SF-36量表在胫骨骨搬运术患者生存质量分析中的应用  

SF-36 health survey questionnaire used in patients undergoing tibial bone transport

作　　者：田金翌[1] 黄雷 

机构地区：[1]清华大学附属北京清华长庚医院整形外科,北京102218 [2]北京积水潭医院创伤骨科,北京100035

出　　处：《中华创伤骨科杂志》2016年第12期1046-1049,共4页Chinese Journal of Orthopaedic Trauma

基　　金：北京市科技计划课题（Z121107001012006）

摘　　要：目的探究SF-36量表对胫骨骨搬运术患者生存质量评价的效果。方法从信度分析、相关分析以及效度分析上分别对SF-36量表进行测评。根据治疗时间将2009年1月至2013年1月收治的94例创伤后行胫骨骨搬运术患者分为3组：A组为开始接受骨搬运术治疗的患者（30例），B组为完成骨搬运术治疗并拆除外固定支架2年内的患者（43例），C组为完成骨搬运术治疗并拆除外固定支架超过2年的患者（21例）。对SF-36量表的信度、效度进行评价，比较3组患者间SF-36量表的各个项目评分。结果SF-36量表完成情况好，入组患者各项目克朗马赫α系数均〉0．8，说明SF-36量表信度好。大部分项目评分与总分的相关系数都达到或接近0．5，说明SF-36量表有较好的内容效度。可以区分完成骨搬运术患者和正常人群的生存质量，说明SF-36量表判别效度较好。B、C组患者SF-36量表的各项评分均较A组改善，差异有统计学意义（P〈0．05）；C组患者生理机能和情感职能评分均高于B组，差异有统计学意义（P〈0．05），其他评分两组间比较差异均无统计学意义（P〉0．05）。结论SF-36量表具有较好的信度和效度，可应用于胫骨骨搬运术患者生存质量的评价。通过骨搬运术进行创伤后下肢重建，可明显且持久改善患者生存质量。Objective To investigate the effectiveness of the SF-36 health survey questionnaire used to investigate the quality of life （QOL） of the patients undergoing tibial bone transport. Methods Re- liability analysis, correlation analysis and validity analysis were performed to evaluate the reliability and va- lidity of the SF-36 scale. According to treatment time, 94 patients who underwent tibial bone transport were divided into 3 groups： group A were 30 patients who had just started bone transport, group B 43 patients who had completed bone transport and removal of external fixation within 2 years, and group C 21 patients who had completed bone transport and removal of external fixation beyond 2 years. A mean comparison of items in the SF-36 scale was further carried out. Results The questionnaires were completed well. The Chonbach ct indexes of all the items were more than 0. 8, showing good reliability of the scale. Most of the correlation coefficients were almost or more than 0. 5, indicating acceptable content validity of the scale. The QOL of the patients undergoing tibial bone transport was differentiated from that of normal people, proving good discrim- inant validity of the scale. Groups B and C obtained significantly better scores in all items of the scale than group A （ P 〈 0. 05）. Group C scored significantly higher in physical functioning （PF） and role-emotional （RE） than group B （ P 〈 0. 05）, but there were no significant differences between the 2 groups regarding other items of the scale （ P 〉 0.05）. Conclusions With good reliability and validity, the SF-36 health survey questionnaire can be used to assess the QOL of the patients undergoing tibial bone transport. The treatment of bone transport in the tibia can significantly and durably help improve the QOL of the patients.

关 键 词：胫骨 损伤 骨重建 SF-36量表 

分 类 号：R687.3[医药卫生—骨科学]