哮喘儿童生存质量自我评价与代理者评价的一致性研究  

Study of consistency between asthma children＇s serf-assessment health-related quality of life and their proxies＇ assessment

作　　者：张映芬[1] 冯丽芬[2] 刘彩霞[2] 郝元涛[2] 

机构地区：[1]中山大学附属第一医院,广州510080 [2]中山大学公共卫生学院

出　　处：《中国实用护理杂志》2010年第11期64-67,共4页Chinese Journal of Practical Nursing

摘　　要：目的探索哮喘儿童生存质量A我评价与代理者评价的一致性，为哮喘儿童的临床治疗护理提供理论依据。方法运用PedsQLTM量表体系的普适性核心量表及哮喘模块中文版对哮喘息儿及其代理者进行问卷调查，采用配对设计资料的Wilcoxon秩和检验以及计算组内相关系数（ICC）来评估结果的一致性。结果哮喘儿童自评报告和代理者报告（主要是父母）总分及各维度得分（除生理维度外）无显著差异，组内相关系数（ICC值）除生理维度外，其余均≥0．7。而通过对年龄进行分层分析后，部分维度得分有差异。结论基于PedsQLTM问卷调查的结果显示儿童自评报告与代理者报告的一致性良好。Objective To examine the consistency between asthma children＇s self-assessment health-related quality of life and their proxies＇ assessment, to give theoretic basis of clinical treatment for asthma children. Methods Parents and asthma children completed the PedsQLTM 4.0 Generic Core Scales and PedsQLTM 3.0 Asthma Module during an outpatient visit or in the hospital. Wilcoxon signed rank test and ICC were used to compare the difference between asthma children＇s self-report and their proxies＇ report. Results The findings indicated that neither the total scores nor domain scores （except physiological domain） between asthma children＇s self-reports and proxies＇ reports （parents most of all） showed inconsistency. The value of ICC was not less than 0.7 except physiological dimension and showed consistency. Some different information in several domains was founded by the scores after layered by age. Conclusions There are consistency between children＇s self assessment of health-related quality of life and their proxies＇ assessment based upon results of PedsQLTM scale.

关 键 词：哮喘儿童 生存质量 代理者 量表一致性 

分 类 号：R725.6[医药卫生—儿科]