非手术治疗特发性脊柱侧凸生存质量《国际功能、残疾和健康分类》类目组合制定初步研究  

Evaluation of quality of life of non-operational idiopathic scoliosis patients with ICF items: a preliminary study

作　　者：吴超[1,2] 杜青[3,1,4] 周璇[3,4] 杨晓颜[3,4] 陈楠[3,4] 徐彬[3,4] 于虹[3,4] 梁菊萍[1] 

机构地区：[1]上海体育学院运动科学学院 [2]温州医科大学附属第一医院康复医学科 [3]上海交通大学医学院附属新华医院康复医学科,200092 [4]上海市小儿外科临床医学中心

出　　处：《中国康复医学杂志》2016年第3期263-268,共6页Chinese Journal of Rehabilitation Medicine

基　　金：上海市科学技术委员会资助项目(13401903400);崇明县科学技术委员会资助项目(CKY2013-03);新华人才基金项目资助(12XJ22001);上海体育学院研究生国(境)外访学资助(SHTYFX20120212)

摘　　要：目的:通过将中文版脊柱侧凸研究会患者问卷表(The Scoliosis Research Society-22 Questionnaire,SRS-22)与《国际功能、残疾和健康分类》中相关类目匹配,旨在实现SRS-22问卷跨语言、跨学科的交流,为特发性脊柱侧凸(idiopathic scoliosis,IS)患者生存质量(QOL)评定提供通用的、标准化无语言局限的评定方法。方法:将脊柱侧凸研究会患者问卷SRS-22的内容与ICF中相关类目进行匹配,获得ICF类目组合,运用获得的ICF类目组合、SRS-22问卷,分别对41例非手术治疗IS患者进行评定;初测2周后,随机对其中20例患者进行ICF类目组合重测。结果:SRS-22问卷与ICF类目匹配一致性Kappa=0.87(P<0.01);SRS-22问卷与IS患者QOL的ICF类目组合临床评定结果相关性r=0.838(P<0.01);ICF类目组合各维度重测信度均大于0.75。结论:ICF类目组合能全面体现SRS-22问卷内容,且具有良好的信度与效度,与SRS-22问卷评定结果高度相关,可运用于临床非手术治疗IS患者QOL的评定。Objective： To provide an international and standardized assessment tool of evaluation of quality of life（QOL） of non-operational idiopathic scoliosis（IS） patients. The Scoliosis Research Society-22 Questionnaire（SRS-22） to International Classification of Functioning, Disability and Health（ICF） items were linked in order to eliminate barriers between languages in evaluating. Method：The SRS-22 was linked to ICF items according to ICF link rules. Forty-one patients with IS were en- rolled in the clinical test and managed by SRS-22 and linked ICF items. Twenty out of 41 non-operational IS patients did the test-retest experiment of ICF items in following 2 weeks randomly. Result：The reliability of the linking process （Kappa value） was 0.87（P〈0.01）. The correlation value （r）of the re- suits of SRS-22 and the linked ICF items in clinical evaluation was 0.838 （P〈0.01）. The test-retest reliability valuein all dimensions of ICF were greater than 0.75. Conclusion：The linked ICF items can response the SRS-22 contents, and can evaluate the QOL of non-opera- tional IS with fine reliably and validly. The result of ICF items are also highly related with the result of SRS-22

关 键 词：特发性脊柱侧凸 国际功能、残疾和健康分类 脊柱侧凸研究会患者问卷表 生存质量 

分 类 号：R682.3[医药卫生—骨科学]