SF-36量表用于海勤人员健康生命质量评价

目的 评价SF-36量表用于海勤人员生命质量评价的信度和效度，了解该群体健康生命质量的现状及影响因素。方法 采用SF-36量表对2016年在某地区部队医院接受健康体检的海勤官兵的生命质量进行测评。结果 发放问卷180份，回收162份，有效问卷149份。SF-36量表应用于海勤人员健康生命质量评价具有较好的内部一致性信度和分半信度，以及良好的量表集合效度和区分效度。男性在躯体疼痛、社会功能和情感职能3个维度的得分均低于女性，差异均有统计学意义（P均<0.05）。男性海勤人员在生理功能、生理职能、躯体疼痛、社会功能和情感职能维度的得分均低于全国性调查同年龄段男性得分，但是在一般健康状况维度的得分高于全国调查结果（P均<0.05）；女性海勤人员在一般健康状况和情感职能维度的得分均高于全国性调查同年龄段女性得分（P均<0.05）。相关因素分析显示患有慢性病、睡眠质量、性别以及近2周内有无身体不适是影响SF-36各维度得分的主要因素。结论 SF-36量表可用于海勤人员健康生命质量评价，提高睡眠质量、控制慢性病发生、减少短期内身体不适等有助于提高海勤人员的健康生命质量。

Application of SF-36 scale in health-related quality of life assessment of naval service personnel

Objective To evaluate the reliability and validity of SF-36 scale for life quality assessment of naval service personnel, and to understand the status and influencing factors of health-related quality of life. Methods The SF-36 scale was used to evaluate the quality of life of the naval service personnel in a regional military hospital in 2016. Results A total of 180 questionnaires were sent out, 162 questionnaires were recovered and 149 valid questionnaires were left for analysis. SF-36 scale had good internal-consistency reliability and split-half reliability, and had good convergent validity and discriminate validity. The males scored lower than the females in three dimensions, including bodily pain, social functioning and role-emotional, and the differences were significant (all P<0.05). Compared with the males in the same age group of national survey, the males of this survey scored significantly lower in physiological functioning, role-physical, bodily pain, social functioning and role-emotional, and scored significantly higher in general health (all P<0.05). The females of this survey scored significantly higher in general health and role-emotional than the females of the national survey (both P<0.05). Correlation analysis showed that having chronic disease, the quality of sleep, gender and physical discomfort in the last 2 weeks were the main influencing factors in each dimension of SF-36 scale. Conclusion The SF-36 scale can be used for evaluating the health-related quality of life of the naval service personnel, and improving the quality of sleep, controlling chronic diseases and reducing the short-term physical discomfort can help to improve the quality of life of naval service personnel.