喉癌患者术后生存质量量表的研制  

Assessment of quality of life for laryngeal cancer patients after laryngectomy

作　　者：李培华[1] 张峻[2] 孙光明[1] 李红权[1] 

机构地区：[1]徐州医学院附属医院耳鼻咽喉科,江苏徐州221006 [2]解放军第97医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第21期1648-1651,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:初步研制喉癌患者术后生存质量量表,并对其进行信度及效度评价。方法:根据WHO对于生存质量的定义以及生存质量量表的编制原则和程序,建立条目池,使用主观评价法、离散趋势法、相关系数法、逐步回归分析法、因子分析法筛选条目,编制喉癌患者术后生存质量量表。使用该量表对126例喉癌患者进行问卷调查,考察量表的信度及效度。结果:1编制了喉癌术后生存质量量表,量表包含躯体功能、喉功能、精神(心理)状态、独立能力、社会(家庭)状况及气管造口6个领域27个条目;2信度评价结果:总量表的分半信度系数为0.802,克朗巴赫α系数为0.794;3效度评价结果:相关分析提示各条目与其所在领域的相关性较大,而与其他领域的相关性小;量表总分与自评总分相关系数为0.731。结论:该量表对喉癌患者术后生存质量评价具有较好的信度和效度。Objective：This study was designed to develop a rating scale of quality of life（QOL）which fits laryngeal cancer patients after laryngectomy.Method：The item pool was developed on the definition of QOL from WHO and the principles and procedures of developing a rating scale.Five methods had been used in the item selection including,such as subjective evaluation methods,discrete tendency,correlation coefficient method,stepwise regression analysis,and factor analysis.The survey was conducted in 126 laryngeal cancer patients after laryngectomy in order to assess the reliability and validity of the rating scale.Result：1 A rating scale of QOL which fits laryngeal cancer patients after laryngectomy including six domains and 27 items is was developed.2 The split-half reliability coefficient of the scale is 0.802,and the Cronbach′αcoefficient is 0.794.3It is inferred from the correlation analysis that there are strong correlation between items and their own domains;conversely there are weak correlation between items and other domains.Correlation coefficient is 0.731 between total score and self-rating score.Conclusion：The reliability and validity of the rating scale is proved to work well.

关 键 词：喉肿瘤 喉切除术 生存质量 

分 类 号：R739.6[医药卫生—肿瘤]