癫痫患者生活质量问卷89中文版信度和效度分析.docVIP

癫痫患者生活质量问卷89中文版信度和效度分析 　　【摘 要】 目的：修订中文版成年癫痫患者生活质量问卷-89(QOLIE-89)，并分析其信度和效度。方法：将英文版QOLIE－89修订成中文版QOLIE－89。用QOLIE－89量表现场及信函调查成年癫痫患者204例，考察量表的重测信度、内部一致性信度、结构效度和实证效度。结果：QOL－89中文版重测信度相关系数为0.63~0.95(P0.001)，Cronbachα系数为0.72~0.99；探索性因素分析获得17个因子，累计解释总方差的71.91%；将17个因子归纳为生理、心理和社会功能三个维度，验证性因子分析证实了三维的量表结构（CMIN/DF=2.17,GFI＝0.98, AGFI=0.90, CFI=0.98,RMSEA=0.061）。从发作严重程度和药物副作用分析显示该量表具有良好的实证效度。结论：修订的QOLIE－89中文版与英文原版相似，具有良好的信度和效度，适合我国成年癫痫患者的生活质量的评价。 　　【关键词】 癫痫；生活质量；心理测量学研究；信度；效度 　　中图分类号：R742.1 文章标识码：A 文章编号：1000-6729(2007)08-00513-04 　　 　　Reliability and Validity of a Chinese Version of the Quality of Life in Epilepsy Inventory 　　ZHAO Yong－Qing，DING Cheng－Yun，WANG Yong－Jun,et al. 　　Neurological Department, Tiantan Hospital Attached to Capital University ofMedical Sciences，Beijing 100050 　　【Abstract】 Objective:This study aimed to develop a Chinese version of Quality of life in Epilepsy Inventory(QOLIE－89) and to confirm its psychometric properties.Methods:The original English version QOLIE－89 was adapted to Chinese language through a translation back－translation procedure. The assessment included 204 patients with epilepsy .The test－retest and internal consistency reliabilities, criterion validity and discriminative validity were assessed.Results:The test－retest reliability (Pearsons correlation coefficient) for Chinese version QOLIE－89 was 0.63-0.95 and internal consistency reliability (Cronbachs alpha) was 0.76-0.92. The confirmatory factor analysis indicated that the Chinese version of QOLIE－89 was composed of three dimensions（CMIN/DF=2.17,GFI＝0.98, AGFI=0.90, CFI=0.98,RMSEA=0.061）, which were physiology, psychology and social function that including 17 factors obtained by exploration analysis ,which can explained 71.91% of total variance. Spearmans rank correlations between Chinese version QOLIE－89 total score and QOLIE－31 total scorewas 0.96 and domain scores were from 0.86-1.00.QOLIE－89 items could be discriminated well between patients according to epileptic seizures s