臀肌挛缩症功能量化评分表的信效度检验

发布时间：2018-07-03 07:05

本文选题：髋部 + 挛缩带　；参考：《中国矫形外科杂志》2017年04期

【摘要】：[目的]检验臀肌挛缩症功能量化评分表的信度和效度。[方法]2016年1月~2017年1月,对113例臀肌挛缩症患者应用臀肌挛缩症功能量化评分表进行功能评估,分为2次评估,时间间隔1周以上,所有患者同时填写简明健康状况调查表SF-36(SF-36 Health Survey)和Nottingham健康问卷NHP(Nottingham Health Profile)。利用Cranach'sα系数进行该量表的内部一致性信度检验,组内相关系数(intraclass correlation coefficient,ICC)评价重测信度,主成分分析法因子分析进行结构效度检验,Spearman相关系数评估效标效度。[结果]臀肌挛缩症功能量化评分表Cranach'sα系数为0.924,显示评分表内部一致性信度好。量表两次调查结果得分ICC值为0.905,显示评分表重测信度良好。因子分析结果显示评分表提取出的因子成分为4,表明设计合理,量表具有极高的结构效度。评分表与SF-36得分显著相关,Spearman相关系数为0.402(P0.05);评分表和NHP显著相关,Spearman相关系数为-0.371(P0.05),说明评分表得分越高,患者生活质量越好。[结论]臀肌挛缩症功能量化评分表具有良好的信度和效度,可用于臀肌挛缩症病情的评估。
[Abstract]:[objective] to test the reliability and validity of gluteal muscle contracture function scale. [methods] from January 2016 to January 2017, 113 patients with gluteal muscle contracture were evaluated with the quantitative score table of gluteal muscle contracture. All patients completed both SF-36 (SF-36 Health Survey) and Nottingham Health profile (NHP). The internal consistency reliability of the scale was tested with Cranachs伪 coefficient, and the reliability of retest was evaluated by intra-group correlation coefficient (intraclass correlation coefficient), and the structural validity test by principal component analysis method (PCA) was used to evaluate the validity of the scale by Spearman correlation coefficient. [results] the Cranachs 伪 coefficient of gluteal muscle contracture score scale was 0.924, which showed that the reliability of internal consistency was good. The ICC score of the scale was 0.905, indicating that the reliability of the scale retest was good. The results of factor analysis showed that the factor components extracted from the scoring table were 4, which indicated that the design was reasonable and the scale had very high structural validity. The Spearman correlation coefficient was 0.402 (P0.05) and the Spearman correlation coefficient was -0.371 (P0.05), which indicated that the higher the score scale was, the better the quality of life of patients was. [conclusion] the quantitative score table of gluteal muscle contracture has good reliability and validity, and can be used to evaluate the condition of gluteal muscle contracture.
【作者单位】：解放军总医院骨科;
【分类号】：R685

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