SRS-22问卷在中国儿童和青少年脊柱侧凸患者中的应用  

SRS-22 Questionnaire for Chinese children and adolescents with scoliosis

作　　者：张勇[1] 张立根[1] 张敬悌[1] 孙建中[1] 王学文[1] 杨毅军[1] 葛文安[1] 

机构地区：[1]西安市儿童医院小儿外科,710003

出　　处：《临床小儿外科杂志》2008年第2期25-27,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的将脊柱侧凸研究会问卷(SRS-22 Questionnaire)引入中国,评价该问卷在中国儿童和青少年脊柱侧凸患者中的测量特性。方法依据国际生活质量评价(The International Quality of Life Assessment,IQOLA)计划规则,将SRS-22患者问卷翻译改编为中文,由专家组研究确定最终版本。使用该问卷对132例(男21例,女111例)儿童和青少年脊柱侧凸患者进行初次测评,平均11.3(8～15)岁;侧凸角度在25°～70°,平均46.7°。132例患者中,支具治疗108例,手术治疗24例,其中特发性脊柱侧凸122例,先天性脊柱侧凸10例。初测3～4周后,随机选取其中30例进行重测。结果SRS-22问卷总体a系数为0.85,重测信度为0.94。问卷中的5个因素的a系数分别为:功能活动0.68;疼痛0.83;自我形象0.81;心理状况0.90;对治疗的满意程度0.83;重测信度分别为:功能活动0.87;疼痛0.92;自我形象0.93;心理状况0.90;对治疗的满意程度0.89。因素分析产生5个公共因素,结果累积解释方差贡献为68.23%。结论SRS-22问卷翻译改编成中文后具备合格的信度和效度,可应用该问卷测量评价中国儿童和青少年脊柱侧凸患者的生活质量。Objective To develop the SRS-22 Questionnaire for the use of Chinese children and adolescents with scoliosis;To evaluate the metric qualities of this questionnaire. Methods Transcultural adaptation of the SRS-22 Questionnaire was carried out according to the International Quality of Life Assessment Project guidelines, The final version was decided by a committee of experts .The Questionnaire was finished by 132 children and adolescents with scoliosis who treated with a brace or operation including 21 males and 111 females,aged eight to fifteen years old （mean,11.3 years）. Curve magnitude ranged from 25° to 70°（ mean, 46.7°）. A subgroup of 30 patients completed the questionnaire again about three to four weeks later. Results The overall alpha coefficient of the questionnaire was 0.85. Coefficients for individual domains were as follows： function/activity, 0.68; pain, 0.83; self-image, 0.81; mental health, 0.90; and satisfaction, 0.83. The questionnaire as a whole had a test-retest correlation coefficient of 0.94. Test-retest correlation coefficients for individual domains were as follows： function, 0.87; pain, 0.92; self-image, 0.93; mental health, 0.90; and satisfaction, 0.89. Five common factors were acquired from factor analysis, and the cumulative contribution rate was 68.23%. Conclusions The Chinese Version of the SRS-22 Questionnaire has eligible reliability and validity, it can be used to measure health-related quality of life of children and adolescents with scoliosis in china.

关 键 词：脊柱侧凸 患者 临床分析 治疗方法 

分 类 号：R395[哲学宗教—心理学] R726.8[医药卫生—医学心理学]