眩晕症状量表的汉化及信效度和反应度检验  

Development of Chinese version vertigo symptom scale(VSS):reliability and validity

作　　者：邓真[1,2] 元唯安[1,2] 王辉昊[1,2] 詹红生[1,2] 

机构地区：[1]上海中医药大学附属曙光医院石氏伤科医学中心,上海201203 [2]上海中医药研究院骨伤科研究所,上海201203

出　　处：《浙江大学学报（医学版）》2015年第2期138-144,共7页Journal of Zhejiang University(Medical Sciences)

基　　金：“中医骨伤科学”国家重点学科(100508);国家自然科学基金(81473702,81001528);上海领军人才项目(041);上海市科委重点项目(14401970402,09dZ1973800);上海高校“中医脊柱病损研究”创新团队建设项目(2009-26)

摘　　要：目的：汉化眩晕症状量表（ Vertigo Syndrome Scale 中文版， VSS-C 量表），并通过评估以眩晕为主要症状的椎动脉型颈椎病患者对VSS-C量表进行信效度、反应度检验。方法：征得原量表作者同意后，按照相关指南及要求，将原量表汉化为VSS-C量表。将VSS-C量表应用于健康对照组（21名）和椎动脉型颈椎病患者（52例），对照组在2周内独立完成VSS-C量表评定2次；患者组在3周内独立完成VSS-C评定3次（在第3次评定前接受为期1周的手法康复治疗），同时与SF-36健康调查量表评定结果对照。通过两次VSS-C量表的评定结果相关性分析来测试其重测信度，以科隆巴赫α系数来评定VSS-C 量表的内部一致性。将VSS-C量表的结果与 SF-36健康调查量表的各个维度进行相关性分析来评定VSS-C量表的效度。比较患者组第2次和第3次的VSS-C量表结果评定其对于手法康复治疗的反应度。结果：VSS-C 量表两次测验组内相关系数均大于0.9（ P＜0.05），两个子量表的科隆巴赫α系数均在0.7以上，总体VSS-C 量表的科隆巴赫α系数大于0.85。 VSS-C 量表各个项目与所属子量表之间相关系数值均大于0.5；VSS-C量表与SF3-6健康调查量表中相应的亚项目之间相关系数值均大于0.5；VSS-C量表经限定抽取公共因素法行因子分析，所抽取的2个公因子在各条目中所占比重与原版VSS量表中所属子量表大致相符。患者组和对照组VSS-C量表评分分别为22.9±9.2和10.6±10.2，两者之间差异有统计学意义（ P ＜0.01）；患者组手法治疗前后VSS-C量表评分分别为24.4±10.0和23.0±9.3，差异也有统计学意义（ P＜0.01）。结论：VSS-C量表在评价椎动脉型颈椎病患者眩晕程度上具有较好的信度、效度及可重复性。Objective： To develop a Chinese version of Vertigo Symptom Scale （ VSS-C） and to examine its reliability and validity .Methods：The VSS was translated into Chinese and developed a Chinese version VSS （ VSS-C ） with the consent of the author .The VSS-C scale was tested in 52 subjects with cervical spondylosis of vertebral artery type （ CSA group ） and 21healthy subjects （ control group ） .In CSA group VSS-C scale and SF-36 scale investigation was performed for 2 times with 1 week interval , after receiving 1-week orthopedic rehabilitation the patients were evaluated with the VSS -C and SF-36 scale;while subjects in control group received the investigation twice in two weeks.The reliability of the scale was evaluated with Cronbach＆#39;s alpha method and the correlation between SF-36 scale and the VSS-C were also evaluated for the validity . Results：The internal consistency of VSS-C was good with Cronbach＇s alpha of 0.886 . Test-retest reliability was also very good with an intraclass correlation coefficient （ ICC） between two time points , being 0.970 for VSS-C,0.965 for VSS-AA and 0.992 for the VSS-VER.Regarding concurrent validity ,significant low correlation was found between the VSS-AA and VSS-VER （ r=0.379 ,P〈0.05 ） .Significant expected correlation was detected between the VSS-C and SF-36 （ r〉0.5 ,P〈0.05 ） .The independent-samples t test results （ t=6.261 ,P〈0.01 ） of the CSA group and the control group showed that the VSS-C was able to distinguish healthy people from CSA patients . The paired-samples t test results （ t =5.513 , P 〈0.01 ） showed that VSS-C reflected the improvement of patients after treatment of Chinese massage manipulation .Conclusion：The Chinese version of VSS has a high comprehensibility , internal consistency and validity, and it can be a useful instrument for evaluation of patients with cervical spondylosis of vertebral artery type in China .

关 键 词：眩晕 椎底动脉供血不足 评价研究 

分 类 号：R681.55[医药卫生—骨科学]