新版KSS评分系统的试应用及分析

发布时间：2018-06-17 10:15

本文选题：New-KSS + 全膝关节置换　；参考：《中国矫形外科杂志》2017年01期

【摘要】：[目的]试应用新KSS评分系统并分析其应用性、反应性、信度和效度。[方法]2011年推出的new-KSS评分系统,包括全膝关节置换术前和术后的客观膝关节指标、症状、满意度、预期和各组运动时的功能等维度。作者将其翻译成中文,并对拟在本院行初次全膝关节置换的膝关节骨性关节炎连续患者在3个时间点进行评分(预约时,手术前1 d和术后3个月)。通过条目选择情况、量表完成率和天花板/地板效应分析系统的应用性。通过分析预约时和术前1 d时的2次评分的组间相关系数分析系统的重复性信度。通过分析术前1 d和术后3个月时2次评分间的Cohens d系数,分析系统的反应性。通过分析术前1 d时系统各维度评分与SF-36健康量表各维度评分间的相关性,分析系统的结构效度。[结果]52患者(68侧膝关节)参加了研究,43侧膝关节预约时完成评分量表,完成率63.23%。有14个选项在多次评分中被选择次数为0,没有观察到天花板/地板效应。术前2次评分间各维度组间相关系数0.82~0.96,具有较好的重复性信度。术前、术后2次评分各维度Cohens d系数0.83~1.56,具有较好的反应性。运动维度和满意度维度与SF-36的多数维度相关,客观、症状和预期维度与SF-36部分维度相关,系统有较好的结构效度。[结论]中文版的new-KSS评分系统具有较好的重复性、反应性和效度,但其在国内的应用性稍差。
[Abstract]:Objective] to apply the new KSS scoring system and analyze its application, reactivity, reliability and validity. [methods] the new-KSS scoring system developed in 2011 included objective knee index, symptoms, satisfaction, expectation and function of each group before and after total knee arthroplasty. The authors translated it into Chinese and scored the patients with osteoarthritis of knee joint who were scheduled to undergo the initial total knee arthroplasty in our hospital at 3 time points (1 day before operation and 3 months after operation at the time of appointment). Through item selection, scale completion rate and ceiling / floor effect analysis system application. The reproducibility of the system was analyzed by analyzing the correlation coefficient between the two scores at the time of reservation and 1 day before operation. The reactivity of the system was analyzed by analyzing the Cohens d coefficient between 1 day before and 3 months after operation. The structural validity of the system was analyzed by analyzing the correlation between the system dimension scores and the SF-36 health scale scores 1 day before operation. [results] Fifty-two patients (68 knees) participated in the study. Fourteen options were selected 0 times in multiple ratings and no ceiling / floor effect was observed. The correlation coefficient between the two scores before operation was 0. 82 卤0. 96, which showed good reproducibility. Before and after operation, Cohens d coefficient of each dimension was 0.83 ~ 1.56, which showed good reactivity. The movement dimension and satisfaction dimension are related to most dimensions of SF-36, objective, symptom and expectation dimensions are related to SF-36 partial dimension, and the system has good structural validity. [conclusion] the new-KSS scoring system in Chinese version has good repeatability, reactivity and validity, but its application in China is slightly poor.
【作者单位】：西安交通大学第二附属医院骨一科;陕西省第四人民医院骨科;
【基金】：国家自然科学基金资助项目(2014年,编号:81472067)
【分类号】：R687.4

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