晚期癌症病人生活质量自评量表的编制及试测  

Making of self-rating scale for testing quality of life of terminal cancer patients and its trial application

作　　者：叶久红[1] 李祖同[2] 王霞[3] 张艳玲[4] 孙瑛[5] 霍金星[2] 崔以泰[2] 

机构地区：[1]武汉大学中南医院宁养院 [2]天津第一中心医院宁养院 [3]新疆医科大学附属肿瘤医院宁养院 [4]北京肿瘤医院宁养院 [5]上海交通大学附属新华医院宁养院

出　　处：《护理研究（上旬版）》2009年第6期1497-1499,共3页Chinese Nursing Researsh

基　　金：湖北省卫生厅护理专项科研基金(编号:200624);李嘉诚基金会资助

摘　　要：[目的]编制适用于中国晚期癌症病人的生活质量自评量表,并检验其信、效度。[方法]在中国癌症病人生活质量调查问卷(QOL1)的基础上进行改进、编制成晚期癌症病人生活质量自评量表(QOL2),将QOL1、QOL2及Karnofsky行为状态量表(KPS)同时应用于1098例晚期癌症病人,通过t检验、因子分析、直线相关分析、多元逐步回归分析等,检验QOL2的信度、效度。[结果]QOL2条目内部一致性系数Cronbach’sα系数为0.785;重测相关系数为0.697～1.000;经过主成分分析,获得3个因子,3个因子的总方差解释值为52.47%;QOL2与QOL1条目得分、分量表分、总分之间的相关系数在0.236～0.709之间,所有相关系数P均<0.001;QOL2与KPS各条目得分、分量表分、总分之间的相关系数在0.061～0.667之间,所有相关系数P均<0.001,首次测试与经宁养照顾2周后再测试,两次量表的得分差值经配对t检验有统计学意义。[结论]QOL2与QOL1、KPS之间有较好的同源性;QOL2的结构效度、效标效度以及条目内部一致性检验、重测信度、敏感性检验等项均达到理想标准。由于QOL2在内容上更为接近晚期癌症病人的实际情况,在评分标准上力求具体、量化,因此更适用于对晚期癌症病人生活质量的评估。Objective：To make a new self- rating scale suited to evaluate the quality of life of advanced cancer patient in China. Then Both reliability and validity of the scale have Been tested. Methods： On the basis of quality of life questionnaire for Chinese cancer patients （QOL~） ,self- rating scale （QOL2） for evaluating the quality of life of terminal cancer patients has been compiled. A total of 1098 patients with advanced cancer were investigated by using QOL1, QOL2, and Karnofsky score （KPS） at the same time. And both reliability and validity of it have been tested by t -test, factors analysis, linear correlation analysis and polynary stepwise regression analysis. Results. The internal consistency coefficient Cronbach＇s α of QOL2 was 0. 785. And repetition related coefficients were 0. 697 - 1. 000. Three factors were gained through main components analysis. And the total mean square explaining value was 52. 47%. The correlative coefficients of item score,subscale score and total score between QOL2 and QOL1 were 0. 236-0. 709 （all P〈0. 001）,and were 0. 061-0. 667 between QOL2 and KPS （all P〈0,001）. There were statistical significant differences in terms of the score difference of QOL2 between the first test and repeated test after hospice care for two weeks of patients. Conclusion： There are good homologies among QOL2, QOL1 and KPS. Structure validity, criterion validity, and items internal consistency test,retest reliability test, and sensibility test of QOL2 have reached the ideal standard. Because the contents of QOL2 is more close to the actual status of terminal cancer patients and is more accurate and specific, it is more suitable for evaluation of living quality of terminal cancer patients.

关 键 词：晚期癌症病人 生活质量 量表编制 信效度测试 

分 类 号：R473.73[医药卫生—护理学]