Morisky问卷评价精神分裂症恢复期患者服药依从性的信度和效度  

Reliability and validity of the Morisky questionnaire in measurement of the compliance with recovering schizophrenia

作　　者：寸金芝[1] 赵丽琴[1] 

机构地区：[1]云南省大理州第二人民医院,671000

出　　处：《临床精神医学杂志》2016年第3期185-186,共2页Journal of Clinical Psychiatry

摘　　要：目的：评价Morisky问卷对精神分裂症患者服药依从性的信度和效度。方法：采用便利取样法选取125例精神分裂症恢复期患者进行Morisky问卷调查,7 d后对其中30例患者进行Morisky问卷重测,计算Cronbach＇sα系数及重测信度,评价量表的信度;采用探索性因子分析方法考评量表结构效度。结果：采用条目-总分相关法及决断值法对条目的区分度进行分析,问卷的4个条目皆达显著水平,符合选题标准,可以保留。问卷总Cronbach＇sα系数为0.78,7 d后重测信度为0.84。经最大方差旋转法旋转后提取1个因子,累计解释的方差为52.25%,4个条目的因子负荷0.65~0.78之间。结论：Morisky问卷在精神分裂症恢复期患者服药依从性中有较好的信度及效度。Objective： To evaluate the reliability and validity of Morisky questionnaire on medication compliance of schizophrenia patients. Method： One hundred and twenty-five schizophrenia patients in recovering period were selected by convenient sampling method. 7 days later,30 of them were retested by Morisky,and the Cronbach＇s alpha coefficient,retest reliability,and the reliability of the evaluation scale were calculated; exploratory factor analysis was used to evaluate the structural validity of the scale. Results： Based on item-total correlation method and determination value method to analyze the item discrimination,all four items in the questionnaire reached significant level,and conforming to standards of the item selection,all of them can be retained;questionnaire total Cronbach＇s alpha coefficient was 0. 78,7 days after,the tretest reliability was 0. 84,1 factor was extracted after varimax rotation,the cumulative explained variance was 52. 25%,and the 4 item factor load was ranged from 0. 65 to 0. 78. Conclusion： The Morisky questionnaire demonstrated favorable reliability and validity in assessing medication compliance in patients with schizophrenia in recovering period.

关 键 词：Morisky问卷 精神分裂症 服药依从性 信度 效度 

分 类 号：R749.3[医药卫生—神经病学与精神病学]