中文版8条目Morisky用药依从性问卷在2型糖尿病患者中应用的信效度评价  

Evaluation of reliability and validity of application of the Chinese version of 8-item Morisky Medication Adherence Scale in patients with type 2 diabetes

作　　者：王洁[1] 莫永珍[1] 卞茸文[1] 

机构地区：[1]江苏省老年医学研究所糖尿病防治研究中心,南京210024

出　　处：《中国糖尿病杂志》2013年第12期1101-1104,共4页Chinese Journal of Diabetes

基　　金：2009年度江苏省卫生厅科研项目(H200931)

摘　　要：目的探讨中文版8条目Morisky用药依从性问卷(MMAS-8)评估T2DM患者用药依从性的信效度。方法选取T2DM患者182例,以中文版MMAS-8和用药依从性视觉模拟评分(MAVAS)为研究工具收集资料,采用信度分析、相关分析及因子分析等评价量表信效度。结果中文版MMAS-8的Cronbach’sα系数为0.65,组内相关系数(ICC)为0.80。结构分析共提取2个公共因子,共解释总方差的45.4%。中文版MMAS-8评分与MA-VAS评分相关(r=0.75,P<0.01)。血糖达标(HbA1c<7%)组MMAS-8评分较血糖未达标(HbA1c≥7%)组高[(6.8±1.3)vs(5.6±1.7),t=-4.68,P<0.01]。结论中文版MMAS-8信效度较好,可用于评估T2DM患者的用药依从性。Objective To evaluate the reliability and validity of Chinese version of 8-item Morisky Medication Adherence Scale （MMAS-8） applied to assess medication adherence of T2DM patients.Methods 182 T2DM patients were cross-sectionally studied.Chinese MMAS-8 and Medication Adherence Visual Analogue Scale （MA-VAS） were used to collect data that were conducted for statistical analysis,including reliability,Spearman correlation and factor analysis to evaluate the reliability and validity.Results The internal consistency determined by Cronbach＇s α was 0.65.Test-retest reliability expressed by the Intraclass correlation coefficient （ICC） was 0.80.Factor analysis indicated that MMAS-8 was composed of two factors which could explain 45.4％ of total variance.Significant correlations were found between MMAS-8 and MA-VAS （r =0.75,P＜ 0.01）.MMAS-8 score was significantly higher in good control （HbA1c＜7％） group than in poor control （HbA1c≥7％） group[（6.8±1.3） vs （5.6±1.7）,t=-4.68,P＜0.01].Conclusion The Chinese MMAS-8 is a simple,valid,reliable and clinically relevant tool to assess medication adherence in patients with T2DM.

关 键 词：Morisky用药依从性问卷 用药依从性 糖尿病 2型 信度 效度 

分 类 号：R587.1[医药卫生—内分泌]