度的内部一致性信度均大于0.6。结论多维疲劳量表中文版有较好的信度和效度,可用于评价飞行员的疲劳状况,但仍需进一步完善。     

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。     

中文版多维疲劳量表在2型糖尿病患者中的信效度验证

目的：验证多维疲劳量表（MFI-20）在2型糖尿病（T2DM）患者中的信度和效度。方法：将MFI-20量表中文版应用于211例T2DM患者,以验证量表的信度和效度。结果：因子分析显示修订后的量表维持原量表20个条目不变,包含躯体疲劳、心理疲劳和脑力疲劳3个维度,可累计解释方差的56.9%。MFI-20量表得分与健康状况调查简表-活力维度（SF-36-VT）得分显著相关（r=-0.803,P<0.01)。量表总的Cronbach’s α系数为0.91,各维度的Cronbach’s α系数均达0.85以上。结论：中文修订版MFI-20量表在T2DM人群中具有较好的信度和效度,可作为2型糖尿病相关疲劳的可靠性测评工具。     

护士实践量表的汉化及信效度检验

目的 翻译护士实践量表（ nursing practice inventor , NPI ）,并对其信效度进行初步评价。 方法 使用 NPI 对218 例患者家属进行调查,并对测定结果进行信效度分析。 结果 NPI 中文版量表的 Cronbach蒺s α 系数在 0.806～0.902 ;分半系数为 0.667 ,说明 NPI 中文版量表具有良好的内部一致性。 内容效度（ content validity index , CVI ）平均值为 0.93 ;因子分析共提取 6 个公因子,累积贡献率为 68.74％ ;且各条目的因子载荷均大于 0.4 。 结论 NPI 中文版量表具有较好 的信效度,适合作为护士行为能力的评价标准。     

中文版慢性心力衰竭患者照顾者客观负担量表的信效度研究

目的 评价中文版慢性心力衰竭患者照顾者客观负担量表(Dutch Objective Burden Inventory,DOBI)的信效度.方法 对英文版DOBI量表进行引进及跨文化调适,并应用中文版DOBI量表和医院焦虑抑郁量表(Hospital Anxiety and Depression Scale,HADS)对102例慢性心衰患者的主要照顾者进行调查,以评价中文版DOBI量表的信效度.结果 中文版DOBI量表各维度的内部一致性Cronbach'sα系数为0.843～0.932.内容效度指数为0.79;采用因子分析提取了4个公因子,共解释总变异的57.646％;量表各维度与HADS之间均呈显著相关,相关系数介于0.25～0.51之间.结论 中文版DOBI量表具有良好的信效度,可用于我国慢性心力衰竭患者照顾者客观负担的测评.     

产褥期妇女健商量表的编制及其信效度检验

目的：编制产褥期妇女健商量表(postpartum women health quotient scale,PWHQS),并进行信效度检验.方法通过深度访谈、文献回顾、德尔菲法,拟定PWHQS初始量表条目.2014年4-6月,采用方便抽样方法,对苏州市两所三级甲等医院符合标准的395例产褥期妇女进行初量表调查,采用项目分析、探索性因子分析及信效度检验对量表进行评价.结果形成42个条目的初始量表,经探索性因子分析后删除8个条目,共提取5个公因子,累计方差贡献率为63．794％.量表信度分析,内部一致性信度Cronbachα系数为0．92,Spearman-Brown折半系数为0．86.效度分析显示,内容效度 CVI为0．922;结构效度,集合系数为0．547~0．774、区分系数为0．148~0．572,各因子间相关系数为0．297~0．565、因子与量表总分的相关系数为0．297~0．849,相关系数均有统计学意义(均P＜0．01).结论量表信效度良好,可作为评估产褥期妇女健商的测量工具.     

代际沟通感知量表的汉化及其在社区老年人与年轻人的信效度检验

目的 汉化代际沟通感知量表,并检验其在社区老年人与年轻人中的信效度。方法 基于翻译-回译模型翻译原量表,进行跨文化调适与预调查,采用便利抽样法选取杭州市的老年人和年轻人共552名进行调查。采用项目分析、内容效度、结构效度、内部一致性、重测信度等对中文版代际沟通感知量表进行检验。结果 中文版代际沟通感知量表共32个条目,探索性因子分析提取7个公因子,累计方差贡献率为64.190%,且验证性因子分析各项拟合指数均达标;内容效度指数为0.990。量表各维度的Cronbach α系数为0.829～0.966,重测信度为0.886～0.919。结论 中文版代际沟通感知量表具有良好的信效度,可以有效评估老年人和年轻人的代际沟通感知情况。     

中文版照顾者反应评估量表信效度研究

目的 引进照顾者反应评估量表(Caregiver Reaction Assessment,CRA),测定其中文版信效度.方法 使用CRA量表对79例骨肉瘤患者照顾者进行压力评定,对测定结果 进行信效度分析.结果 CRA量表Cronbach's α系数为0.612-0.732,折半信度为0.736,具有良好的内部一致性;CVI平均值为0.9.因子分析产生的7个因子共能解释总变异的65.15%,且基本上各个条目在相应维度上有较高的因子负荷.结论 CRA中文版具有较好的信效度,其维度设置适用于骨肉瘤患者照顾者压力测定.     

