儿童生存质量量表PedsQL^(TM) 3.0哮喘模块中文版父母报告的信度效度分析  

Chinese Version of Pediatric Quality of Life Inventory^(TM)(PedsQL^(TM)) 3.0 Asthma Module Parent Report:Reliability and Validity

作　　者：张映芬[1] 冯丽芬[2] 陈若青[3] 郝元涛[2] 

机构地区：[1]中山大学附属第一医院特诊医疗中心,广东广州510080 [2]中山大学公共卫生学院,广东广州510080 [3]复旦大学公共卫生学院,上海200032

出　　处：《中山大学学报（医学科学版）》2010年第5期710-714,722,共6页Journal of Sun Yat-Sen University:Medical Sciences

基　　金：国家自然科学基金(30972544)

摘　　要：【目的】考察中文版儿童生存质量量表PedsQLTM 3.0哮喘模块父母报告的信度和效度。【方法】采用规范的量表引进程序,将英文版的PedsQLTM 3.0哮喘模块翻译成中文。用中文版的PedsQLTM 3.0哮喘模块调查广州市哮喘患儿父母共341人,337人完成问卷。其中轻度哮喘患儿有232名,中度82名,重度19名,4人缺填;病程小于3年者186人,病程大于3年者148人,3人缺填。分析量表的可行性、信度和效度等。【结果】341名被调查患儿父母中337名完成了问卷,应答率达98.8%;量表各维度的克朗巴赫α系数介于0.87到0.93之间;重测信度组内相关系数ICC值介于0.92到0.99之间;量表各条目与其所属维度之间的相关较强,而与其他维度的相关较弱;不同病情、不同病程患儿得分差别无统计学意义(P>0.05);证实性因子分析结果显示相对拟合指数CFI为0.94。【结论】中文版PedsQLTM3.0哮喘模块父母报告具有可接受计量心理学特征,可以应用于中国文化背景下城市中哮喘患儿的生存质量评价。Objective To evaluate the reliability and validity of Chinese version PedsQLTM 3.0 asthma module parent report.Methods The standard procedure of cross-culture adaptation was used to develop the Chinese version PedsQLTM 3.0 asthma module.A total of 341 parents were investigated with this Chinese scale in Guangzhou,only 337 patients completed the scale,including 232 parents whose children were with mild asthma,4 parents left the item blank,82 with moderate asthma and 19 with severe asthma.Grouping by the duration of disease,there were 186 children with duration less than 3 years while 148 children with more than 3 years duration of disease,3 parents missed this item.The feasibility,reliability,and validity of the Chinese version scale were then evaluated.Results There were 337 of 341 investigated parents who completed the questionnaire.The response rate was 98.8%.All dimension＇s Cronbach alpha coefficients ranged from 0.87-0.93,and the ICC ranged from 0.920.99.The results of correlation analysis showed that there was higher correlation between item and its belonged domains than that with other domains.The scores in the children with different disease severity,different disease course had no significant differences（P 0.05）.Confirmatory factor analysis showed that the main indices of goodness of fit CFI was 0.94.Conclusion The Chinese version PedsQLTM 3.0 asthma module parent report has acceptable psychometric properties.The instrument may be a valuable tool to measure HRQOL of Chinese asthmatic children/adolescents in cities.

关 键 词：支气管哮喘 儿童 生存质量 信度 效度 

分 类 号：R195.1[医药卫生—卫生统计学]