Gesell 问卷用于评价小儿神经发育的信度及效度分析

目的：检验 Gesell 问卷用于评价小儿神经发育的信度及效度。方法对1岁以内小儿按照入选标准筛选出50例,由专一检查者对患儿进行 Gesell 发育评估,同一患儿家长于1小时内填写 Gesell 问卷;利用内部一致性分析检验 Gesell 问卷的信度并使用相关性效度分析用来评价问卷的效度,同时评价 Gesell 问卷的敏感性、特异性,及阳性预测值、阴性预测值。结果对 Gesell 问卷按5个能区分别检验内部一致性,五个功能区的 Cronbachˊs Alpha 范围在0.479~0.743之间,除语言能区外 Gesell 问卷各个功能区的分半信度较好。Gesell 问卷与 Gesell 发育量表五个功能区间的相关性较高,相关系数 r 均为正值且范围为0.376~0.636（ P <0.01）。除适应性能区的敏感性较差外,其他四区的敏感性及特异性均较好。Gesell 问卷五个功能区的阳性预测值范围为42.9％~75.0％,阴性预测值范围为69.7％~92.3％。结论 Gesell 问卷的信度及效度较好,特异性和阴性预测值较高,对于初级筛查神经发育异常小儿具有实用价值。     

脑卒中患者生活质量量表的编制及试测

为获取适合中国文化背景及脑卒中患者实际情况的生活质量评定工具,本研究根据量表编制的理论与方法,参考国外相关量表,在调查研究脑卒中患者的基础上,编制了《脑卒中患者生活质量量表》。量表包含5个方面:工作及经济状况、家务活动、家庭关系、户外及休闲活动、心理状态,共计25项,评定耗时约20～30min。并采用该量表对22例脑卒中患者进行了初步测试,结果显示:量表的信度、效度基本满足心理测验要求。初步估计了脑卒中患者病后1～3周内的生活质量得分区间。     

乳腺癌患者心理社会适应问卷的研制

目的 研制科学、实用、有较好信度和效度的乳腺癌患者心理社会适应问卷.方法 通过大量文献回顾和对10例乳腺癌患者的半结构式访谈及对4位专家的咨询,形成初始化问卷,并通过对228例乳腺癌术后患者的调查,对问卷进行条目分析和信效度检验.结果 乳腺癌患者心理社会适应问卷共有44个条目,包括焦虑/抑郁、自尊和自我接纳、态度、归属感、自我控制和自我效能感5个维度.该问卷具有较好的内容效度,主成分分析提取出5个因子,累积贡献率54.578％,绝大多数条目在相应因子上的负荷达到0.4以上,结构与理论构想基本一致;参照于焦虑自评量表、一般自我效能感量表和自我接纳问卷的效标关联效度分别为-0.757、0.505、0.691.问卷的Cronbach's α系数为0.945,重测信度为0.961.结论 乳腺癌患者心理社会适应问卷具有较好的信度和效度,能客观、有效地评估乳腺癌患者的心理社会适应状况,具有较高的实用性和推广价值.     

护士职业嵌入量表的编制及信效度检验

目的 初步编制适用于我国文化背景的护士职业嵌入评估量表并对其进行信效度检验.方法 以嵌入性理论作为编制量表的基本理论框架,通过文献查阅、开放式问卷调查和半结构式访谈初步拟定量表条目库,经过专家评定形成护士职业嵌入量表初稿.采用方便取样法进行3次取样.用第1次预测样本（n=368）和第2次预测样本（n=306）进行项目分析和探索性因素分析,用正式施测样本（n=372）进行验证性因素分析及信度和效标效度检验.从正式施测样本中抽取55名护士间隔2周后重测.以离职倾向量表作为效标.结果 护士职业嵌入量表共18个条目,由匹配、联结和牺牲3个维度构成,累积贡献率为55.321％;验证性因素分析表明量表的模型拟合较好,x2/df=2.563,RMR=0.048,TLI=0.914,CFI=0.925.量表得分与离职倾向得分呈负相关.量表的内部一致性Cronbach α系数为0.917,3个维度的α系数为0.800～0.834.总量表的重测信度为0.890,3个维度的重测信度为0.732～0.873.结论 本研究编制的护士职业嵌入量表信效度指标较好,可作为国内护士职业嵌入的测评工具.     

