中文版SF-36 v2量表评价住院心房颤动患者生命质量的适用性研究  

Evaluation on the Applicability of the Chinese Version of SF-36 v2 Scale in Assessing the Quality of Life of Patients With Atrial Fibrillation

作　　者：董爱淑[1] 朱莲莲[2] 石博文[1] 周爱芽[1] 陈茜茜[1] 郭文坚[1] 

机构地区：[1]温州医科大学附属第二医院,浙江省温州市325000 [2]温州医科大学护理学院

出　　处：《中国全科医学》2015年第26期3211-3215,共5页Chinese General Practice

基　　金：浙江省温州市2014年第一期科技项目(Y20140198)

摘　　要：目的：探讨中文版SF-36 v2量表评价住院心房颤动患者生命质量的适用性。方法于2013年1—9月，采用目的抽样法选取年龄≥18周岁、精神正常、能够自我表达的某三甲医院心内科住院心房颤动患者86例作为调查对象，对其进行问卷调查，包括一般情况调查和SF-36 v2量表调查。通过集合效度和区分效度、内部一致性信度和折半信度、结构效度和判别效度评定SF-36 v2量表评价住院心房颤动患者生命质量的适用性。结果共发放问卷86份，回收有效问卷86份。患者SF-36 v2量表躯体疼痛（ BP）、一般健康状况（ GH）、生理功能（ PF）、生理职能（RP）、情感职能（RE）、社会功能（SF）、活力（ⅤT）、精神健康（mH）8个维度得分转换分分别为：（83.2±16.3）、（34.6±8.4）、（61.5±25.0）、（48.8±31.3）、（59.0±29.7）、（63.7±18.8）、（58.8±16.6）、（61.4±15.0）分；地板效应分别为：1.2%、1.2%、1.2%、7.0%、4.7%、2.3%、1.2%、1.2%；天花板效应分别为：38.4%、1.2%、1.2%、17.4%、10.5%、7.0%、1.2%、2.3%。条目集合效度除GH1（总的来说，你认为你的健康状况是）相关性为0.280，其余34个条目均达到标准，总成功率为97.1%；BP、RE、SF维度的区分效度成功率达到100.0%，GH维度较低，为51.4%，总成功率为84.1%。8个维度的Cronbach′s α系数为0.704~0.939，折半信度为0.732~0.947。SF-36 v2量表通过主成分分析，产生了两大领域，分别代表生理健康和心理健康，共解释66.61%的总方差。年龄与生理健康呈负相关（ rs =-0.389，P=0.003），自评健康状况与生理健康、心理健康均呈正相关（ rs =0.294、0.367，P=0.010、0.013）。结论 SF-36 v2量表作为SF-36 v1修订版，问题和答案布局更合理，地板效应和天花板效应降低，评价住院心房颤动患者的生命质量有较好的信效度，可用于住院心房颤动患者的生命质量评价。Objective To evaluate the application of the Chinese version of SF-36 v2 scale in assessing the quality of life of patients with atrial fibrillation. Methods Using purposive sampling method,we enrolled 86 patients who were admitted into the Department of Cardiology of a grade -3 and first -class hospital from January to September in 2013. The inclusion criteria were age≥18,eunoia and clear self - expression. Questionnaire surveys were conducted on the subjects,including general information and SF-36 v2. The application of SF-36 v2 scale in assessing the quality of life of inpatients with atrial fibrillation was evaluated by convergent validity,discriminative validity,internal consistency reliability,split-half reliability, construct validity and discriminant validity. Results A total of 86 questionnaires were distributed, and 86 effective questionnaires were taken back. The scores of eight dimensions in SF -36 v2 scale,including bodily pain（ BP）,general health（ GH）,physical function（ PF）,role-physical（ RP）,role-emotion（ RE）,social function（ SF）,vitality（ⅤT）,and mental health（mH）were：（83. 2 ±16. 3）,（34. 6 ±8. 4）,（61. 5 ±25. 0）,（48. 8 ±31. 3）,（59. 0 ±29. 7）,（63. 7 ± 18. 8）,（58. 8 ± 16. 6）and（61. 4 ± 15. 0）,respectively;the floor effects were：1. 2%,1. 2%,1. 2%,7. 0%,4. 7%, 2. 3%,1. 2% and 1. 2% respectively;the ceiling effects were：38. 4%,1. 2%,1. 2%,17. 4%,10. 5%,7. 0%,1. 2%and 2. 3% respectively. The item-convergent validity of 34 items achieved the standard except the item of GH1 （ in general, what do you think about your health） with a convergent validity of 0. 280,and the total success rate of item-convergent validity was 97. 1%. The dimensions′success rates of discriminative validity for BP,RE and SF were 100. 0%,and that for GH was 51. 4%,and the total success rate of discrimination validity was 84. 1%. Cronbach′sαcoefficients of the eight dimensions were within 0. 704-0. 939,and the split-half reliability was within 0.

关 键 词：心房颤动 生活质量 问卷调查 SF-36 V2 信效度 

分 类 号：R541.75[医药卫生—心血管疾病]