中文版亚太地区成人功能性胃肠病问卷信度和效度分析  

Reliability and validity analysis of Chinese version of Asia-Pacific functional gastrointestinal disorders questionnaire

作　　者：龚晓蓉[1] 熊理守[1] 时权[1] 史一楠[1] 陈旻湖[1] 

机构地区：[1]中山大学附属第一医院消化科,广州510080

出　　处：《中华消化杂志》2012年第5期298-302,共5页Chinese Journal of Digestion

摘　　要：目的评估中文版亚太地区成人功能性胃肠病（FGID）问卷的信度和效度。方法采用规范的量表翻译程序，将英文版亚太功能性胃肠病问卷翻译成中文。用中文版的问卷调查2011年4月至5月于中山大学附属第一医院消化科门诊就诊的成人FGID患者，分析问卷的可行性、信度和效度。结果56例成人FGID患者完成问卷，其中37例依从性较好的患者完成了间隔2周的重复问卷。问卷第1部分（基本信息、疾病病程、报警症状）重测信度好，重测系数均〉0．7。问卷第2部分（胃肠道各系统症状）原始数据重测信度差、中等和好的条目分别占27．8％、61．1％及11．1％；根据罗马Ⅲ评分标准转换为二分类数据后重测信度差、中等和好的条目分别占5．5％、41．7％及52．8％。问卷第3部分（患者既往就医、用药、疾病对生活影响等情况）重测信度差、中等和较好的条目分别占36．0％、40．0％及24．O％。以功能性胃肠病罗马Ⅲ诊断标准为效标，问卷效度中等。结论中文版亚太地区成人FGID问卷具有可行性，可以应用于中国文化背景下成人FGID患者的初筛。Objective To evaluate the reliability and validity of Chinese version of Asia-Pacific functional gastrointestinal disorders （FGIDs） questionnaire. Methods The standardized scale translation program was used to translate the Asia-Pacific functional gastrointestinal disorders questionnaire into Chinese version. From April to May 2011, the functional gastrointestinal disorders （FGID） out-patients of the Department of Gastroenterology at the First Affiliated Hospital of Sun YaP Sen University were asked to complete the Chinese version of the questionnaire, then the feasibility, reliability and validity of the questionnaire were evaluated. Results A total of 58 FGIDs patients finished the questionnaire, of which 37 patients with good compliance finished the 2-week interval questionnaire. The retest reliability of the first part of the questionnaire was good （including basic information, disease duration and alarm symptoms）, all the test-retest coefficients were more than 0.70. The percentage of poor, medium and good retest reliability items of the second part of the questionnaire （including the symptoms of gastrointestinal system） was 27.8%, 61. 1% and 11. 1 respectively. After the data was transformed into binary data according to Rome Ⅲ diagnostic criteria, the percentage of poor, medium and good retest reliability items was 5. 5%, 41. 7% and 52. 80% respectively. The percentage of poor, medium and good retest reliability items of the third part of the questionnaire （including previous medical treatment, medication and the impact of the disease on life, etc） was 36.0%, 40.0%0 and 24. 0% respectively. The validity of the questionnaire was moderate according to the Rome Ⅲ diagnostic criteria. Conclusion The Chinese version of Asia Pacific functional gastrointestinal disorders is feasible and can be used to screen the adult FGIDs under the Chinese cultural background.

关 键 词：功能性胃肠病 问卷调查 方差分析 

分 类 号：R57[医药卫生—消化系统]