血液透析患者多维症状评估量表的汉化及信效度检验  

Chineseization, reliability and validity test of multi-dimensional symptom assessment scale for hemodialysis patients

作　　者：张颖君[1] 石梅[1] 陈林[1] ZHANG Ying-jun;SHI Mei;CHEN Lin(Hemodialysis Center,Department of Nephrology,West China Hospital,Sichuan University,Sichuan,Chengdu 610041,China)

机构地区：[1]四川大学华西医院肾脏内科血透中心

出　　处：《现代预防医学》2020年第4期743-746,共4页Modern Preventive Medicine

基　　金：四川省卫生和计划生育委员会科研课题（18PJ303）

摘　　要：目的引进血液透析患者多维症状评估量表(Multidimensional Symptoms Tool,MST),并检验其信效度。方法采用方便抽样法选取在四川省某三甲医院行维持性血液透析的患者265例,使用中文版MST对患者进行调查,运用SPSS 17.0对数据进行分析,用组内相关系数(ICC)表示重测信度,采用Cronbach’s alpha系数评定内部一致性;应用Pearson相关分析和探索性因子分析评定量表的结构效度。结果中文版MST具有良好的信度和效度,重测信度ICC=0.989(95%CI:0.977,0.995),Cronbach’S a系数为0.811。内容效度指数I-CVI取值范围0.875~1.00。各条目与总分的Pearson相关系数范围在0.454~0.751之间。采用探索性因子分析法共提取3个公因子,分别为活力症状群、疼痛症状群、肾性骨病症状群,3个症状群的相关系数0.405~0.597,均有统计学意义(P<0.01)。结论中文版MST具有良好的内容效度和结构效度,提取的症状群为医护人员临床治疗提供了新思路,同时为实施针对性的干预措施提供了理论依据。Objective To introduce the Multidimensional Symptoms Tool(MST)for hemodialysis patients,and verify the validity.Methods A total of 265 patients who underwent maintenance hemodialysis in a hospital in Sichuan province were selected by convenient sampling method.The Chinese version of MST was used to evaluate patientsz symptoms.The data obtained were statistically analyzed using SPSS 17.0.ICC was used to represent the retest reliability,and Cronbach's alpha coefficient was used to evaluate the internal consistency.Pearson correlation analysis and exploratory factor analysis were used to assess the structural validity of the scale.Results The Chinese version of MST has good reliability and validity.The test-retest reliability is ICC=0.989(95%CI 0.977,0.995)and the Cronbach*s a coefficient is 0.811.The content validity index I-CVI ranges from 0.875 to 1.00.The Pearson correlation coefficient between the 11 items and the total score ranges from 0.454 to 0.751.A total of 3 common factors were extracted by exploratory factor analysis,which were vigor symptom group,pain symptom group and renal bone disease symptom group.The correlation coefficient of 3 symptom groups was 0.405-0.597.Significance(P<0.01).Conclusion The Chinese version of MST has good content validity and structural validity.The extracted symptom group provides a new idea for the clinical treatment of medical staff.It provides a theoretical basis for implementing the intervention.

关 键 词：血液透析 症状群 信度 效度 

分 类 号：R195[医药卫生—卫生统计学]