简体中文版脊柱侧凸研究学会22项问卷表(SRS-22)的信度和效度评价  

Reliability and validity of adapted simplified Chinese version of the Scoliosis Research Society-22 (SRS-22) Questionnaire

作　　者：李明[1] 王传锋[1] 贺石生[1] 朱晓东[1] 

机构地区：[1]第二军医大学长海医院骨科,上海200433

出　　处：《第二军医大学学报》2008年第2期203-205,共3页Academic Journal of Second Military Medical University

基　　金：国家自然科学基金(30571888)~~

摘　　要：目的：评价简体中文版脊柱侧凸研究学会22项问卷表（SRS-22）的信度和效度。方法：对英文版SRS-22量表进行翻译和文化调适,由专家委员会确定最终的简体中文版量表。然后,将SRS-22及SF-36量表寄给87位青少年特发性脊柱侧凸术后患者。63位患者（72.4%）寄回了第一份调查表。这些患者（男6例,女57例）的平均年龄为（17.7±3.1）岁（14.3~23.8岁）。63位患者中的56位（88.9%）寄回了第二份调查表。内部一致性信度及重测信度的评价指标分别为Cronbach’sα系数和组内相关系数（ICC）。同期效度通过与SF-36各维度的比较获得,评价指标为Pearson’s相关系数（r）。结果：4个维度（功能/活动度、疼痛、自我形象/外观、精神健康）的Cronbach’sα系数都大于0.7,治疗满意度维度的Cronbach’sα系数也是可以接受的。5个维度的组内相关系数分别为0.74、0.78、0.86、0.81、0.84,显示了良好的重测信度。就同期效度而言,3个维度间的相关性极高,10个维度间的相关性高,相关性中等的维度有21个。结论：简体中文版SRS-22量表拥有良好的信度及同期效度,可能对中国内地的青少年特发性脊柱侧凸术后患者的临床评估有效。Objective：To evaluate the validity and reliability of adapted simplified Chinese Version of the Scoliosis Research Society-22 （SRS-22） questionnaire. Methods： The English version of the SRS-22 was translated into simplified Chinese and was subjected to cross-culture adaptation; the final version of the simplified Chinese SRS-22 questionnaire was α consensus reached by an expert committee. Then the simplified Chinese version SRS-22 questionnaire and 36-Item Short Form Health Survey （MOS SF-36） questionnaire were used to survey 87 patients with adolescent idiopathic scoliosis who had been surgically treated ; 63 patients （72. 4%） responded to the SRS-22 questionnaire. The average age of these patients （6 male, 57 female） was （17.7±3.1） years （range, 14.3-23.8 years）. Fifty-six of the 63 patients returned the MOS SF-36 questionnaire. The 2 indicators of reliability were Cronbach＇s α of internal consistency and intraclass correlation coefficient（ICC）. Concurrent validity of the SRS-22 questionnaire was measured by comparing with domains of the SF-36 questionnaire, which was reflected by Pearson correlation coefficient （r）. Results： The Cronbach α values for 4 domains （function/activity, pain, self-image/appearance, and mental health） were all higher than 0.7 ; and the Cronbach a value for satisfaction of management domain was acceptable. The int raclass correlation coefficients for function/activity, pain, self-image/appearance, mental health, and satisfaction domain were 0.74, 0.78, 0.86, 0.81 and 0.84, respectively, demonstrating a satisfactory reproducibility. For the concurrent validity, 3 domains had excellent correlation, 10 had good correlation, and 21 had moderate correlation. Conclusion： The adapted simplified Chinese Version of the SRS-22 questionnaire has satisfactory reliability and concurrent validity, and might be suitable for postoperation clinical evaluation of Chinese adolescent patients with scoliosis.

关 键 词：脊柱侧凸 生活质量 量表 信度 效度 

分 类 号：R682.3[医药卫生—骨科学]