自测健康评定量表修订版(SRHMS V1.0)的考评  

Evaluation of the Self-rated Health Measurement Scale-the Revised Version 1.0

作　　者：许军[1] 谭剑[2] 王以彭[2] 胡敏燕[1] 

机构地区：[1]第一军医大学南方医院药学部,510515 [2]第一军医大学南方医院医教部

出　　处：《中国心理卫生杂志》2003年第5期301-305,共5页Chinese Mental Health Journal

基　　金：国家自然科学基金资助项目 (批准号 :30 1 0 0 1 54) ;国家统计局全国统计科研计划重点项目 (批准号 :LX0 1 - 1 0 9)

摘　　要：目的 :对自测健康评定量表修订版进行考评。方法 :应用SRHMSV1 0对 2 0 0 0个个体进行测试。结果 :在高校学员、中医科住院患者、皮肤病患者和军队退休干部中 ,SRHMSV1 0的重测信度分别为0 799、 0 980、 0 875和 0 915。SRHMSV1 0的内部一致性Cronbachα系数为 0 9311。SRHMSV1 0的分半信度Equal-lengthSpearman -Brown为 0 7399,GuttmanSplit -half为 0 7317。SRHMSV1 0的条目分与其维度分相关系数较大 ,而与其它维度分的相关系数较小 ;维度分与其子量表分相关系数较大 ,而与其它子量表分的相关系数较小。因子分析得到的 10个因子与SRHMSV1 0的理论构想基本一致。SRHMSV1 0总分与SF36总分的相关系数为 0 5 2 6 ;SRHMSV1 0量表总分以及三个子量表分与其一个条目的得分均存在密切关联。SRHMSV1 0总分在年龄、婚姻状况、文化程度、职业、经济状况、不同人群等方面存在差异 ;而在性别、民族、住地等方面不存在差异。SRHMSV1 0能够敏感地反映个体在不同时间内自测健康的变化。结论 :SRHMSV1 0从定量化的角度 ,较为全面、具体、准确地反映了自测健康的真正内涵 ,且操作简单 ,经济实用 ,是适用于我国文化背景下的健康测量工具。Objective: To evaluate a self-rated health measurement scale-the revised version 1.0 (SRHMS V1.0).Method:2000 subjects, including university students, patients in the department of traditional medicine, patients with dermatosis and military retired cadre, received the assessment with SRHMS V1.0. Result: The test-retest reliability of the above four groups was 0.80-0.98. The Cronbach alpha was 0.93, equal-length Spearman-Brown was 0.74, Guttaman Split-half was 0.73. The correlation between each item and its dimension was high, that between item and other dimension was low; furthermore, the correlation between each dimension and the subscale it belong to was high, that between the dimension and other subscales was low. Factor analysis produced ten main factors that were consistent with the original theoretical structure about SRHMS V1.0. The correlation between total score of SRHMS and that of SF-36 was significant (r=0.53). People of different age group, of different marriage status, with different occupations or education background, of different economic class had different results in SRHMS V1.0, while there was no difference significantly between male and female, between with different races or residencies. Conclusion: SRHMS V1.0 has good psychometric quality and can be used in Chinese population.

关 键 词：自测健康评定量表修订版 信度 效度 反应度 心理测量学 

分 类 号：R195[医药卫生—卫生统计学]