中文版肿瘤患者食欲症状问卷信度、效度分析
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摘要
目的对中文版肿瘤患者食欲症状问卷(CASQ)的信度和效度进行研究。方法翻译、回译形成CASQ中文问卷,对88例肿瘤患者使用CASQ进行问卷调查,并对中文版CASQ进行条目区分度检验,同时采用PG-SGA评估纳入研究对象的营养风险,将PG-SGA与CASQ比较并进行效度检验。在第一次测量之后,间隔7天进行第二次测量,并同时对前后两次的CASQ进行信度研究。结果 CASQ各条目得分与问卷总分的相关系数在0.242～0.653之间,差异有统计学意义(P<0.05),重测信度系数结果表明数据行为良好,分半信度结果为0.560,内部一致性信度系数为0.436,中文版CASQ总分与PG-SGA总分的rs值为-0.475。结论中文版的肿瘤患者食欲症状问卷具有较好的信度和效度。
Objective To investigate the reliability and validity of the Chinese version of cancer appetite and symptom questionnaire(CASQ). Methods CASQ Chinese questionnaire was formed using translation and back-translation, and performed on 88 cancer patients. The entry distinction of the Chinese version of CASQ was tested. Simultaneously, PG-SGA was used to assess nutritional risks of the subjects; and it was compared with CASQ as well as the validity was tested. After the first measurement, the second measurement was made 7 days later; the reliability study of both CASQ was conducted. Results The correlation coefficient between each entry score of CASQ and the total score of the questionnaire was 0.242-0.653(P<0.05). The result of re-test reliability coefficient showed the data were good, the result of half-reliability was 0.560, internal consistency reliability coefficient was 0.436, and the rs value of the Chinese version of CASQ total score and the PG-SGA total score was-0.475. Conclusion The Chinese version of CASQ is tested to be with good reliability and validity.
Objective To investigate the reliability and validity of the Chinese version of cancer appetite and symptom questionnaire(CASQ). Methods CASQ Chinese questionnaire was formed using translation and back-translation, and performed on 88 cancer patients. The entry distinction of the Chinese version of CASQ was tested. Simultaneously, PG-SGA was used to assess nutritional risks of the subjects; and it was compared with CASQ as well as the validity was tested. After the first measurement, the second measurement was made 7 days later; the reliability study of both CASQ was conducted. Results The correlation coefficient between each entry score of CASQ and the total score of the questionnaire was 0.242-0.653(P<0.05). The result of re-test reliability coefficient showed the data were good, the result of half-reliability was 0.560, internal consistency reliability coefficient was 0.436, and the rs value of the Chinese version of CASQ total score and the PG-SGA total score was-0.475. Conclusion The Chinese version of CASQ is tested to be with good reliability and validity.
引文
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[11]Spexoto MC,Serrano SV,Halliday V,et al.Cancer Appetite and Symptom Questionnaire(CASQ)for Brazilian patients:crosscultural adaptation and validation study[J].PLoS One,2016,11(6):e0156288.
[12]徐力,白晶.健脾益肾方联合甲地孕酮对消化系肿瘤恶病质30例FAACT的影响[J].南京中医药大学学报,2011,27(4):381-3.[Xu L,Bai J.The influence of Jianpi Yishen Fang combined with megestrol on FAACT of 30 patients with digestive tumor cachexia[J].Nanjing Zhong Yi Yao Da Xue Xue Bao,2011,27(4):381-3.]
[2]杜红珍,魏雨佳,张玲玲,等.肿瘤患者食欲的评价及药物干预[J].肿瘤代谢与营养电子杂志,2017,4(1):120-4.[Du HZ,Wei YJ,Zhang LL,et al.Cancer patients appetite status evaluation and drug intervention[J].Zhong Liu Dai Xie Yu Ying Yang Dian Zi Za Zhi,2017,4(1):120-4.]
[3]Halliday V,Porock D,Arthur A,et al.Development and testing of a cancer appetite and symptom questionnaire[J].J Hum Nutr Diet,2012,25(3):217-24.
[4]Brislin R.Back-translation for cross-culture research[J].J Cross Cult Psychol,1970,1(3):185-216.
[5]一帆.项目的区分度[J].教育测量与评价(理论版),2010,3(2):36.[Yi F.The differentiation of project[J].Jiao Yu Ce Liang Yu Ping Jia(Li Lun Ban),2010,3(2):36.]
[6]闻浩,陆梦洁,刘玉秀,等.定量测量Bland-Altman一致性评价方法研究及临床应用[J].医学研究生学报,2015,28(10):1107-11.[Wen H,Lu MJ,Liu YX,et al.Study on the Method of BlandAltman Conformance Assessment for Quantitative Measurement and Its Clinical Application[J].Yi Xue Yan Jiu Sheng Xue Bao,2015,28(10):1107-11.]
[7]郭秀花.实用医学调查分析技术[M].第2版.北京:人民军医出版社,2014:261-79.[Guo XH.Practical medical investigation and analysis technology[M].2nd.Beijing:People's Military Medical Press,2014:261-79.]
[8]赵斐然,周天驰,张俊颖,等.量表(问卷)信度、效度评价在我国医学领域的应用与展望[J].中华中医药杂志,2014,29(7):2280-3.[Zhao FR,Zhou TC,Zhang JY,et al.Prospect and application of evaluation about reliability and validity assessment on scale or questionnaire applied in the medical domain[J].Zhonghua Zhong Yi Yao Za Zhi,2014,29(7):2280-3.]
[9]蒋小花,沈卓之,张楠楠,等.问卷的信度和效度分析[J].现代预防医学,2010,37(3):429-31.[Jiang XH,Shen ZZ,Zhang NN,et al.Reliability and validity analysis of the questionnaire[J].Xian Dai Yu Fang Yi Xue,2010,37(3):429-31.]
[10]Wilson MM,Thomas DR,Rubenstein LZ,et al.Appetite assessment:simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residents[J].Am JClin Nutr,2005,82(5):1074-81.
[11]Spexoto MC,Serrano SV,Halliday V,et al.Cancer Appetite and Symptom Questionnaire(CASQ)for Brazilian patients:crosscultural adaptation and validation study[J].PLoS One,2016,11(6):e0156288.
[12]徐力,白晶.健脾益肾方联合甲地孕酮对消化系肿瘤恶病质30例FAACT的影响[J].南京中医药大学学报,2011,27(4):381-3.[Xu L,Bai J.The influence of Jianpi Yishen Fang combined with megestrol on FAACT of 30 patients with digestive tumor cachexia[J].Nanjing Zhong Yi Yao Da Xue Xue Bao,2011,27(4):381-3.]