冠状动脉旁路移植术后生命质量评定量表地制定.docVIP

冠状动脉旁路移植术后生命质量评定量表的制定 　　作者：马琛明　陈彧　解基严　万峰 作者单位：北京大学人民医院心外科，北京 100044 　　【摘要】目的：研究制定针对国人的冠状动脉旁路移植术（CABG）后生命质量评定量表。方法：选择274例CABG后的患者，填写76项生命质量相关条目池问卷，应用因子分析正交旋转对条目池中的各条目进行统计分析，筛选较优条目构成初步量表；然后进一步对初步量表的信度、效度进行分析。结果：产生的新生命质量评定量表，包括31个条目，分属5个亚组（信度），分别为：(1) 身体疼痛方面，含6个条目(Cronbachs Α=0.81)；(2) 活力方面，含7个条目(Cronbachs Α=0.72)；(3) 社会功能方面，含4个条目(Cronbachs Α=0.88)；(4)身体活动方面，含7个条目(Cronbachs Α=0.82)；(5) 精神健康方面，含7个条目(Cronbachs Α=0.84)。条目形式采用等距等级条目，每条目有5个选项，评分分别定义为0～4分(0=完全没有; 1=轻微; 2=比较严重; 3=很严重; 4=非常严重)，其效度（与NHP量表及其各亚组相关性分析）为r=，P0.01。结论：制定了冠状动脉旁路移植术后生命质量评定量表，信度和效度均佳。 　　【关键词】 冠状动脉疾病　冠状动脉旁路移植术　生活质量 　　Development of questionnaire for assessing the quality of life in patients following coronary artery bypass grafting/MA Chen|ming,CHEN Yu,XIE Ji|yan,WAN Feng//Chinese Journal of Cardiovascular Rehabilitation Medicine,2007,16(5):443 Abstract：Objective:To develop a disease|specific questionnaire to assess the quality of life in Chinese patients following coronary artery bypass grafting(CABG).Methods:A list of 76 items that can potentially influence the quality of life was administered to 274 patients following CABG.Factor analysis (Varimax rotation) was used to create the final questionnaire.Then the reliability and validity of the questionnaire were evaluated.Results:The final questionnaire regarding 31 items contains the following five dimensions:(1)Body pain,6 items,Cronbachs Α=0.81;(2)Vitality,7 items, Cronbachs Α=0.72;(3) Social function,4 items, Cronbachs Α=0.87;(4)Physical capability,7 items,Cronbachs Α=0.82;(5)Emotional health,7 items, Cronbachs Α=0.84.All questions were constituted on a 5-point scale. 0=not at all; 1=a little bit;2=moderately;3=quite a bit;4=extremely.Conclusion:This is the first questionnaire,which has potential application as a measure for the quality of life of Chinese patients following coronary artery bypass grafting. 　　Author′s　address：Department of Cardiovascular Surgery,Peoples Hospital, Peking University, Beijing,100044, China