摘要
目的评价中文版便秘患者症状自评量表(PAC-SYM)的信度、效度和反应度。方法采用中文版PAC-SYM量表、便秘患者生活质量自评量表(PAC-QOL)、简明健康调查问卷(SF-36)和ZUNG焦虑、抑郁自评量表(SAS/SDS)对155例功能性便秘患者进行问卷调查,其中20例患者1周后重测,39例患者接受生物反馈治疗后再次采用PAC-SYM量表评估,对测量结果进行信效度分析。结果中文版PAC-SYM量表内部一致性信度Cronbach′sα系数为0.81～0.91,重测信度组内相关系数(ICC)为0.79～0.91;该量表内容效度指数(CVI)为0.82;中文版PAC-SYM量表总分及各维度得分与SF-36、PAC-QOL、SAS/SDS总分均显著相关(均P<0.01);生物反馈治疗后,PAC-SYM量表总分及各维度得分均较治疗前显著降低(均P<0.01)。结论中文版PAC-SYM量表具有较好的信度、效度和反应度,可用于中国功能性便秘患者症状评估及疗效评价。
Objective To evaluate the reliability, validity, and responsiveness of the Chinese version of the Patient Assessment of Constipation Symptoms （PAC-SYM）. Methods A total of 155 patients with functional constipation completed the Chinese version of the PAC-SYM questionnaire, the Patient Assessment of Constipation Quality of Life scale （PAC-QOL）, the Short-form-36 Health survey （SF-36）, the Self-rating Anxiety Scale （SAS）, and the Self-rating Depression Scale （SDS）. Twenty of them were remea- sured after 1 week; 39 of them received biofeedback treatment and completed PAC-SYM again. Results The Chinese version of the PAC-SYM had acceptable internal consistency and test-retest reliability, with the Cronbacht s α of 0.81- 0. 91 and ICC of 0.79- 0.91; the content validity index was 0.82. The total PAC-SYM score and subscale scores were significantly correlated with the scores of PAC-QOL, SF-36, SAS and SDS （P〈0.01 for all）. The total PAC-SYM score and subscale scores were significantly decreased after biofeedback treatment （P〈0.01 for all）. Conclusion The Chinese version of PAC-SYM, which has acceptable relia- bility, validity and responsiveness, cen be used to assess severity of functional constipation in Chinese patients and to evaluate the curative effect.
出处
《护理学杂志（综合版）》
2012年第4期73-76,共4页
Journal of Nursing Science
基金
国家自然科学基金项目(NSFC 30971354)
关键词
便秘患者症状自评量表
便秘
症状评估
信度
效度
Patient Assessment of Constipation Symptoms
constipation
symptom assessment
reliability
validity
