原发性骨质疏松症PRO量表的初步研制

发布时间：2018-04-17 22:31

本文选题：原发性骨质疏松症 + 患者报告结局量表　；参考：《中国骨质疏松杂志》2016年07期

【摘要】：目的在中西医学理论以及计算机自适应的指导下,运用经典测试理论和现代项目测试反应理论进行研制原发性骨质疏松症患者报告结局量表。方法通过成立研究组,制定量表的基本特征,规范基本概念和术语,构建量表的理论框架,收集所有关于骨质疏松症患者条目的相关文献,经过条目库构建和条目的初步筛选,初步概念框架的修订,条目定性评阅,专家评阅,认知采访,制定出调查量表的初稿,然后现场调查,收集380例骨质疏松症患者报告的条目以及92例健康者对照,进行定性研究,运用经典测试理论方法和现代项目反应理论等方法综合筛选以得出最终的原发性骨质疏松症PRO量表。结果经现场调查,整理数据,通过6种分析综合评价,从71个条目的调查量表中删除27个条目,最终建立建立了包括疾病生理、心理、社会、治疗领域4个领域,疾病表现、全身表现、心理表现、社会关系、日常活动能力、满意度等6个维度,共44个条目的原发性骨质疏松症PRO量表。结论最终研制出包含1个疾病、4个领域、6个维度的44个条目的骨质疏松症PRO量表。
[Abstract]:Objective under the guidance of Chinese and Western medical theories and computer adaptation, the report outcome scale for patients with primary osteoporosis was developed by using classical test theory and modern item test response theory.Methods by setting up a research group, establishing the basic characteristics of the scale, standardizing the basic concepts and terms, constructing the theoretical framework of the scale, collecting all relevant literature on the patients with osteoporosis, constructing the item database and preliminary screening the items.Revision of the preliminary conceptual framework, qualitative review of entries, expert reviews, cognitive interviews, preparation of the first draft of the questionnaire, field investigation, collection of entries from 380 patients with osteoporosis and 92 healthy controls,The qualitative study was carried out, and the PRO scale for primary osteoporosis was obtained by comprehensive screening with classical test theory and modern item response theory.Results 27 items were deleted from 71 items by field investigation, collated data and 6 kinds of comprehensive evaluation. Finally, 4 fields including disease physiology, psychology, society and treatment were established, and disease manifestation was established.A total of 44 items of PRO scale for primary osteoporosis were included in 6 dimensions of systemic manifestation, psychological performance, social relations, daily activity ability and satisfaction.Conclusion the PRO of osteoporosis was developed with 44 items including 1 disease, 4 domains and 6 dimensions.
【作者单位】：广州中医药大学;广州中医药大学第三附属医院;深圳市宝安区中医院;广州市荔湾区骨伤科医院;佛山市顺德中医院;广州中医药大学第一附属医院;
【基金】：2014广东省科学技术厅-广东省中医药科学院联合科研专项(2014A020221052)
【分类号】：R580

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