SAS和HADS-A对心血管疾病患者焦虑症状评定结果比较

目的探讨焦虑自评量表(SAS)和医院焦虑抑郁量表焦虑亚量表(HADS-A)对心血管疾病患者焦虑症状评定结果的一致性。方法选取2014年11月-2016年5月在临沂市4所医院住院的心血管疾病患者615例,应用SAS、HADS-A对患者进行测评,随机抽取30例患者间隔两周接受重测。结果 SAS、HADS-A的Cronbach'sα系数分别为0.834、0.806;二者重测信度组内相关系数(ICC)分别为0.934、0.921。SAS与HADS-A总评分呈正相关(r=0.552,P0.01);二者评定的一致性Kappa值=0.38(U=9.96,P0.01)。结论 SAS和HADS-A均具有良好的信度,但SAS与HADS-A焦虑评定结果的一致性仅为尚好。

Comparison of SAS and HADS - A for assessment of anxiety in patients with cardiovascular disease

Objective To explore the agreement of Self - rating Anxiety Scale(SAS)and Hospital Anxiety and Depression Scale - Anxiety Subscale(HADS - A)for assessment of anxiety in patients with cardiovascular disease. Methods 615 inpatients with cardiovascular disease in four hospitals of Linyi City from November 2014 to May 2016 were selected,and they were tested with SAS and HADS - A. 30 patients were selected to receive retest two weeks later,randomly. Results The Cronbach ′s α of SAS and HADS - A were 0. 834 and 0. 806,respectively;and the retest reliability(intra - class correlation coefficient,ICC)were 0. 934 and 0. 921,respectively. Significant positive correction was observed between SAS and HADS - A scores(r = 0. 552,P < 0. 01). The Kappa value between HADS - A and SAS was 0. 38(U = 9. 96,P < 0. 01). Conclusion SAS and HADS - A has good reliability,but the agreement for assessment of anxiety between SAS and HADS - A is just fair.