中文版IAD严重度分类工具应用于肿瘤患者IAD评估的信效度研究

发布时间：2018-05-22 20:49

本文选题：失禁相关性皮炎 + 严重程度　；参考：《广西医科大学》2017年硕士论文

【摘要】：目的在国内肿瘤失禁相关性皮炎(IAD)患者中应用中文版IAD严重度分类工具,检验针对国内肿瘤失禁相关性皮炎患者使用时的信度和效度。方法通过查阅文献,选择并引进由失禁相关性皮炎专家小组于2015年共同制订的目前最新的失禁相关性皮炎评估工具中文版IAD严重度分类工具,于2016年04月-2016年05月随机选取20例患有失禁相关性皮炎或存在患失禁相关性皮炎风险的肿瘤失禁患者进行预调查,应用中文版IAD严重度分类工具评估肿瘤失禁患者。然后于2016年06月至2016年10月采用便利抽样方法选取80名患有失禁相关性皮炎或存在患失禁相关性皮炎风险的肿瘤失禁患者,应用中文版IAD严重度分类工具对所有肿瘤失禁患者进行评估,并收集患者基本信息和失禁相关性皮炎照片,继而采用条目敏感性分析、效度(内容效度、校标关联效度、结构效度)、信度(内部一致性信度、评定者间信度、重测信度)等对中文版IAD严重度分类工具进行信效度评价。结果(1)条目敏感性分析:各个条目除了“严重程度”和“处理措施1”与部分其他条目间呈现较强的相关性外,其他均相关性较弱;8个条目中分别去掉当前条目后的Cronbach’sα系数为0.770~0.834。(2)效度分析:内容效度分析显示,经5名专家评定的中文版IAD严重度分类工具的内容效度指数(平均S-CVI)为0.925;进行因子分析得出KMO值为0.773,Bartlett球形检验值为252.618(p0.001),表明适合作因子分析后,采用探索性因子分析最大变异法提取了2个公因子,累积方差贡献率为60.954%,且每个条目的因子负荷均大于0.5;以IADS量表为效标检验同时效度得相关系数r=0.891(p0.001);对54例失禁患者进行3个月后回访并再次评估,得预测效度相关系数r=0.793(p0.001)。(3)信度分析:中文版IAD严重度分类工具总的Cronbach’sα系数为0.839;A、B两位评估者评估结果有较大相关关系,评定者间信度ICC=0.979(p0.001);重测信度ICC=0.989(p0.001),接近100%。以上结果差异均有统计学意义。结论本研究表明中文版IAD严重度分类工具在国内肿瘤失禁相关性皮炎患者中具有良好的信度和效度,可用于评估我国肿瘤失禁相关性皮炎患者。
[Abstract]:Objective to evaluate the reliability and validity of IAD severity classification tool in patients with tumor incontinence associated dermatitis. Methods to select and introduce the latest incontinent-associated dermatitis assessment tool, IAD severity classification tool, which was developed by the incontinent-associated dermatitis expert group in 2015. From April 2016 to May 2016, 20 patients with incontinence associated dermatitis or at risk of incontinence associated dermatitis were randomly selected for pre-investigation. The Chinese version of IAD severity classification tool was used to evaluate the patients with tumor incontinence. Then, from June 2016 to October 2016, a convenient sampling method was used to select 80 patients with or at risk of incontinence associated dermatitis. The Chinese version of IAD severity classification tool was used to evaluate all patients with tumor incontinence, and to collect basic information and incontinence related dermatitis photos. Then, item sensitivity analysis, validity (content validity, calibration correlation validity) were used. Structural validity and reliability (internal consistency reliability, inter-evaluator reliability, test-retest reliability) were used to evaluate the reliability and validity of the Chinese version of IAD severity classification tools. Results (1) item sensitivity analysis: except for "severity" and "treatment measure 1", each item showed a strong correlation with some other items, The Cronbach's 伪 coefficient of the eight items after removing the current item was 0.770,0.834.42) validity analysis: the content validity analysis showed that, The content validity index (S-CVI) of the Chinese version of the IAD severity classification tool evaluated by five experts was 0.925, and the KMO value of 0.773- Bartlett spherical test was 252.618p0.001g, which indicated that it was suitable for factor analysis. Two common factors were extracted by exploratory factor analysis. The contribution rate of cumulative variance was 60.954, and the factor load of each item was greater than 0.5. The correlation coefficient (r = 0.891p 0.001) was obtained by using IADS scale as a criterion. 54 incontinence patients were visited back after 3 months and evaluated again. The reliability analysis showed that the total Cronbach's 伪 coefficient of the Chinese version of the IAD severity classification tool was 0.839 Agna B, and there was a significant correlation between the two evaluators' evaluation results. The reliability of the two evaluators was 0.979 p0.001C, and the test-retest reliability of ICC0.989 p0.001 was close to 100.1%. The differences were statistically significant. Conclusion the Chinese version of IAD severity classification tool has good reliability and validity in patients with tumor incontinence associated dermatitis and can be used to evaluate patients with tumor incontinence associated dermatitis in China.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.73

【参考文献】