简明幸福与生活质量满意度问卷中文版在社区就诊老年人中应用的信效度检验  

Reliability and validity of Chinese version of the Short Form of Quality of Life Enjoyment and Satisfaction Questionnaire for elderly patients

作　　者：郜红阳 李思 陈琳 唐利明 寿涓 Gao Hongyang;Li Si;Chen Lin;Tang Liming;Shou Juan(Department of General Practice,Zhongshan Hospital,Fudan University,Shanghai 200032,Chin;Kongjiang Community Health Service Center of Yangpu District,Shanghai 200092,China)

机构地区：[1]复旦大学附属中山医院全科医学科,上海200032 [2]上海市杨浦区控江社区卫生服务中心,200092

出　　处：《中华全科医师杂志》2018年第8期601-606,共6页Chinese Journal of General Practitioners

基　　金：上海市加强公共卫生体系建设三年行动计划项目（2015年-2017年）;上海市浦东新区卫计委社区卫生项目（PW2015C-22）

摘　　要：目的评估简明幸福与生活质量满意度问卷（Q-LES-Q-SF）中文版用于评价上海社区老年就诊人群生命质量的信、效度。方法采用中文版Q-LES-Q-SF对在上海市控江社区卫生服务中心就诊的400例老年人进行横断面问卷调查，以内部一致性信度（Cronbach′s α系数）和折半信度检验量表的信度，以结构效度、集合及区分效度和校标效度检验量表的效度。结果内部一致性信度Cronbach′s α系数为0.956，折半信度是0.894。结构效度方面，探索性因子分析显示该量表存在2个维度：心理维度（Q2～8项）、生理维度（Q1、Q10～14项）；验证性因子分析提示各因子与相对应的维度的因子负荷量均≥0.50。区分效度方面，各条目均有Z〉1.96（P〈0.05），显示各条目对不同维度均有较好的区分度。集合效度方面，生理、心理维度的优度拟合指数（GFI）〉9.5，近似误差均方根（RMSEA）〈0.05。校标效度方面，Q-LES-Q-SF量表生理、心理维度与对应的SF-12量表具有相关性（Pearson相关系数依次为0.317、0.237，P〈0.05）。结论中文版Q-LES-Q-SF在社区老年就诊人群中具有较好的信效度。ObjectiveTo evaluate the reliability and validity of the Chinese version of the Short Form of Quality of Life Enjoyment and Satisfaction Questionnaire （Q-LES-Q-SF） for elderly patients.MethodsThe quality of life of 400 elderly outpatients from Kongjiang community health service center were evaluated by using the Chinese version of Q-LES-Q-SF. The reliability of the Chinese version of Q-LES-Q-SF was tested by the internal consistency reliability （Cronbach′s α coefficient） and the half confidence; the validity was tested by structural validity, convergence validity and distinguish validity and calibration validity.ResultsThe Cronbach′s α coefficient of the internal consistency was 0.956; the Spearman-Brown coefficient of the half confidence was 0.894; the Guttman Split-half coefficient of odd even fold half confidence was 0.894. The exploratory factor analysis showed that there were 2 dimensions： the psychological dimension （Q2-8 items） and the physiological dimension （Q1, Q10-14）. The confirmatory factor analysis showed that each psychological dimension factor load of Q2-8 was 〉0.50; each physiological dimension factor load of Q1, Q10-14 was 〉0.50. In distinguish validity, there was item with Z〉 1.96 （P〈0.05）, showing that each item had a good distinction between different dimensions. In convergence validity, physiological and psychological dimensions of GFI were all 〉9.5, RMSEA were all 〈0.05. In calibration validity, the physiological and psychological dimensions of Q-LES-Q-SF had a good correlation with the corresponding dimensions of the SF-12 （P〈0.05）, and Pearson correlation value was 0.317 and 0.237, respectively.ConclusionThe Chinese version of Q-LES-Q-SF has a good reliability and validity for elderly patients.

关 键 词：社区卫生中心 老年人 简明幸福与生活质量满意度问卷 

分 类 号：R195[医药卫生—卫生统计学]