中文版ECOS16问卷在骨质疏松患者中的应用信效度.docxVIP

中文版ECOS-16问卷在骨质疏松患者中 的应用信效度 高继红段智霞许素琴 郑州市骨科医院急诊科 摘要： 口的:翻译英文版16条口骨质疏松症患者健康相关生存质量评估问卷(16-itcm Assessment o f Hcalth-Rclated Quality of Life in Ostcoporosis, ECOS-16), 并验证其在骨质疏松患者中的信效度。方法:对英文版问卷进行翻译汉化，通过 便利抽样的方法对97名骨质疏松患者进行调查，收集数据并进行项目分析、探 索性因子分析、验证性因子分析、效标效度、内容效度、内部一致性及重测信度 等检验和分析。结果:在效度方面，屮文版ECOS-16问卷共计16个条目，各个条 目的鉴别效度均较好;在结构效度方而，可分为疼痛、躯体功能和心理功能3个 维度，共可解释69.3%的方差贡献率，各条目因子载荷度0. 501°. 863,共同度 0. 479°. 733,与总分的相关性0. 483°. 822,同时各拟合指数均在合理范围内；在 效标关联效度方面，问卷各维度与简明健康测量问卷(Short Form 36 Heal th survey Questionnaire, SF-36)对应维度的相关系数在.0. 632 0. 489 (P0. 01); 在内容效度方而，各条目的内容效度0.9/0,量表的总内容效度为0?90;各维 度间的相关性系数r=0. 406°. 465 (P0. 05)，各维度与总量表的相关性系数 0. 635°. 732 (P0.05);在信度方面，问卷的总克伦巴赫a系数为0. 89重测 信度为0.918。结论：中文版EC0S-16问卷具有较高的信效度，适用于中国骨质 疏松患者的生活质量评估。 关键词： 骨质疏松症;ECOS-16问卷;信度;效度; 作者简介：高继红，Ema订:gaojihongl2@126. com 收稿日期：2017-05-22 Application reliability and validity of Chinese-version ECOS-16 questionrmire among osteoporosis patients GAO Jihong DUAN Zhixia XU Suqin Department of Emergency, Zhengzhou Orthopedics Hospital; Abstract： Objective: To translate the English-version 16-item Assessment of Health-Related Quality of Life in Osteoporosis (ECOS-16) questionnaire into Chinese, and to examine its reliability and validity among osteoporosis patients. Methods: The English-version questiormaire was translatcd into Chinese- Based on convenience sampling, 97 osteoporosis patients were investigated. Data was collected, and project analysis, exploratory factor analysis, confirmatory factor analysis, and in specti on and an alysis on criterion validity, content val idi ty, in ter nal consistency and test-retest reliab订ity etc. were conducted. Results: In terms of validity, there were 16 entries on Chinesevcrsion ECOS-16 questionnaire, and each entry was of good identification validity. In terms of construct validity, there were three dimensions, i. e., pain, body fun cti on and men tai fun cti on and they could explain 69. 3% of the varia nee contribution rate together. The factor loading degree