中文版简明健康调查问卷在甘肃省成人大骨节病患者生存质量评价中的应用  

Application of condensed Chinese version of the MOS 36-item short form health survey in assessment of quality of life among adult patients with Kashin-Beck disease in Gansu province

作　　者：邵建赟[1] 陈晓燕[1] 格鹏飞[1] 廖永建[1] 陈国华[1] 王文龙[1] 柏淑英[1] 鱼素琴[1] 谢晓艳[1] 

机构地区：[1]甘肃省疾病预防控制中心地方病防制科,兰州730020

出　　处：《中国地方病学杂志》2012年第6期664-667,共4页Chinese Jouranl of Endemiology

摘　　要：目的评价中文版简明健康调查问卷（SF-36）在成人大骨节病患者中应用的信度与效度和成人大骨节病患者的生存质量。为成人大骨节病实施康复治疗提供科学依据。方法运用中文版SF-36调查甘肃8个县427名成人大骨节病患者和419名健康人。用分半系数和Cronbach’s α信度系数分析SF-36信度；用主成分、因子分析和相关分析等方法分析量表的效度；用方差分析、单变量t检验等方法检验成人大骨节病患者的生存质量得分。结果在成人大骨节病患者中，SF-36的分半系数均〉0．6，Cronbach’s α信度系数均〉0．8；主成分因子分析SF-36的8个领域可分为2个综合测量指标，各条目与其所属领域相关系数绝对值均〉0．391。不同年龄、不同患病程度的成人大骨节病患者生存质量得分比较差异均有统计学意义（P均〈0．01）。结论中文版SF-36可以用于成人大骨节病患者生存质量的研究。Objective To evaluate the reliability and validity of the application of condensed Chinese version of the MOS 36-item short form health survey （SF-36） in assessment of quality of life among adult patients with Kashin-Beek disease, and to provide a scientific basis in rehabilitation of the patients. Methods Four hundred and twenty seven eases of adult patients with Kashin-Back disease and 419 healthy individuals randomly selected in Kashin-Beck disease endemic areas in 8 counties of Gansu province were surveyed with the SF-36. The reliability of the SF-36 was assessed by split-half reliability and Cronbaeh＇s α coefficient and the validity through principal component factor analysis and correlation analysis, etc. The dimension scores of different people were obtained by analysis of variance and univariate t-test. Results The split-half reliability of all the 8 dimensions was greater than 0.6 and the Cronbaeh＇s α coefficient was greater than 0.8; the pearson correlate coefficients of all the items to their dimensions were greater than 0.391. SF-36 contained 8 domains and 2 summary scales in the factor analysis. The score differences of quality of life in different ages of the patients, different stages of the disease were statistically significant （all P 〈 0.05）. Conclusion The SF-36 is practical in studying the quality of life among adult patients with Kashin-Beck Disease.

关 键 词：大骨节病 简明健康调查问卷 生活质量 评价研究 

分 类 号：R684.1[医药卫生—骨科学]