中国全科医学Issue(26)：3211-3215,5.DOI:10.3969/j.issn.1007-9572.2015.26.022
中文版SF-36 v2量表评价住院心房颤动患者生命质量的适用性研究
Evaluation on the Applicability of the Chinese Version of SF -36 v2 Scale in Assessing the Quality of Life of Patients With Atrial Fibrillation
摘要
Abstract
Objective To evaluate the application of the Chinese version of SF-36 v2 scale in assessing the quality of life of patients with atrial fibrillation. Methods Using purposive sampling method,we enrolled 86 patients who were admitted into the Department of Cardiology of a grade -3 and first -class hospital from January to September in 2013. The inclusion criteria were age≥18,eunoia and clear self - expression. Questionnaire surveys were conducted on the subjects,including general information and SF-36 v2. The application of SF-36 v2 scale in assessing the quality of life of inpatients with atrial fibrillation was evaluated by convergent validity,discriminative validity,internal consistency reliability,split-half reliability, construct validity and discriminant validity. Results A total of 86 questionnaires were distributed, and 86 effective questionnaires were taken back. The scores of eight dimensions in SF -36 v2 scale,including bodily pain( BP),general health( GH),physical function( PF),role-physical( RP),role-emotion( RE),social function( SF),vitality(ⅤT), and mental health(mH)were:(83. 2 ±16. 3),(34. 6 ±8. 4),(61. 5 ±25. 0),(48. 8 ±31. 3),(59. 0 ±29. 7),(63. 7 ± 18. 8),(58. 8 ± 16. 6)and(61. 4 ± 15. 0),respectively;the floor effects were:1. 2%,1. 2%,1. 2%,7. 0%,4. 7%, 2. 3%,1. 2% and 1. 2% respectively;the ceiling effects were:38. 4%,1. 2%,1. 2%,17. 4%,10. 5%,7. 0%,1. 2%and 2. 3% respectively. The item-convergent validity of 34 items achieved the standard except the item of GH1 ( in general, what do you think about your health) with a convergent validity of 0. 280,and the total success rate of item-convergent validity was 97. 1%. The dimensions′success rates of discriminative validity for BP,RE and SF were 100. 0%,and that for GH was 51. 4%,and the total success rate of discrimination validity was 84. 1%. Cronbach′sαcoefficients of the eight dimensions were within 0. 704-0. 939,and the split-half reliability was within 0. 732 -0. 947. By factor analysis,two common factors were confirmed, separately representing physical health and mental health, altogether making contribution of 66. 61% total variance. Age and physical health were negatively correlated(rs = -0. 389,P=0. 003),and self-evaluated health condition was positively correlated with physical health and mental health(rs =0. 294,0. 367;P=0. 010,0. 013). Conclusion As the revision of SF-36 v1,SF-36 v2 scale is more friendly in the layout of questions and answers,and the floor effect and ceiling effect are reduced. It also shows comparatively well reliability and validity. Therefore,we can believe that the SF-36 v2 scale could be used to assess the quality of life of patients with atrial fibrillation.关键词
心房颤动/生活质量/问卷调查/SF-36 v2/信效度Key words
Atrial fibrillation/Quality of life/Questionnaires/SF-36 v2/Reliability and validity分类
医药卫生引用本文复制引用
董爱淑,朱莲莲,石博文,周爱芽,陈茜茜,郭文坚..中文版SF-36 v2量表评价住院心房颤动患者生命质量的适用性研究[J].中国全科医学,2015,(26):3211-3215,5.基金项目
浙江省温州市2014年第一期科技项目 （）
