慢性病患者生命质量测定量表共性模块的二次评价研究  

Evaluation of the General Module of Quality of Life Instruments for Chronic Disease

作　　者：潘海燕[1] 杨铮[1] 万崇华[2] 赵芝焕[3] 段丽萍[3] 潘家华[3] 丁元林[1] 

机构地区：[1]广东医学院公共卫生学院,广东省东莞市523808 [2]广东医学院人文与管理学院 [3]昆明医学院第一附属医院

出　　处：《中国全科医学》2012年第10期1101-1103,1107,共4页Chinese General Practice

基　　金：国家自然科学基金(30360092;30860248)

摘　　要：目的采用大样本评价慢性病患者生命质量测定量表的共性模块(QLICD-GM)的信度、效度和反应度。方法应用QLICD-GM量表对8种慢性病1 024例患者进行测试,采用经典测量理论(CTT)对QLICD-GM的信度、效度和反应度进行评价。结果 QLICD-GM各个领域及侧面的重测相关系数均大于0.8;克朗巴赫α系数除了生理功能领域得分(0.35)较低以外,其他领域得分均大于0.6。各条目与所属侧面相关性均较大,而与非所属侧面相关性均较小。比较得分的均数,发现除心理功能领域、认知、社会支持、社会影响侧面的差异无统计学意义(P>0.05)外,其余差异均有统计学意义(P<0.05)。结论 QLICD-GM具有较好的信度、效度及反应度,能够作为我国慢性病患者生命质量的测评工具。Objective To evaluate the credibility,validity and responsiveness of the General Module of the Quality of Life Instruments for Chronic Disease（QLICD-GM）.Methods Totally 1 024 patients with chronic diseases were evaluated with QLICD-GM.Classical Test Theory（CTT） was used to evaluate the credibility,validity and responsiveness of QLICD-GM.Results The test-retest correlation coefficient of each dimension and facet of QLICD-GM were all higher than 0.8.The Cronbach′s α coefficients of all items exceeded 0.6 except the dimension of physiological function（0.35）.The items had a relatively high correlation with their corresponding facets,and a relatively low correlation with other facets.The mean scores of most facets（except psychological function,cognition,social support,and social influence） showed significant differences before and after treatment（P〈0.05）.Conclusion QLICD-GM has relatively high credibility,validity,and responsiveness in measuring the quality of 1ife among patients with chronic diseases.

关 键 词：生命质量 慢性病 信度 效度 反应度 

分 类 号：R19[医药卫生—卫生事业管理]