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慢性萎缩性胃炎癌前病变患者报告临床结局评价量表的编制及信度、效度分析
引用本文:刘力,常玉双,沈舒文,宇文亚,惠建萍,黄毓娟. 慢性萎缩性胃炎癌前病变患者报告临床结局评价量表的编制及信度、效度分析[J]. 中医杂志, 2011, 52(10): 834-836
作者姓名:刘力  常玉双  沈舒文  宇文亚  惠建萍  黄毓娟
作者单位:1. 陕西中医学院附属医院消化科,陕西省咸阳市世纪大道,712046
2. 北京市昌平区中医医院
3. 中国中医科学院中医临床基础医学研究所
摘    要:目的编制慢性萎缩性胃炎癌前病变(PLGC)患者报告的临床结局(PRO)评价量表(PLGC-PRO量表),并对其信度及效度进行评价。方法通过文献查询、Delphi法、预调查等方法构建条目池,筛选优化条目,形成初步量表,在陕西地区进行量表测试,并对204份有效问卷进行信度、效度分析。信度分析主要采用测量内在一致信度的克朗巴赫α系数法、折半系数法;效度分析主要采用t检验考察其区分效度,采用探索性因子分析和证实性因子分析评价其结构效度。结果初步形成具有3个领域、30个条目的PLGC-PRO量表。该量表总克朗巴赫α系数为0.892,分半信度系数为0.715。量表各条目都达到了t检验法的保留标准(P<0.05);量表中30个条目经因子分析选出5个因子,累计方差贡献率为52.372%;量表的拟合优度指数(GFI)为0.954,生理领域、心理领域、社会环境领域的GFI分别为0.962、0.905和0.903。结论初步表明PLGC-PRO量表具有较好的信度、效度,可尝试用于PLGC患者的临床疗效评价。

关 键 词:慢性萎缩性胃炎癌前病变  患者报告临床结局  量表编制  信度  效度

Development and Reliability & Validity Analysis of Patient Reported Outcome Scale for Precancerous Lesion of Atrophic Gastritis
LIU Li,CHANG Yushuang,SHEN Shuwen,YU Wenya,HUI Jianping,HUANG Yujuan. Development and Reliability & Validity Analysis of Patient Reported Outcome Scale for Precancerous Lesion of Atrophic Gastritis[J]. Journal of Traditional Chinese Medicine, 2011, 52(10): 834-836
Authors:LIU Li  CHANG Yushuang  SHEN Shuwen  YU Wenya  HUI Jianping  HUANG Yujuan
Affiliation:LIU Li1,CHANG Yushuang2,SHEN Shuwen1,YU Wenya3,HUI Jianping1,HUANG Yujuan1 (1. Shaanxi University of Chinese Medicine,Xianyang 712046,2. TCM Hospital of Changping Distric,Beijing,3. Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences)
Abstract:Objective To develop a precancerous lesion of atrophic gastritis patient reported outcome (PRO) scale (PLAG-PRO) and analyze its reliability and validity. Methods The scale was developed by establishing item pool through literature retrieval,Delphi method and pre-investigation,and selecting and optimizing items. Preliminary investigation was conducted in Shaanxi province,and the data of 204 valid respondents was used to assess the reliability and validity. The reliability was measured by internal consistenc...
Keywords:precancerous lesion of atrophic gastritis (PLAG)  patient reported outcomes  scale establishment  reliability  validity  
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