中文版老年人体力活动量表在老年慢性阻塞性肺疾病患者中的信效度研究

发布时间：2018-05-02 10:02

  本文选题：肺疾病 + 慢性阻塞性　； 参考：《中国全科医学》2017年15期

【摘要】：目的评价中文版老年人体力活动量表(PASE)在老年慢性阻塞性肺疾病(COPD)患者中的信效度,以期为我国老年COPD患者提供有效的体力活动测评工具。方法采用便利抽样法,选取2015年3月—2016年5月在天津市第一中心医院门诊接受治疗的符合纳入标准的COPD患者201例为调查对象。采用一般情况调查表、中文版PASE、国际体力活动问卷短卷(IPAQ-S)、健康调查简表(SF-36)、慢性病管理自我效能量表(SES6)对其进行调查。共发放问卷201份,回收有效问卷194份,有效回收率为96.5%。从194例患者中采用便利抽样法抽取40例携带计步器7 d,记录7 d的计步器数据,并再次让患者填写中文版PASE。结果中文版PASE的Cronbach'sα系数为0.725。中文版PASE的重测信度为0.980,休闲性体力活动重测信度为0.944,家务性体力活动重测信度为0.978,职业性体力活动重测信度为0.970(P0.001)。中文版PASE中,休闲性体力活动的条目水平的内容效度指数(I-CVI)为1.00,家务性体力活动的I-CVI为0.83~1.00,职业性体力活动的I-CVI为0.83;中文版PASE的全体一致量表水平的内容效度指数(S-CVI/UA)=0.80,平均量表水平的内容效度指数(S-CVI/Ave)=0.97。计步器总步数与重测中文版PASE总分呈正相关(r=0.578,P0.001)。中文版PASE总分与IPAQ-S总分呈正相关(r_s=0.698,P0.001)。中文版PASE总分与mMRC评分、DOSE指数呈负相关,与SF-36总分、生理机能(PF)得分、生理职能(RP)得分、一般健康状况(GH)得分、精力(VT)得分、社会功能(SF)得分、情感职能(RE)得分、精神健康(MH)得分、SES6总分呈正相关(P0.05)。结论中文版PASE具有良好的信效度,适合在中国老年COPD患者中应用。
[Abstract]:Objective to evaluate the reliability and validity of Chinese version of physical activity scale (PASE) in elderly patients with chronic obstructive pulmonary disease (COPD) and to provide an effective physical activity assessment tool for elderly COPD patients in China. Methods the convenience sampling method was used to select 201 COPD patients who were treated in Tianjin first Central Hospital from March 2015 to May 2016. General situation questionnaire, Chinese version of PASE, International physical activity questionnaire short volume IPAQ-SU, brief form of health survey (SF-36), chronic disease management self-efficacy scale (SES6) were used to investigate the questionnaire. A total of 201 questionnaires were sent out, 194 valid questionnaires were collected, and the effective recovery rate was 96. 5%. Forty patients with pedometer for 7 days were collected from 194 patients by convenient sampling method. The data of pedometer for 7 days were recorded and the patients were asked to fill out the Chinese version of PASE again. Results the Cronbach's 伪 coefficient of the Chinese version of PASE was 0.725. The test-retest reliability of Chinese version of PASE was 0.980, that of recreational physical activity was 0.944, that of domestic physical activity was 0.978, and that of occupational physical activity was 0.970 (P0.001). Chinese version of PASE, The content validity index (I-CVI) of the entry level of leisure physical activity is 1.00, the I-CVI of domestic physical activity is 0.83 / 1.00, and the I-CVI of occupational physical activity is 0.83; the content validity index of the Chinese version of PASE's unanimous level is 0.80, and the average water of the whole scale is 0.80. The content validity index of the flat is 0.97. There was a positive correlation between the total step number of the pedometer and the total score of the retest Chinese version of PASE. There was a positive correlation between the total score of PASE and the total score of IPAQ-S in Chinese version. The total score of the Chinese version of PASE was negatively correlated with the mMRC score and the DOSE index, and was negatively correlated with the total score of SF-36, the score of physiological function, the score of general health status, the score of energy and energy, the score of social function and the score of affective function. The total score of SES6 was positively correlated with that of MH (P 0.05). Conclusion the Chinese version of PASE has good reliability and validity and is suitable for the elderly patients with COPD in China.
【作者单位】： 天津医科大学护理学院;天津市第一中心医院呼吸科;
【基金】：教育部人文社会科学研究规划基金项目(15YJAZH109)
【分类号】：R563.9
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本文编号：1833430