目的:考评中华生存质量量表的信度和效度,使其能够在临床和科研研究中应用。 方法:选择2003-01/06广州中医药大学第一附属医院和宁夏医学院附属医院的193例慢性疾病患者和广东广州和宁夏银川两地的社区人群(80例健康者),在调查过程中,除了使用中华生存质量量表外。同时也让调查对象填写世界卫生组织生存质量测定量表中文版和健康状况调查问卷中文版。所有量表都由调查对象自己填写完成。计算该量表的内部一致性信度,重测信度,结构效度,内容效度、效标效度和区分效度等。其中效标效度以世界卫生组织生存质量测定量表中文版和健康状况调查问卷中文版作为效标。 结果:273份问卷均进入结果分析。量表的所有方面和领域的克朗巴赫α系数都大于0.7;方面的重测相关系数0.67~0.84,领域0.83~0.90;拟合优度指数除领域情(0.872)和方面气候适应(0.820)之外,其他均大于0.9;与世界卫生组织生存质量测定量表中文版和健康状况调查问卷中文版相比,各领域之间存在很好相关性。 结论:中华生存质量量表是一份较好的用于测定生存质量的量表,具有较好的信度和效度,可以应用于临床和科研研究。
AIM: To examine the reliability and validity of the Chinese Quality of Life Instrument, so as to apply it in the clinical and scientific research. METHODS: 193 patients with chronic illness in the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and the Affiliated Hospital of Ningxia Medical College, 80 healthy persons from Guangzhou of Guangdong province and Yinchuan of Ningxia province from January to June 2003 were selected. Besides the Chinese Quality of Life Instrument, subjects were required to fill in the measurement scalesi the World Health Organization Quality of Life Assessment (WHOQOL-100) and the Medical Outcomes Study Short Form 36-items Health Survey (SF-36) in the survey. All scales were completed by subjects only. The internal consistency reliability, retest reliability, construct validity, content validity, criterion validity and discriminant validity of the scale were calculated. RESULTS: Totally 273 questionnaires were involved in the analysis of results. Coefficients of Cronbach's alpha of all facets and domains in the scale were above 0.7; The intra-class correlation between test and retest ranged from 0.67 to 0.84 in the facet scores and 0.83 to 0.90 in the domain scores. Except comparative fitness index (CFI) of domain emotion (0.872) and facet adaptation to climate (0.820), others were above 0.9; Compared with WHOQOL-100 and SF-36, there are good correlations among domains. CONCLUSION: The Chinese Quality of Life Instrument is a better scale in testing the quality of life, which has good reliability and validity, it can be applied in the clinical and scientific researches