岛礁官兵腰腿痛疼痛功能评价量表的研制及信度、效度分析  

A functional assessment scale for pain in lower extremities and waist in island officers and soldiers:development and analysis of reliability and validity

作　　者：陈绍丰 周潇逸[1] 程亚军[1] 宫峰 熊晓洲 施水潮 魏显招[1] CHEN Shaofeng;ZHOU Xiaoyi;CHENG Yajun;GONG Feng;XIONG Xiaozhou;SHI Shuichao;WEI Xianzhao(Department of Spinal Surgery,The First Affiliated Hospital of Naval Medical University(Second Military Medical University),Shanghai 200433,China;Department of Orthopaedics,Coast Guard Hospital of Chinese People’s Armed Police Force,Jiaxing 314000,Zhejiang,China)

机构地区：[1]海军军医大学(第二军医大学)第一附属医院脊柱外科,上海200433 [2]中国人民武装警察部队海警总队医院骨科,嘉兴314000

出　　处：《海军军医大学学报》2023年第12期1466-1470,共5页Academic Journal of Naval Medical University

基　　金：全军青年科技英才项目(2020QN06125)。

摘　　要：目的研制岛礁官兵腰腿痛疼痛功能评价量表,并验证其信度和效度。方法通过实地考察调研、采访和座谈的方式,基于国内外文献查询、书籍阅览和专家组讨论,形成岛礁官兵腰腿痛疼痛功能评价量表,并在某岛礁单位对量表进行验证。信度评估通过内部一致性和重测信度完成,效度评估运用探索性和验证性因子分析实现,采用Pearson线性相关对视觉模拟量表(VAS)、Oswestry功能障碍指数问卷(ODI)、焦虑自评量表(SAS)和抑郁自评量表(SDS)与岛礁官兵腰腿痛疼痛功能评价量表各个维度进行相关性分析。结果成功研制包含4个维度、20个条目的岛礁官兵腰腿痛疼痛功能评价量表。量表的内部一致性Cronbach’sα系数为0.927,重测信度为0.884;累计方差贡献率为81.276%;因子模型拟合良好(χ2/df=2.106,拟合优度指数为0.822,调整拟合优度指数为0.766,残差均方根为0.025,比较拟合指数为0.947,近似误差均方根为0.088);量表各维度组合信度均>0.7,平均提取方差值(AVE)均>0.5,AVE的根号值均大于各维度之间的相关系数。岛礁官兵腰腿痛疼痛功能评价量表疼痛程度维度与VAS、训练战备维度和日常生活维度与ODI、心理影响维度与SAS和SDS均存在相关性(P均<0.01)。结论岛礁官兵腰腿痛疼痛功能评价量表具有良好的信度和效度,可用于岛礁官兵腰腿痛的评估。Objective To develop a functional assessment scale for pain in lower extremities and waist in island officers and soldiers,and to verify its reliability and validity.Methods Through fieldwork,interviews,discussions,literature and book reading,and expert meetings,a functional assessment scale for pain in lower extremities and waist in island officers and soldiers was developed,and then the scale was validated in an island unit.Reliability evaluation was carried out by internal consistency and retest reliability.Validity assessment was implemented by exploratory and validation factor analyses.Correlations between visual analogue scale(VAS),Oswestry disability index(ODI),self-rating anxiety scale(SAS),self-rating depression scale(SDS)and the various dimensions of the functional assessment scale for the pain were analyzed by Pearson linear correlation.Results A 4-dimension 20-item functional assessment scale for pain in lower extremities and waist in island officers and soldiers was successfully developed.The internal consistency Cronbach’sαcoefficient was 0.927 and the retest reliability was 0.884;the cumulative variance contribution rate was 81.276%;the factor model fitted well(χ^(2)/df=2.106,goodness-of-fit index=0.822,adjusted goodness-of-fit index=0.766,root of mean square residual=0.025,comparative fit index=0.947,root mean square error of approximation=0.088);the composite reliability of each dimension of the scale was greater than 0.7,the average variance extracted(AVE)was greater than 0.5,and the root value of AVE was greater than the correlation coefficient between each dimension.There were correlations between the pain severity dimension of the functional assessment scale for pain in lower extremities and waist in island officers and soldiers and VAS,between training readiness and daily life dimensions and ODI,and between psychological impact dimension and SAS and SDS(all P<0.01).Conclusion The functional assessment scale for pain in lower extremities and waist in island officers and soldiers has excel

关 键 词：腰腿痛 岛礁官兵 量表 信度 效度 

分 类 号：R82[医药卫生—临床医学]