中文版参与和自主性测评问卷的修订及信度、效度分析  

Revising and analysing the reliability and validity of Chinese version of impact on participation and autonomy questionnaire

作　　者：李红[1] 崔明 周兰姝[1] 

机构地区：[1]第二军医大学护理学院,上海200433 [2]上海市杨浦区大桥社区卫生服务中心

出　　处：《中国康复医学杂志》2012年第10期923-927,937,共6页Chinese Journal of Rehabilitation Medicine

基　　金：上海市自然科学基金(11ZR1447100)

摘　　要：目的:修订中文版参与和自主性测评问卷(IPA)并对其进行信度和效度评价,为评估脑卒中患者社会水平的康复结局提供简单、有效的工具。方法:对英文IPA问卷进行系统的翻译和文化调适,并应用中文版IPA对150例脑卒中患者进行测量,对测定结果进行信度和效度分析。结果:中文版IPA-Ⅰ问卷总的Cronbach α系数为0.959,各维度的Cronbach α系数为0.782—0.965;IPA-Ⅱ问卷Cronbach α系数为0.905。内容效度分析得出:IPA问卷各条目的CVI值为0.8以上,除一个条目(与配偶间亲密关系)外,其余各条目得分与总分相关性系数为0.406—0.901(P<0.01);平行效度分析得出:IPA-Ⅰ问卷与伦敦残障量表(LHS)得分的相关系数为0.807(P<0.01),IPA-Ⅱ问卷与LHS得分的相关系数为0.657(P<0.01);对中文版IPA-Ⅰ问卷进行因子分析,IPA-Ⅰ得到4个公因子,各条目载荷大于0.4,共解释了78.824%的方差。结论:中文版IPA问卷是一份具有较好信度和效度的测评工具,可用于我国脑卒中患者的相关研究中。Objective： To revise and analyse the reliability and validity of Chinese version of impact on participation and au- tonomy questionnaire （IPA）. Method： A revised Chinese version of IPA was developed through forward-backward translation and culture modu- lation procedures. Then reliability and validity were tested. The work and education domain was left out of the analysis due to its low applicability to 150 stroke survivals. Result： Cronbach＇s c~ coefficient for the remaining 26 items of IPA-I was 0.959, for the four domains of IPA-I ranged between 0.782---0.965; for the IPA-II was 0.905, indicating good homogeneity. One item （intimate relationship） was deleted for the low correlations with total score （r=0.173）. Convergent validity was largely supported by the correlations between London handicap scale（LHS） and IPA. Factor analysis extracted 4 factors which were approximately consistent with the structure and content of the four subscales. Conclusion： The Chinese version of IPA is a valid, reliable and acceptable measure of participation and autono- my in patients with stroke.

关 键 词：参与 自主性 脑卒中 信度 效度 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]