苏州地区警察工作压力量表的初步编制

目的 以苏州警察为被试,编制苏州地区警察工作压力量表.方法 在访谈、文献的基础上,形成初步问卷,通过预测、正式测试进行项目筛选,检验问卷的信效度,编制初步量表.结果 50个项目具有较好的区分度,因素分析确定警察工作压力的8个因素结构,即时间压力、任务压力、经济压力、个体压力、组织压力、挫折压力、社会压力、人际压力(因素负荷0.36～0.67).8个维度的方差贡献率为45.66%.分半信度为0.85,问卷具有良好的信效度.结论 苏州地区的警察工作压力量表可试用于相关的研究工作.     

复苏室患儿苏醒期探视信念和态度量表的初步构建及信效度评价

目的 构建护士对麻醉复苏室(post-anesthesia care unit,PACU)患儿苏醒期家属探视信念和态度的量表并评价其信效度.方法 通过回顾相关文献、专家咨询等方法构建护士对PACU患儿苏醒期家属探视信念和态度的量表暂定版,采用暂定版对460名PACU护理人员进行调查并检验其信效度.结果 修订的PACU患...     

Cross-cultural adaptation of the Norwegian version of the spinal stenosis measure

In order to satisfy the need of a tool for assessing the treatment of patients with degenerative lumbar spinal stenosis, an evaluation was made of the reliability, construct validity, and responsiveness of the Norwegian version of Spinal Stenosis Measure (SSM, original by Stucki)). This study was a part of a prospective, cohort study. About 75 patients referred for surgery for spinal stenosis participated in the study. A subsample of 30 patients answered the questionnaire twice, test and retest, with at least one week in between. The SSM was translated according to the Guillemin criteria. Reliability was assessed by Bland and Altman’s repeatability, intraclass correlation coefficient (ICC) and the coefficient of variance (CV). Internal consistency was assessed by Cronbach’s alpha. Construct validity was analysed by correlation analyses. Responsiveness was calculated by the effect size. The reliability between test and retest scores was good for all three subscales of SSM as the ICC-values were above 0.9 and the CVs were below 15%. Cronbach’s alpha was above 0.8. The correlation analyses showed high correlation between scales that assessed the same construct, and low to moderate correlation between scales that assessed different constructs. Large effect sizes were found in all the SSM subscales with effect sizes ≥1.2.The Norwegian SSM version has added a highly useful tool for assessing the disease specific status and outcome after treatment in patients who suffer from degenerative lumbar spinal stenosis.     

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,...     

Reliability of Modified Harris Hip Score as a tool for outcome evaluation of Total Hip Replacements in Indian population

BackgroundStandard Harris Hip Score (HHS) is a validated tool, to measure the functional status of an individual and has been traditionally used to assess the condition of a patient with hip pathologies. Harris hip score in its standard form includes a physician’s physical examination component which has a high inter-observer variability. A modified version of HHS (MHHS) was devised and brought into use, but has not been validated as an outcome measure, post total hip replacement (THR) in Indian population.Methods101 patients with 122 hips for whom THR was done, were followed up, and HHS and MHHS were recorded at a minimum followup of 6 months.ResultsThe mean MHHS was 78.97 with a standard deviation of 15.017. There was positive correlation between the two functional outcome scores with a p value of 0.001. MHHS was found to be reliable with a significant intraclass correlation coefficient (p = 0.001).ConclusionMHHS is a reliable and valid tool to measure functional outcome in patients undergoing Total Hip Replacements.