WHO生存质量量表老年模块在我国前列腺增生症患者中的适用性研究  

A Study on applicability of WHOQOL-OLD module in Chinese elderly patients with prostatic hyperplasia

作　　者：王蓓[1] 高海莲[2] 刘雪琴[3] 郝元涛[4] 冯桂兰[5] 方积乾[4] 

机构地区：[1]武警江苏总队南京医院 [2]兰州军区乌鲁木齐总医院护理部 [3]广州南方大学珠江医院护理部 [4]中山大学公共卫生学院统计教研室 [5]广州市第一人民医院护理部

出　　处：《中华护理杂志》2006年第8期687-690,共4页Chinese Journal of Nursing

基　　金：广州市科技立项项目资助(项目编号A2005546)

摘　　要：目的评价WHO生存质量老年模块量表(WHOQOL-OLD)是否适用于我国老年前列腺增生症(BPH)患者的生存质量测定。方法采用中文版的WHO生存质量测定量表简表(WHOQOL-BREF)和WHOQOL-OLD量表对广州市BPH患者139例,广州市社区居民155名进行调查,采用自填或由调查员协助填写的方法。中文版WHOQOL-OLD量表的性质采用Cronbach sα评价条目间的内部一致性信度,用Pearson相关系数r评价不同方面的信度,量表的结构效度用证实性的因子分析。两独立样本用t检验或非参数秩和检验比较两组人群在各个领域的生存质量。结果WHOQOL-OLD量表中文版的Cronbach sα为0.74,其6个领域的Cronbach sα均大于0.7,各领域与总分之间的相关系数均大于它们与其他领域间的Pearson相关系数,均在0.5以上,表明该表具有非常好的内部一致性。因子分析中,产生7个公因子,基本与原量表一致,累积解释变异量为77.90%。用不同量表比较两组人群的生存质量,用WHOQOL-BREF量表比较,总分和生理领域差异有统计学意义,其余领域均无意义;用WHOQOL-OLD量表比较,自主和亲密关系领域差异无统计学意义,其余领域均有统计学意义。结论WHOQOL-OLD量表具有较好的信度和效度,与生存质量普适性量表WHOQOL-BREF比较,WHOQOL-OLD量表更加适用于我国老年前列腺增生症患者生存质量的评价。Objective To evaluate the applicability of World Health Organization Quality of Life （WHOQOL） -OLD Module in assessment of the quality of life （QOL） of Chinese elderly patients with benign prostatic hyperplasia （BPH）. Methods Two generic instruments developed by WHO to assess QOL in different districts, cultures and populations, WHOQOL-BREF and WHOQOL-OLD, were used to investigate the QOL of 139 patients with BPH in Guangzhou and 155 elderly men in Guangzhou communities as the control group. The questionnaires and scales were filled in by the subjects independently or with the aid of investigators. Cronbach＇s α was used to evaluate the internal consistency among items of WHOQOL-OLD, Pearson correlation index r to evaluate the reliability among different aspects, and factor analysis to confirm the structural validity of the instruments. The two independent samples were checked by t-test or non-parametric rank-sum test to compare the QOL for two groups in each field. Results The Cronbach＇s α for WHOQOL OLD was 0.74, and that for its six fields was all higher than 0.7. The coefficient of correlation between each field and the total score was higher than the Pearson correlation index between the field and other fields, being all above 0.5. This suggested very fine internal consistency of the OLD Module. The factor analysis resulted in seven common factors which corresponded roughly to those of the original instrument. In comparison of the QOL of the two groups, WHOQOL-BREF showed statistically significant difference in total score and psychological field but not in other fields, while WHOQOL-OLD showed statistically significant difference in all fields except autonomy and intimacy fields. Conclusions This study proves that WHOQOL-OLD has fine reliability, internal consistency and structural validity,and it is more suitable for assessment of the QOL of Chinese BPH patients compared with WHOQOL-BREF.

关 键 词：老年人 前列腺增生 世界卫生组织生活质量量表老年模块 世界卫生组织生存质量测定量表简表 

分 类 号：R473.6[医药卫生—护理学]