儿童生存质量测定量表PedsQL3.0心脏病模块中文版的信度和效度分析  

Reliability and validity for Chinese Version of Pediatric Quality of Life Inventory PedsQLTM3.0 Cardiac Module

作　　者：黄卓燕[1] 郝元涛[2] 朱琦[2] 林丹儿[2] 杨仲仪[1] 胡佳梅[3] 

机构地区：[1]中山大学第一附属医院,广东省广州市510080 [2]中山大学公共卫生学院,广东省广州市510080 [3]广州市儿童医院,广东省广州市510050

出　　处：《中国组织工程研究与临床康复》2010年第48期9037-9040,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：背景：心脏病患儿的生存质量受到越来越多的关注,但是国内缺少相关的研究报道。缺乏适合的量表是主要原因之一。目的：考察儿童生存质量量表PedsQL3.0心脏病模块中文版的信度和效度。方法：采用国际通用的量表翻译改造程序,将英文版的儿童生存质量测定量表PedsQL3.0心脏病模块翻译改造成中文。并将中文版量表运用于广州市3家三级甲等医院的310例门诊部或住院部的心脏病患儿及其家长。分析量表的可行性、内部一致性、内容效度、结构效度等。结果与结论：父母和患儿共发放480份问卷,回收462分,答卷的条目缺失率低于1%;除5~7岁患儿自评问卷的感知身体外貌维度的Cronbach′sα系数为0.35外,其他量表各个方面的Cronbach′sα系数为0.66~0.94;量表的各条目与其所属方面和领域之间相关较强,而与其他方面和领域相关较弱;证实性因子分析结果表明因子结构与量表的理论结构一致。结果提示PedsQL3.0心脏病模块中文版的信度和效度良好,可以应用于中国心脏病儿童生存质量的研究。BACKGROUND：Health related quality of life（HRQOL）of children with heart disease receives increasing attention,but there are few related studies in China.One of the main reasons is a lack of suitable questionnaire.OBJECTIVE：To test the reliability and validity of Chinese Version ＂Pediatric Quality of Life Inventory PedsQL3.0 Cardiac Module＂.METHODS：The standard procedure of cross-culture adaptation was used to develop the Chinese version PedsQL3.0 Cardiac Module.A total of 310 pediatric outpatients/inpatients with heart disease and their parents from three Triple A hospitals in Guangzhou completed the Chinese version PedsQL3.0 Cardiac Module.The psychometric properties of the scale such as internal consistency,content validity and construct validity were evaluated.RESULTS AND CONCLUSION：A total of 462 of 480 questionnaires were completed.The rate of item missing was less than 1%.All domains＇ Cronbach alpha ranged from 0.66-0.9,except the 5-7 years old group（α=0.35 in ＂Appearance＂）.The results of correlation analysis showed that there was higher correlation between item and its belonged domains than that with other domains.The results of Confirmatory Factor Analysis indicated that the factor structure was similar to the theoretical construct of the original instrument.An acceptable psychometric property of the Chinese Version PedsQL3.0 Cardiac Module was indicated.Chinese version PedQL3.0 Cardiac Module can be used in health-related quality of life research for Chinese cardiac children.

关 键 词：心脏病 儿童 生存质量 量表 信度 效度 

分 类 号：R318[医药卫生—生物医学工程]