中文版SRS-22问卷在中国青少年特发性脊柱侧凸患者评价中的应用(跨文化修订和可信度分析)  

Chinese version of the SRS-22 patient questionnaire for adolescent idiopathic scoliosis:transcultural adaptation and reliability analysis

作　　者：赵黎[1] 张勇[1] 尚磊[2] 孙效棠[1] 杜青[3] 

机构地区：[1]第四军医大学西京医院骨科,西安710032 [2]第四军医大学军事预防医学系卫生统计学教研室,西安710032 [3]上海交通大学医学院附属新华医院儿童骨科与儿童康复科,上海200092

出　　处：《中国矫形外科杂志》2008年第13期996-997,共2页Orthopedic Journal of China

摘　　要：[目的]将脊柱侧凸研究会问卷（SRS-22Questionnaire）引入中国，评价该问卷在中国青少年特发性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86例（男11例，女75例）正规支具治疗的青少年特发性脊柱侧凸患者进行初次测评，患儿年龄在10～18岁，平均13．9岁；侧凸角度在25°～45°，平均35．6°。初测3～4周后，对其中30例患者进行重测。[结果]SRS-22问卷总体α系数为0．88，重测信度为0．97。问卷中的五个因素的α系数分别为：功能活动0．70，疼痛0．80，自我形象0．80，心理状况0．88，对治疗的满意程度0．81．重测信度分别为：功能活动0．85，疼痛0．96，自我形象0．96，心理状况0．95，对治疗的满意程度0．91。因素分析产生6个公共因素，结果累积解释方差贡献为72．29％。[结论]SRS-22问卷翻译改编成中文后具备合格的信度和效度，可以应用该问卷测量中国青少年特发性脊柱侧凸患者的生活质量。[ Objective] To translate the SRS -22 Questionnaire from English edition into Chinese version for the use of Chinese adolescents with idiopathic scoliosis and to evaluate the metric qualities of this questionnair. [ Method ] Transcuhural adaptation of the SRS - 22 Questionnaire was carried out according to the International Quality of Life Assessment Project guide - lines, The final version was decided on by a committee of experts . The Questionnaire was completed by 86 adolescents （ M = 11 , F =75） with idiopathic scoliosis. The patients were 10 - 18 years old （mean, 13.9 years） . Curve magnitude ranged from 25° to 45° （ mean, 35.6°） . Out of them, 30 patients repeated the questionnaire 3 ～ 4 weeks later. [ Result ] The overall ＇alpha coefficient of the questionnaire was 0. 88. Coefficients for individual domains were as follows： function/activity, 0. 70; pain, 0. 80; self- image, 0. 80; mental health, 0.88; and satisfaction, 0. 81. The questionnaire as a whole had a test -retest correlation coefficient of 0. 97. Test - retest correlation coefficients for individual domains were as follows ： function, 0. 85 ; pain, 0.96 ; self-image, 0.96; mental health, 0.95; and satisfaction, 0. 91. Six common factors were acquired from factor analysis, and the cumulative contribution rate was 72. 29%. [ Conclusion] 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 adolescents with idiopathic scoliosis in China.

关 键 词：SRS-22问卷 信度 效度 脊柱侧弯 青少年 

分 类 号：R682.3[医药卫生—骨科学]