中文版SF-36量表在广东职业康复患者中信效度研究  

Reliability and Validity of the Chinese Version of SF-36 Scale in Guangdong Occupational Rehabilitation

作　　者：周慧玲[1] 陈冰 曾嘉彦 卢讯文[1] ZHOU Huiling;CHEN Bing;ZENG Jiayan;LU Xunwen(Guangdong Work Injury Rehabilitation Center,Guangzhou,Guangdong 510440,China)

机构地区：[1]广东省工伤康复中心,广东广州510440

出　　处：《康复学报》2018年第3期12-15,共4页Rehabilitation Medicine

基　　金：广东省残疾人事业理论实践与研究一般课题项目[粤残联函(2017)156号]

摘　　要：目的:评价中文版SF-36量表在广东省职业康复患者中的信度与效度。方法:应用SF-36简明健康状况调查表,将在广东省进行职业康复治疗的1 129例住院患者作为调查对象,以自填或面谈的方式调查其最近1个月的生命质量评价,根据调查结果对中文版SF-36量表应用于职业康复人群的信效度进行评价。结果:重测信度除生理职能(RP)ICC=0.670,总表及其他7个维度2次测量获得的ICC均>0.75(P<0.001);各项目的 Cronbach'sα系数均>0.7;总表分半信度系数>0.6(P<0.001),8个维度分半信度均>0.7(P<0.001),量表在该人群中具有良好的重测信度、内部信度、分半信度;集合效度成功率为94.3%,区分效度成功率为100%,量表在该人群中具有良好的集合效度与区分效度;结构效度使用因子分析,产生2个公共因子,他们共能解释总体方差的62.724%,并在相应的项目上有较强的因子负荷(因子负荷值>0.4)。社会功能(SF)在2个公因子上的负荷值均>0.4,提示其项目意义不明确,量表在该人群中的结构效度欠佳。结论:中文版SF-36量表在工伤职业康复人群中具有良好的重测信度、内部信度、分半信度、集合及区分效度,但结构效度不佳,有待进一步修正。Objective：To evaluate the reliability and validity of the Chinese version of SF-36 scale in occupational rehabilitation patients in Guangdong Province. Methods：A total of 1,129 patients who participated in occupational rehabilitation were selected and filled in the SF-36（Chinese version） by self-filling or interviewing. Results：The physiologic function（RP） ICC was 0.670. Twice repeat evaluations showed that the IFC of the total and other seven dimensions were all greater than 0.75（P〈0.001）; The Cronbach＇s alpha coefficients of the total and eight dimensions were all higher than 0.7; Split-half reliability coefficient was higher than 0.6（P〈0.001） and split-half reliability was higher than 0.7 in eight dimensions（P〈0.001）. The success rate of the pooled validity was94.3%, and the success rate of discriminant validity was 100%. Factor analysis produced a total of two common factors. Both factors were able to explain 62.724% of the total variance and had a stronger factor load（0.4） in the corresponding project. The social function（SF） load values on the two common factors were all higher than 0.4, suggesting that the project＇s significance was not clear and the scale had poor structural validity in this population. Conclusion：The Chinese version of SF-36 scale has good test-retest reliability,internal reliability, half-half reliability, set and discriminant validity, and poor construct validity in occupational injury rehabilitation workers.

关 键 词：中文版SF-36量表 职业康复 生命质量 信度 效度 

分 类 号：R493[医药卫生—康复医学]