摘要
目的：在中国间质性肺疾病（ILD）患者中进行中文版特发性肺纤维化患者生命质量特异性量表(ATAQ-IPF）的信效度检验，以探讨该量表在中国间质性肺疾病患者中的适用性。方法采用便利抽样的方法，抽取北京协和医院呼吸内科住院的间质性肺疾病患者128例，用组内相关系数、Cronbachα系数、内容效度指数、以及圣乔治呼吸问卷（SGRQ）与中文版ATAQ-IPF之间的关联性来检验其重测信度、内部一致性信度、内容效度、效标关联效度及已知族群效度。结果重测信度结果显示组内相关系数为0.95（P<0.05）。内部一致性信度Cronbach α系数为0.96；各维度的Cronbach α系数为0.60～0.93。量表水平的内容效度指数为0.80，条目水平的内容效度指数为0.78～1.00，表明内容效度较好。中文版ATAQ-IPF 得分与SGRQ总分显著相关（r =0.69，P <0.01）。根据128例患者的病种及呼吸困难程度进行分组，测评其生命质量，结果显示不同病种（特发性肺纤维化与非特发性肺纤维化）患者生命质量差异具有统计学意义（t=2.99，P<0.01），不同呼吸困难程度的患者生命质量差异具有统计学意义（t=-5.95，P<0.01）。结论中文版ATAQ-IPF具有良好的信度和效度，可应用于我国ILD患者生命质量的测评。
Objective To evaluate the reliability and validity of the Chinese version of A Tool to Assess Quality of Life in Idiopathic Pulmonary Fibrosis (ATAQ-IPF), and discuss the applicability of this tool among interstitial lung disease (ILD) patients. Methods 128 patients with ILD were selected from the respiratory department of Peking Union Medical College Hospital, and a convenient sampling method was adopted. Test-retest reliability cofficient, Cronbach αinternal consistency, content validity, criterion related validity were used to evaluate the reliability and validity of the Chinese version of ATAQ-IPF. Results Among first 15 recruited patients, the localized ATAQ-IPF had good test-retest reliability, the intraclass correlation coefficient(ICC) calculation was 0.95 (P<0.05). The evaluation of all 128 patients showed excellent internal consistency with the Cronbach α was 0.96,Cronbach α values of each dimension were 0.60-0.93. The scale level content validity index (S-CVI) was 0.80;The item level content validity index (I-CVI)were 0.78-1.00,which proved good validity. The score between the Chinese version of ATAQ-IPF and St. George Respiratory Questionnaire(SGRQ) showed a significant correlation (r=0.69, P<0.01). Criterion related validity was good. 128 patients were grouped according to the entity and the degree of dyspnea,evaluated the quality of life. There was a significant difference between idiopathic pulmonary fibrosis (IPF) and non-IPF patients(t=2.99, P < 0.01).Also the differences between different degrees of dyspnea were statistically significant(t=16.05, P<0.01). Conclusions The Chinese version of ATAQ-IPF retains good reliability and validity, and is qualified to assess the quality of life among ILD patients.
出处
《中国实用护理杂志》
2016年第13期-,共5页
Chinese Journal of Practical Nursing
关键词
肺疾病
间质性
生命质量特异性量表
信度
效度
Lung diseases,interstitial
A Tool to Assess Quality of Life in Idiopathic Pulmonary Fibrosis
Reliability
Validity
