文章摘要
尤华,华海涌,陈金凤,张燕,唐凤.SF-36量表在江苏省晚期血吸虫病患者中的应用[J].中华流行病学杂志,2012,33(8):803-807
SF-36量表在江苏省晚期血吸虫病患者中的应用
Application of SF一36 scale among pafienb with advanced-schistosomiasis in Jiangsu province
收稿日期:2012-03-07  出版日期:2014-09-03
DOI:
中文关键词: 生命质量  晚期血吸虫病  信度  效度
英文关键词: Quality of Life  Advanced schistosomiasis  Reliability  VaIidity
基金项目:
作者单位E-mail
尤华 医科大学公共卫生学院社会医学与健康教育学系, 南京 210029 youhua98@.hotmail.com 
华海涌 医科大学公共卫生学院社会医学与健康教育学系, 南京 210029  
陈金凤 浙汀大学医学院公共卫生学系  
张燕 血吸虫病防治研究所  
唐凤 血吸虫病防治研究所  
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中文摘要:
      目的 使用SF-36量表评价江苏省晚期血吸虫病患者的生命质量,以评估该量表的信度和效度。方法 使用自行改编设计的调查问卷(江苏省晚期血吸虫病患者生命质量调查表),采用整群抽样方法,抽取江苏省内登记在册的部分晚期血吸虫病患者,进行面对面访谈调查。结果 量表的分半信度Spearman-Brown系数为0.92(P<0.001)。内部一致性信度Cronbach'a系数为0.90,各维度的α系数为0.69~0.98。主成分分析法提取2个因子,累计贡献率达67.37%。SF-36量表评价不同地区、不同收入水平患者生命质量的差异有统计学意义,表明有一定判别效度。与杭州常模和四川常模比较,江苏省晚期血吸虫病患者生命质量各维度得分普遍低于常模。结论 SF-36量表用于评价晚期血吸虫病患者的生命质量有较好的信度和一定的判别效度,但结构效度较差。江苏省晚期血吸虫病患者由于受长期患病影响,生命质量有待改善。
英文摘要:
      Objective To understand the reliability and validity on SF-36 scale and the quality of life(QoL) among patients with advanced-schistosomiasis in Jiangsu province.Methods Cluster sampling Method was used to choose 586 advanced-schistosomiasis patients who were registered in Jiangsu province.Questionnaire including SF-36 module,was used for face to face interview on the patients.Statistical analyses were made to assess the Results,including correlation analysis,reliability analysis,factor analysis,t-test and one-way ANOVA.Results The split-half reliability coefficient was 0.92,P<0.001 and the internal consistency reliability was 0.90,with the range of Cronbach'α coefficient on each dimension was from 0.69 to 0.98.Through principal component analysis,two factors were identified,with the accumulative contribution rate as 67.37%.SF-36 showed certain discriminant validity to distinguish groups in different economic levels.Compared with the domestic norm data,the scores of SF-36 on those patients were generally lows.Conclusion SF-36 had good reliability and good criterion validity,with a certain degree of discriminant validity,but with poor constructs validity.Level of QoL of patients with advanced schistosomiasis in Jiangsu was low because of being chronically ill,that called for more strategies to improve the QoL of patients.
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