中文版淋巴瘤患者生命质量测定量表的信效度评价

发布时间：2018-04-20 18:24

本文选题：淋巴瘤 + 生活质量　；参考：《中国全科医学》2017年26期

【摘要】：目的检验中文版淋巴瘤患者生命质量测定量表(FACT-Lym)的信度和效度。方法 2016年3—8月采用便利抽样法,选取郑州大学第一附属医院和河南省肿瘤医院的淋巴瘤住院患者218例,采用中文版FACT-Lym进行调查。4周后随机选取50例患者进行重测。信度分析采用Cronbach'sα系数及重测信度;效度分析采用内容效度、结构效度、效标关联效度、区分效度进行检验。结果中文版FACT-Lym总量表Cronbach'sα系数为0.836,重测信度为0.923(P0.01)。量表水平的专家内容效度指数(S-CVI)为0.91,条目水平的专家内容效度指数(I-CVI)为0.80~1.00。探索性因子分析(EFA)显示,KMO=0.749,Bartlett's球形检验χ~2=1 925.533,P0.001,提取4个公因子,累积方差贡献率为70.621%。以生活质量核心量表为校标,Spearman相关分析显示,中文版FACT-Lym总分与生活质量核心量表的功能及整体生活质量维度均呈正相关(r_s值为0.423~0.628,P0.01),与症状维度呈负相关(r_s值为-0.684~-0.251,P0.05)。不同疾病状态、Ann Arbor分期、ECOG评分淋巴瘤患者中文版FACT-Lym得分比较,差异均有统计学意义(P0.05)。结论中文版FACT-Lym具有较好的信度和效度,可用于中国淋巴瘤患者生命质量的评估。
[Abstract]:Objective to test the reliability and validity of FACT-Lymscale for Chinese lymphoma patients. Methods from March to August, 2016, 218 patients with lymphoma were selected from the first affiliated Hospital of Zhengzhou University and Henan Cancer Hospital, and 50 patients were randomly selected for retest by the Chinese version of FACT-Lym. Cronbach's 伪 coefficient and retest reliability were used for reliability analysis, and content validity, structural validity, correlation validity and distinguishing validity were used for validity analysis. Results the Cronbach's 伪 coefficient and retest reliability of Chinese version FACT-Lym total table were 0.836 and 0.923, respectively. The expert content validity index (S-CVI) of the scale level was 0.91, and the expert content validity index (I-CVI) of the item level was 0.80 / 1.00. The exploratory factor analysis (EFAA) showed that the spherical test of KMO-0.749m Bartletts was 1 925.533P0.001, 4 common factors were extracted, and the cumulative variance contribution rate was 70.621%. Spearman correlation analysis with the core quality of life scale showed that the total score of FACT-Lym in Chinese version was positively correlated with the function and overall quality of life dimension of the core quality of life scale (QOL), and the correlation between the total score of FACT-Lym and the quality of life dimension was 0.423 + 0.628 / P0.01and negatively correlated with the symptom dimension (-0.684n- 0.251P0.05P). The scores of FACT-Lym in Chinese version of patients with different disease states were significantly different from those of patients with Arbor stage and ECOG score (P 0.05). Conclusion the Chinese version of FACT-Lym has good reliability and validity and can be used to evaluate the quality of life in Chinese lymphoma patients.
【作者单位】：郑州大学第一附属医院;郑州大学护理学院;
【基金】：河南省高等学校重点科研项目(16A320009)
【分类号】：R733.1

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