高性能战斗机飞行员腰椎间盘突出症患者SF-36量表评价的可靠性研究  

Reliability of applying SF-36 scale on assessing the high-performance fighter pilots with lumbar disc protrusion

作　　者：卫杰[1] 陈立君[1] 刘晶[2] 赵平[1] 郭伟[1] 甄鹰[1] 范宇[1] 

机构地区：[1]空军总医院中西医结合正骨科,北京100142 [2]空军总医院全军临床航空医学中心,北京100142

出　　处：《中华航空航天医学杂志》2010年第2期124-128,共5页Chinese Journal of Aerospace Medicine

摘　　要：目的 研究健康调查简表(short-form 36 health survey scale,SF-36)用于高性能战斗机飞行员腰椎间盘突出症患者生命质量评价的可靠性.方法 43名高性能战斗机飞行员腰椎间盘突出症患者保守治疗前后进行SF-36量表躯体健康评分(physical component summary,PCS)和心理健康评分(mental component summary,MCS)、拉塞格试验角度(angle of Laseque,AL)测量、日本骨科学会腰椎手术疗效评分(Japanese Orthopaedic Association scores for assessment of lumbar myelopathy,JOA),并对结果进行分析.结果 信度指标评价中克朗巴赫系数α均大于0.78,分半信度均大于0.85,组内相关系数(intra-class correlation,ICC)均大于0.68.效度指标除总体健康(general health,GH)外,其他维度中各条目成维成功率均在100%.治疗前患者SF-36量表PCS评分、MCS评分、AL和JOA评分分别为35.25±7.04、42.39±11.35、56.30°±12.67°和25.70±3.40,治疗后患者各项数据分别为50.57±8.63、49.49±7.90、81.60°±20.48°和31.20±3.89.治疗前后各项数据比较,差异有统计学意义(t=2.364～20.633,P＜0.05).PCS差值与AL、JOA差值的相关系数分别为0.587、0.586;MCS差值与AL差值、JOA差值相关系数分别为0.741、0.691.结论 SF-36应用于高性能战斗机飞行员腰椎间盘突出症患者评价时,信度和效度较高;PCS差值、MCS差值与AL差值、JOA评分差值之间相关性强.SF-36用于评价高性能战斗机飞行员腰椎间盘突出症的疗效时结果可靠,可用于治疗结果评价参考.Objective To evaluate the validity of applying short-form 36 health survey scale (SF-36) on assessing high-performance fighter pilots with lumbar disc protrusion. Methods Before and after expectant treatment 43 high-performance fighter pilots, who were with lumbar disc protrusion, were evaluated by SF-36 in form of physical component summary (PCS) and mental component summary (MCS). Other assessments, such as angle of Lasque (AL) and Japanese Orthopaedics Association scores for assessment of lumbar myelopathy (JOA) were also conducted for comparison. The changes of PCS, MCS, AL and JOA that were made by treatment, as well as the correlation of the varieties between SF-36 and other assessments were statistically analyzed by SPSS 11.0. Results In reliability assessments, the Cronbach's α coefficient, test-retest correlation coefficient and intra-class correlation (ICC) was respectively in range of 0. 78 to 0. 86, 0. 85 to 0.98 and 0.68 to 0.88. The rates of succeeded entries all reached 100% except on general health (GH)dimensionality. Before expectant treatment PCS, MCS, AL and JOA was 35.25 ± 7.04, 42. 39 ±11.35, 56.3°+12. 67° and 25. 70±3.40 respectively comparing to 50. 57±8. 63, 49. 49±7. 90,81.60°± 20. 48° and 31. 20±3. 89 after expectant treatment. All assessments showed significant differences when comparing the effects of expectant treatment (t = 2. 364-20.633, P＜0.05). The difference correlation coefficient of PCS to AL and JOA was 0. 587 and 0. 586 respectively, while the MCS's to AL and JOA was 0. 741 and 0. 691. Conclusions The reliability and validity of applying SF-36 on assessing the quality of life for the high performance fighter pilots with lumbar disc protrusion are comparatively high. PCS and MCS assessments could reflect the variation of AL and JOA since the high correlation. SF-36 could be reliably used for assessing curative effect for the pilot with lumbar disc protrusion.

关 键 词：健康调查 椎问盘移位 腰椎 结果评价 评价研究 

分 类 号：R686[医药卫生—骨科学]