绝经综合征评定量表的信度、效度、反应度研究

王小云; 杨洪艳; 聂广宁; 温泽淮; 吴大嵘; 张春玲; 王玲; 姜惠中; 韩丽琳

Abstract

王小云,杨洪艳,聂广宁,温泽淮,吴大嵘,张春玲,王玲,姜惠中,韩丽琳.绝经综合征评定量表的信度、效度、反应度研究[J].Chinese journal of Epidemiology,2008,29(9):882-886

绝经综合征评定量表的信度、效度、反应度研究

Study on the reliability and validity of the Chinese Menopause Rating Scale (CMRS)

Received:January 28, 2008

DOI：

KeyWord: 绝经综合征|量表|信度|效度|反应度

English Key Word: Menopause syndrome|Scale|Reliability|Validity|Responsibility

FundProject:国家科技部“十五”攻关重点课题资助项目(2004BA716B02)

Author Name	Affiliation
WANG Xiao-yun	Second Affiliated Hospital of Guangzhou Traditional Chinese Medicine University, Guangzhou 510105, China
YANG Hong-yun	Second Affiliated Hospital of Guangzhou Traditional Chinese Medicine University, Guangzhou 510105, China
NIE Guang-ning	Second Affiliated Hospital of Guangzhou Traditional Chinese Medicine University, Guangzhou 510105, China
WEN Ze-huai	Second Affiliated Hospital of Guangzhou Traditional Chinese Medicine University, Guangzhou 510105, China
WU Da-rong	Second Affiliated Hospital of Guangzhou Traditional Chinese Medicine University, Guangzhou 510105, China
ZHANG Chun-Ling	Second Affiliated Hospital of Guangzhou Traditional Chinese Medicine University, Guangzhou 510105, China
WANG Ling	天津中医药大学附属保康医院妇科
JIANG Hui-zhong	天津中医药大学附属保康医院妇科
HAN Li-lin	Second Affiliated Hospital of Guangzhou Traditional Chinese Medicine University, Guangzhou 510105, China

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Abstract:

目的评价绝经综合征评定量表的可行性、信度、效度和反应度。方法采用横断面调查,以方便抽样方法抽取绝经综合征患者和更年期非绝经综合征人群,调查绝经综合征评定量表、Kupperman Index、WHO牛存质量量表简表、更年期生存质景量表.反应度研究采用自身前后对照,纳入绝经综合征患者经中药治疗12周,治疗前后采用绝经综合征评定量表进行评价。结果在8家医院共进行3343有效人次的流行病学调查。该量表的回收率为100%,完成率为99.7%,完成时间平均为10.30 rain.绝经综合征评定量表及躯体维度、心理维度、社会维度的克朗巴赫(Cronbach's)a系数分别为0.93、0.87、0.89、0.73;分半信度分别为0.92、0.89、0.86、0.73;重测信度分别为0.88、0.91、0.85、0.77。绝经综合征评定量表编制根据绝经综合征疾病特点和内涵,经历了严格的步骤,量表适宜绝经综合征患者理解和填写,代表性好,具有良好的内容效度.探索性因子分析提取公因子结构与理论构想较吻合,结构效度良好。绝经综合征评定量表同KI、WHOQOL-BREF、MENQOL之间存在良好关联,效标效度较理想.量表能够区分不同绝经综合征患者和更年期正常人群,具有较好的区分效度。采用中药治疗174名绝经综合征患者,量表能反映出治疗前后的变化,具有反应度。结论绝经综合征评定量表具有较好的可行性、信度、效度和反应度,可以应用于绝经综合征的临床疗效评价。

English Abstract:

Objective To evaluate the feasibility,reliability,validity and responsiveness of a Chinese Menopause Rating Scale (CMRS).Methods Cross-sectional survey and convenience sampling were adopted. Participants:women with menopause syndrome and those in menopause but without menopause syndrome were recruited.All participants were asked to complete the CMRS,Kupperman Index,WHOQOL-BREF and MENQOL.The Self-control observation design was adopted when the responsiveness was evaluated.Patients were treated with TCM for weeks.MRSTCM was evaluated before and after the treatment.Results (1) Feasibility:3343 participants including 2320 patients and 1023 menopause women,were surveyed in 8 different settings.The recovery rate of CMRS was 100%,with a response rate as 99.7%.The completion of the CMRS took 10.30 minutes on average.(2)Reliability:Cronbach's alpha of CMRS,soma dimension,psychology dimension and community dimension of CMRS were 0.93,0.87,0.89 and 0.73 respectively,with the correlation coefficient of split half of the CMRS.Soma dimension,psychology dimension and community dimension were 0.92,0.89,0.86 and 0.73 respectively and the test-retest correlation coefficient of MRSTCM,the soma dimension,psychology dimension and community dimension were as 0.88,0.91,0.85 and 0.77 respectively.(3) Validity:CMRS was established on the basis of connotation of menopause syndrome,and a series of steps were adopted to modify the scale.CMRS was applicable for patients with menopause syndrome.CMRS seemed to have had good content-related validity.The result of exploratory factor analysis was accorded with the theory frame of CMRS by and large.The correlations between CMRS and KI,CMRS and WHOQOLBREF,CMRS and MENQOL seemed good.The CMRS was able to discriminate between groups of people with or without menopausal syndrome and bad good discriminative validity.(4) Responsibility:The CMRS was measured based on 174 patients with menopausal syndrome before and after the TCM therapy.Our result showed that the CMRS having the ability to measure the clinically important differences.Conclusion CMRS was suitable for outcome assessment of menopausal syndrome.This primary research proved that the CMRS had good feasibility,reliability,validity as well as responsiveness.

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