老年脑卒中患者多维健康测定量表研制中的条目筛选
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摘要
目的制订适合我国老年脑卒中患者多维健康测定量表(MHIEC-ST)的特异模块,为形成完整量表打下基础。方法采用专家核心小组讨论与访谈相结合的方式对已经存在的脑卒中患者生命质量测定量表的条目进行评价和修改形成初步量表,到医院对57例老年脑卒中患者进行调查,采用变异度法、相关系数法、因子分析法、克朗巴赫系数法并经过再次专家集中讨论对条目进行筛选。结果按上述4种统计方法综合入选的条目为ST1、ST3、ST4、ST6、ST7、ST8、ST10、ST11、ST12、ST13,结合专家组再次讨论的意见,入选条目为ST1、ST4、ST9、ST11、ST12、ST13、ST14。结论按严格的程序选出7个条目组成我国老年脑卒中患者多维健康测定量表(MHIEC-ST)的特异模块。
Objective To develop a specific module of the Multidimensional Health Measurement Scale(MHIEC-ST)suitable for elderly patients with stroke in our country to lay the foundation for forming the intact scale.Methods The mode of expert core group discussion combined with interview was adopted to evaluate and modify the items of MHIEC-ST for forming the primary scale.Then 57 elderly patients with stroke in hospital were surveyed.Then the variability method,correlation coefficient method,factor analysis and Cronbach coefficient method combined with the expert concentrative discussion were adopted to screen the items.Results The items comprehensively selected by the above four statistical methods were ST1,ST3,ST4,ST6,ST7,ST8,ST10,ST11,ST12 and ST13.Combined with the opinions discussed by the expert group,the selected items were ST1,ST4,ST9,ST11,ST12,ST13 and ST14.Conclusion The 7 items are selected according to a rigorous procedure to form a specific module of MHIEC-ST for elderly stroke patients in our country.
Objective To develop a specific module of the Multidimensional Health Measurement Scale(MHIEC-ST)suitable for elderly patients with stroke in our country to lay the foundation for forming the intact scale.Methods The mode of expert core group discussion combined with interview was adopted to evaluate and modify the items of MHIEC-ST for forming the primary scale.Then 57 elderly patients with stroke in hospital were surveyed.Then the variability method,correlation coefficient method,factor analysis and Cronbach coefficient method combined with the expert concentrative discussion were adopted to screen the items.Results The items comprehensively selected by the above four statistical methods were ST1,ST3,ST4,ST6,ST7,ST8,ST10,ST11,ST12 and ST13.Combined with the opinions discussed by the expert group,the selected items were ST1,ST4,ST9,ST11,ST12,ST13 and ST14.Conclusion The 7 items are selected according to a rigorous procedure to form a specific module of MHIEC-ST for elderly stroke patients in our country.
引文
[1]孙海欣,王文志.中国脑卒中患病率、发病率和死亡率调查结果发表[J].中华神经科杂志,2017,50(5):337.
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[3]许传志,杜茸茸,常履华,等.脑卒中患者生命质量测定量表QLICD-ST研制中的条目筛选[J].昆明医学院学报,2009,30(5):59-63.
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[6] BUCK D,JACOBY A,MASSEY A,et al.Development and validation of NEWSQOL,the Newcastle Stroke-Specific Quality of Life Measure[J].Cerebrovasc Dis,2004,17(2/3):143-152.
[7] HILARI K,BYNG S,LAMPING D L,et al.Stroke and aphasia quality of Life scale-39(SAQOL-39):evaluation of acceptability,reliability,and validity[J].Stroke,2003,34(8):1944-1950.
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[9]柏松,邵俊.脑卒中社区预防及康复指导[J].中国实用神经疾病杂志,2010,13(23):59-60.
[10]邓建霞.脑出血并发症的预防性护理[J].现代中西医结合杂志,2006,15(19):2713-2714.
[11]李响,姜丽静,倪金迪,等.卒中相关性肺炎对ICU老年卒中患者预后的影响[J].中国综合临床,2015,31(8):682-685.
[12]麦向凡.脑卒中患者留置胃管相关护理与食道反流的相关性分析[J].国际护理学杂志,2017,36(12):1625-1627.
[13]胡琴.分级护理在危重脑卒中患者中的应用效果[J].中华现代护理杂志,2016,22(31):4480-4482.
[2]徐赛珠,胡华丽.多学科团队协同管理下高龄急性脑卒中患者的救治与护理[J/CD].中华危重症医学杂志(电子版),2016,9(3):214-216.
[3]许传志,杜茸茸,常履华,等.脑卒中患者生命质量测定量表QLICD-ST研制中的条目筛选[J].昆明医学院学报,2009,30(5):59-63.
[4]万崇华.慢性病患者生命质量测评与应用[M].北京:科学出版社,2015:379-397.
[5]曹雅丽,王丹.老年综合评估在慢阻肺护理中的临床应用[J].中国老年保健医学,2016,14(3):90-91.
[6] BUCK D,JACOBY A,MASSEY A,et al.Development and validation of NEWSQOL,the Newcastle Stroke-Specific Quality of Life Measure[J].Cerebrovasc Dis,2004,17(2/3):143-152.
[7] HILARI K,BYNG S,LAMPING D L,et al.Stroke and aphasia quality of Life scale-39(SAQOL-39):evaluation of acceptability,reliability,and validity[J].Stroke,2003,34(8):1944-1950.
[8]吴晓莉,杨宇琦,刘平,等.卒中后听觉失认的1例报告[J].中国康复医学杂志,2017,32(6):710-712.
[9]柏松,邵俊.脑卒中社区预防及康复指导[J].中国实用神经疾病杂志,2010,13(23):59-60.
[10]邓建霞.脑出血并发症的预防性护理[J].现代中西医结合杂志,2006,15(19):2713-2714.
[11]李响,姜丽静,倪金迪,等.卒中相关性肺炎对ICU老年卒中患者预后的影响[J].中国综合临床,2015,31(8):682-685.
[12]麦向凡.脑卒中患者留置胃管相关护理与食道反流的相关性分析[J].国际护理学杂志,2017,36(12):1625-1627.
[13]胡琴.分级护理在危重脑卒中患者中的应用效果[J].中华现代护理杂志,2016,22(31):4480-4482.