高血压患者生命质量量表研制及评价.pdfVIP

266 中国公共卫生2008年3月第24卷第3期 ChinJPublicHealthMar2008 Vo1．24No．3 文章编号：1001．0580(2008)03．0266．04 中图分类号 R 181．3 文献标志码：A 【专题报道之一】 高血压患者生命质量量表研制及评价 杨瑞雪。，潘家华 ，万崇华 ，李晓梅 ，杨铮 ，张晓磬 摘 要：目的 研制慢性病患者生命质量测定量表体系中的高血压量表(QLICD—HY)，并对其进行测评。方法 采用程序化决策方式，结合我国语言和文化背景进行量表开发和研制，并通过157例高血压患者的测定对量表进行 效度、信度、反应度等考核评价。采用统计描述、相关分析、因子分析、配对t检验等方法进行分析。结果 高血压患 者生命质量测定量表(QLICD—HY)，包括慢性病共性模块3O个条目和高血压特异模块17个条目。量表各领域及亚 领域(facet)的内部一致性信度a值基本在0．6以上、重测相关系数(r值)大多在0．8以上；各条目与所属亚领域及其 领域的相关均大于与其他亚领域及领域的相关，相关系数(r值)在0．7以上者占56．52％；量表能够反映出高血压患 者治疗前后生命质量的变化。结论 高血压患者生命质量测定量表(QLICD—HY)具有较好的信度、效度、反应度和 临床可行性，可以作为我国高血压患者生命质量的测评工具。 关键词：生命质量；高血压；量表 Development and validation of the quality of life systematic instruments for chronic diseases-hypertension scale ANG Rui—xue，PAN Jia—hua，W4 N Chong-hua，et a1．Guangzhou Health Education Institute(Guangzhou 510403，China) Abstract：Objective To develop and validate the quality of life instruments for chronic diseases—hypertention(QLICD— HY)．Methods The programmed decision—making method WaS used tO develop a scale associated with our domestic language and culture．The psychometric properties of the instrument were evaluated by analyzing the data from 157 patients with hy— pertension．The statistic methods used in this research included statistic descriptions，Pearson correlation，factor analysis，and paired t student test．Results The QLICD-HY was developed with 30 item of general module and 17 items of specific mod— ule．Most coefficients of intemal consistency are above 0．6 and test—retest reliability coefficients are above 0．8 for facet and domain scores；al1 of corre]ation coefficients between item and it’S facet and domain are higher than the item with other facets and domains。and most of the r valUes are above 0．7．The scale hasthe ability tO detect clinical change due to t