疾病感知问卷中文版对急性心肌梗死患者适用性和信效度分析.docVIP

疾病感知问卷中文版对急性心肌梗死患者适用性和信效度分析 　　【摘 要】 目的：探讨修订的疾病感知问卷（IPQ-R）中文版在急性心肌梗死患者中的适用性，并分析其信效度。方法：按量表翻译程序将IPQ-R译成中文，方便选取118名急性ST段抬高的心肌梗死患者进行IPQ-R中文版的测量，同时运用综合性医院焦虑抑郁量表（HADS）初步评价情绪状态。选取32名患者于初评后1个月重复测量。结果：IPQ-R中文版内部一致性系数为0.66 - 0.92；1个月的重测信度略低，为0.35-0.61；与焦虑评分相关明显（r=0.049-0.384, P＜0.05）。探索性因素分析提取了7个特征根大于1的因子，各条目负荷范围为0.42-0.88，累积贡献率为60.75%，能够合理解释问卷的结构。结论：IPQ－R中文版适用于急性心肌梗死患者，具有较好的信度和效度。? 　　【关键词】 疾病感知问卷；心肌梗死；信度；效度；心理测量学? 　　中图分类号：R395.6、R541 文献标识码：A 文章编号：1000-6729(2007)012-00822-04? 　　 　　The Applicability, Reliability and Validity of the Revised Illness Perception Questionnaire in ? 　　Patients with Acute Myocardial Infarction?? 　　 　　SONG Li?1,HU Da-Yi?2,YANG Jin-Gang?1,et al.? 　　1 Center of Cardiovascular Medicine, Affiliated Tongren Hospital of Capital University of Medical Science, Beijing 100730? 　　2 Heart Center, Peoples Hospital of Peking University, Beijing 100044? 　　3 Peking University Institute ofMental Health, Beijing 100083?? 　　 　　【Abstract】 Objective: To introduce the Revised Illness Perception Questionnaire (IPQ-R) into China, and examine its reliability and validity. Methods:After translating IPQ-R into Chinese, use IPQ-R and HADS (hospital anxiety and depression scale) to assess the 118 patients with acute ST-segment elevation myocardial infarction (STEMI), and 32 patients among them were re-evaluated 1 month later.Results: Cronbach alpha for internal consistency of the Chinese version of IPQ-R ranged from 0.66-0.92, the test-retest reliability was little lower and ranged from 0.35-0.61. The correlation between IPQ-R and HADS were 0.049-0.384. Exploratory factor analysis got seven factors, which could explain 60.75% of the variance.Conclusion:The Chinese version of IPQ-R has acceptable reliability and validity, and can be used in Chinese patients with acute myocardial infarction. ? 　　【Key words】 illness perception questionnaire; myocardial infarction; reliability; validity; psychometrics study?? 　　 　　疾病感知（Illness perception）是患者利用以往的疾病知识经验来分析解释当前的症状（或疾病