中文版老年人运动功能量表的信效度检验

目的 检验中文版老年人运动功能量表在骨科门诊老年人中的信效度。 方法 采用便利取样收集 500 例年龄 ≥60 岁在骨科门诊就诊并由专家诊断患骨骼肌肉系统性疾病的老年人进行调查,通过项目分析、内部一致性、重测信度、效标关联效度、结构效度来进行信效度检验。 结果 中文版老年人运动功能量表为 25 个条目,经探索性因子分析提取 4 个公因子,累积方差贡献率为 64.26% ,与欧洲五维健康量表效标关联效度的相关系数为-0.854 。 总量表的Cronbach‘s α 为0.927 ,各因子的 Cronbach’s α 系数分别为 0.751 、 0.852 、 0.840 、 0.933 ,各条目重测信度为 0.791~0.949 。结论 中文版老年人运动功能量表具有较好的信效度,为进一步诊断运动障碍综合征提供工具,从而帮助老年人预防和治疗骨骼肌肉系统性疾病。     

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.     

中文版精简烧伤健康量表的信度和效度

目的翻译中文版精简烧伤健康量表(burn specific health scale-brief,BSHS-B),并进行其信度和效度的研究。方法采用翻译并修订后的BSHS-B量表对117名烧伤患者进行调查,对测定结果进行信度和效度分析。结果 BSHS-B量表各维度Cronbachα系数为0.795~0.940,各维度的折半信度为0.690~0.901,具有良好的内部一致性;因子分析产生的6个因子功能解释总变异的76.5%,基本各条目在相应维度上有较高的因子负荷。结论中文版BSHS-B量表有较好的信度和效度,作为测量我国烧伤患者生活质量的工具是可信和有效的。     

恐动症成因分析量表的汉化及信效度检验

目的对恐动症成因分析量表(kinesiophobia causes scale,KCS)汉化并进行信效度检验,评价其在我国相关领域应用的可行性。方法依据量表翻译方法对KCS进行翻译、文化调试,形成中文版KCS。便利抽样选择杭州市2所三级甲等医院疼痛门诊的慢性下腰痛患者231例作为测试对象,检验量表内部一致性;成立专家小组,验证量表的内容效度。结果中文版KCS的Cronbach’s α系数为0.869,折半信度为0.715,重测信度为0.940,内容效度为0.850,20个条目的内容效度指数高于0.800。探索性因子分析共提取7个公因子,解释方差贡献率为80.343%。结论中文版KCS具有较好的信度、效度和区分能力,可作为我国评价、分析恐动症成因的有效工具。     

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.     

中文版临床医生对精神疾病态度量表（医学生版）的信效度分析

目的翻译“临床医生对精神疾病态度量表（医学生版）”（MentalIllness：Clinician’SAtti—tudesScale—MedicalStudents’Version,MICA—MS）,并评价其在我国医学生群体中应用的信度和效度。方法采用标准翻译／回译方法,翻译并形成MICA—MS中文版,然后对其进行信度、内容效度、结构效度、效标关联效度评价。结果MICA—MS中文版总的Cronbach仅系数是0．75,量表总的重测信度为0．86,内容效度指数为0．96,与社会距离量表,歧视精神疾病患者态度量表中度相关。探索性因子分析显示,MICA．MS中文版可提取5个公因子,5个公因子对变异量的累计贡献率为59．58％。结论MICA—MS中文版在我国医学生中具有较好的信效度,可用于测评医学生对精神疾病及患者认知、态度及行为倾向。     

中文版工作疲溃感问卷在中国护理人员中的测试研究

目的测试中文版工作疲溃感问卷(Maslach Burnout Inventory,MBI)在中国护理人员中使用的信度和效度,为中国护理人员工作疲溃感的测评提供有效工具。方法翻译国外的工作疲溃感问卷,将所形成的中文版问卷在476名护士中使用,评价其信度和效度。结果因子分析结果显示,情绪疲倦感、工作冷漠感、工作成就感3个维度的条目因素负荷与原量表结构基本一致;全量表同质信度为0.823,3个维度Cronbach's a系数在0.770~0.888之间;重测信度在0.806~0.887之间;其中各条目与其所属维度之间相关较强,而与其他维度相关较弱;独立样本t检验证实量表区分效度好。结论工作疲溃感问卷中文版信度及效度较好,符合心理测量学要求。