摘要
目的探讨SF-36量表(The Short-Form-36Health Survey,SF-36)在颈椎病患者中的信度和效度。方法应用SF-36量表对100例颈椎病患者进行测查,随机抽取30例患者在初次测评1周后再次进行SF-36的评定。采用同质性信度Cronbach’sα系数、分半信度及重测信度三个指标检测量表的信度。应用SF-36量表的8个维度得分与SF-36量表总分、躯体健康总评(physical component summary,PCS)得分和精神健康总评(mental component summary,MCS)得分的相关分析检验内容效度,应用探索性因子分析检验结构效度。结果 SF-36量表Cronbach’sα系数为0.727,PCS及MCS的Cronbach’sα系数分别为0.733,0.735。分半信度系数为0.718(P<0.01)。1周后重测8个维度得分、PCS、MCS及总分的Pearson相关系数为0.948~0.998(P<0.01)。8个维度得分与SF-36量表总分相关系数为0.501~0.686,躯体功能(physical functioning,PF)、躯体健康问题导致的角色限制(role limitations due to physical health,RP)、躯体疼痛(bodily pain,BP)、总体健康感(general health perceptions,GH)与PCS得分相关系数为0.578~0.757,生命活力(vitality,VT)、社交功能(social functioning,SF)、情感问题所致的角色受限(role limitations due to emotional problems,RE)、精神健康(mental health,MH)与MCS得分相关系数为0.574~0.839。探索性因子分析提取2个公因子,方差贡献率为61.688%。结论 SF-36量表应用于颈椎病患者具有良好的信度和效度。
Objective To explore the reliability and validity of The Short-Form-36 Health Survey（SF-36）in cervical spondylosis patients.Methods 100 cervical spondylosis patients were tested with SF-36,and30 of them underwent retest with SF-36 one week later.The reliability was tested through the indexes of Cronbach＇sαcoefficient,split-half reliability and test-retest reliability.The content validity was tested by the correlation between the total score of SF-36,the score of physical component summary（PCS）,the score of mental component summary（MCS）and the scores of 8 SF-36 indexes.The construct validity was tested by exploratory factor analysis.Results The Cronbach＇sαcoefficient of SF-36 was 0.727,Cronbach＇sαcoefficient of PCS and MCS was 0.733 and 0.735 respectively.The split-half reliability coefficient was0.718（P 0.01）.The test-retest correlation coefficients between scores of 8 SF-36 indexes,PCS,MCSand the total score of SF-36 ranged from 0.948 to 0.998（P 0.01）.The correlation coefficients of the 8 SF-36 indexes and the total score ranged from 0.501 to 0.686.The correlation coefficients of physical functioning（PF）,the role limitations due to physical health（RP）,the bodily pain（BP）,the general health perceptions（GH）and the PCS score ranged from 0.578 to 0.757.The correlation coefficients of vitality（VT）,the social functioning（SF）,the role limitations due to emotional problems（RE）,the mental health（MH）and the MCS score ranged from 0.574 to 0.839.The exploratory factor analysis showed that the variance contribution rate of the two factors was 61.688%.ConclusionSF-36 has good reliability and validity in cervical spondylosis patients.
出处
《山东医学高等专科学校学报》
2017年第5期335-339,共5页
Journal of Shandong Medical College
关键词
SF-36量表
信度
效度
颈椎病
The Short-Form-36Health Survey
Reliability
Validity
Cervical spondylosis
