简体中文版下肢淋巴水肿功能、残疾与健康问卷的信度和效度分析  

The reliability and validity of the simplified Chinese version of lymphoedema functioning,disability and health questionnaire for lower limb lymphoedema

作　　者：周煦川 马戈甲 王文飞 王奕迪 刘宾 Zhou Xuchuan;Ma Gejia;Wang Wenfei;Wang Yidi;Liu Bin(Department of Burn,Plastic and Cosmetic Surgery,Xi'an Central Hospital,Xi'an Jiaotong University,Xi'an 710003,China;School of Medicine,Yan'an University,Yan'an 716000,China)

机构地区：[1]西安交通大学附属西安市中心医院烧伤整形美容外科,西安710003 [2]延安大学医学院,延安716000

出　　处：《中华整形外科杂志》2023年第6期634-641,共8页Chinese Journal of Plastic Surgery

基　　金：西安市创新能力强基计划-医学研究项目(22YXYJ0077)。

摘　　要：目的:探讨简体中文版下肢淋巴水肿功能、残疾与健康问卷(Lymph-ICF-LL)的信度和效度。方法:首先对Lymph-ICF-LL进行汉化,形成简体中文版Lymph-ICF-LL。依据纳入和排除标准招募2019年6月至2021年6月在西安交通大学附属西安市中心医院烧伤整形美容外科门诊就诊的61例下肢淋巴水肿患者进行研究。按照筛选流程将纳入患者所填写问卷分别归为样本1~样本4。回收的术前有效简体中文版Lymph-ICF-LL作为样本1(55份),其填写者包括男1例,女54例,年龄(51.0±9.4)岁(24~70岁);55例患者中,28例行淋巴管-静脉吻合术(LVA),抽取其术前及术后半年随访时所填写的简体中文版Lymph-ICF-LL(均为28份)作为样本2和样本3;将样本1患者术前所填写的简体中文版淋巴水肿生活质量问卷(LYMQOL)(55份)作为样本4。采用内部一致性信度和分半信度评估简体中文版Lymph-ICF-LL的信度,Cronbach’sα系数≥0.80表示内部一致性信度良好;Spearman-Brown分半信度系数≥0.70表示分半信度良好。由3名整形外科专家对该问卷与英文原版内容的符合性进行判断,对问卷的内容效度进行认定。采用探索性因子分析和校标关联效度评估简体中文版Lymph-ICF-LL的结构效度。校标关联效度评估时,采用Pearson相关分析检验样本1中Lymph-ICF-LL得分与样本4中LYMQOL得分的相关性。采用配对t检验对LVA术前和术后半年的简体中文版Lymph-ICF-LL得分进行比较。结果:(1)简体中文版Lymph-ICF-LL的Cronbach’sα系数为0.937,说明其内部一致性信度良好;该问卷的Spearman-Brown分半信度系数为0.700,提示分半信度良好。(2)通过对简体中文版Lymph-ICF-LL与英文原版问卷内容的符合性作出分析判断,认定此问卷的内容效度良好。采用探索性因子分析提取5个公因子,分别是一般症状、心理症状、日常生活能力、下肢功能和工作/社交生活。简体中文版Lymph-ICF-LL得分与简体中文版LYMQOObjective To evaluate the reliability and validity of the simplified Chinese version of Lymphedema function,disability and health questionnaire for lower limb lymphedema(Lymph-ICF-LL).MethodsThe original English version was translated into mandarin and modified to accommodate Chinese customs.According to the inclusion and exclusion criteria,61 patients with lower extremity lymphedema who were treated in the Department of Burn and Plastic Surgery of Xi’an Central Hospital from June 2019 to June 2021 were recruited in this study.The questionnaires filled by the included patients were classified as sample 1 to sample 4 by the screening process.The valid simplified Chinese version of Lymph-ICF-LL was collected as sample 1(n=55),including 1 male and 54 females,aged(51.0±9.4)years(24-70 years).Among the 55 patients,28 patients underwent lymphaticovenular anastomosis(LVA).The simplified Chinese version of Lymph-ICF-LL completed before and follow-up of 6 months after surgery were selected as sample 2 and sample 3(n=28),respectively.The simplified Chinese version of lymphoedema quality of life questionnaire(LYMQOL)filled out by the patients in sample 1 was used as sample 4(n=55).The reliability was analyzed by internal consistency test reliability and split-half reliability,Cronbach’sαcoefficient≥0.80 indicated good internal consistency reliability and the Spearman-Brown split-half reliability coefficient≥0.70 indicated good split-half reliability.The content validity of the Lymph-ICF-LL was determined by three plastic surgery experts who judged the consistency of the questionnaire with the original English content.Exploratory factor analysis and criterion validity were used to analyze construct validity.For criterion validity assessment,Pearson correlation analysis was used to test the correlation between the Lymph-ICF-LL scores in sample 1 and the LYMQOL scores in sample 4.The scores of Lymph-ICF-LL before and half a year after lymphadenectomy were compared by paired t-test.Results(1)Cronbach’s alpha was 0.9

关 键 词：淋巴水肿 生活质量 下肢淋巴水肿功能、残疾与健康问卷 淋巴管-静脉吻合术 信度 效度 

分 类 号：R551.2[医药卫生—血液循环系统疾病]