老年慢性阻塞性肺疾病患者多维健康测定量表研制中的条目筛选
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摘要
目的制定适合我国老年慢性阻塞性肺疾病患者多维健康测定量表MHIEC-COPD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针对慢性阻塞性肺疾病(COPD)患者健康测定的条目进行评价和修改形成初步量表,到医院对112例老年慢性阻塞性肺疾病患者进行调查,采用变异度法、相关系数法、因子分析法、克朗巴赫系数法并结合专家集中讨论对条目进行筛选。结果专家讨论形成9个条目的初步量表,按上述4种统计方法并结合再次的专家讨论选定7个条目为慢性阻塞性肺疾病患者多维健康测定量表的特异模块条目。结论按严格的程序选出的7个条目有很好的代表性和内容效度。
Objective To develop a specific scale of the Multidimensional Health Instrument System for the Elderly with Chronic Obstructive Pulmonary Disease(MHIEC-COPD) so as to lay a foundation for the complete system.Methods Based on the combination of expert focus group discussion and interview,the primary questionnaire was formed for health measurement scale for patients with COPD; 112 hospitalized patients were investigated by the primary questionnaire; the items selections were made based on expert focus group discussions again and with 4 statistical analysis including variability method,correlation coefficient method,factor analysis and Cronbach's α method. Results 9 items were selected for primary module by focus group discussions;with the above 4 statistical methods plus the results of the second expert focus group discussion,the final specific scale including 7 items were selected for the final scale for the MHIEC-COPD. Conclusions The 7 items selected through the strict procedures have good representation and content validity in health evaluation of the elderly with COPD.
Objective To develop a specific scale of the Multidimensional Health Instrument System for the Elderly with Chronic Obstructive Pulmonary Disease(MHIEC-COPD) so as to lay a foundation for the complete system.Methods Based on the combination of expert focus group discussion and interview,the primary questionnaire was formed for health measurement scale for patients with COPD; 112 hospitalized patients were investigated by the primary questionnaire; the items selections were made based on expert focus group discussions again and with 4 statistical analysis including variability method,correlation coefficient method,factor analysis and Cronbach's α method. Results 9 items were selected for primary module by focus group discussions;with the above 4 statistical methods plus the results of the second expert focus group discussion,the final specific scale including 7 items were selected for the final scale for the MHIEC-COPD. Conclusions The 7 items selected through the strict procedures have good representation and content validity in health evaluation of the elderly with COPD.
引文
[1]钟南山.慢性阻塞性肺疾病在中国[J].中国实用内科杂志,2011,31(5):321-323.
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[4]黄海蓉,张素珍,陈晓峰,等.深圳市退休老年人多维健康评价和危险因素研究[J].中国疗养医学,2015,24(7):760-763.
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[8]万崇华,李晓梅,杨铮,等.慢性病患者生命质量测评与应用[M].北京:科学出版社,2015:81-93.
[9]万崇华,禹玉兰,谭健烽,等.生命质量研究导论:测定·评价·提升[M].北京:科学出版社,2016:44-52.
[10]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.
[11]张韵.慢性阻塞性肺疾病住院患者焦虑情况的影响因素分析[J].齐齐哈尔医学院学报,2016,37(6):735-737.
[12]郝文东,王国芳,张彩莲.百令胶囊联合布地奈德福莫特罗粉吸入剂治疗稳定期慢性阻塞性肺疾病的疗效及机制[J].临床肺科杂志,2016,21(9):1603-1606.
[2]朱健峰.COPD患者肺功能易感性与感染严重程度的相关性研究[J].中华医院感染学杂志,2013,23(6):1253-1255.
[3]何权瀛.解读2007年修订版《慢性阻塞性肺疾病诊治指南》[J].中国全科医学:医生读者版,2009,12(8):8-9.
[4]黄海蓉,张素珍,陈晓峰,等.深圳市退休老年人多维健康评价和危险因素研究[J].中国疗养医学,2015,24(7):760-763.
[5]冯玉麟.慢性阻塞性肺疾病学院总院2013年深圳站会议纪要[C].中华结核和呼吸杂志,2013,36(6):472-475.
[6]Rutten-van M觟lken M,Roos B,Van Noord JA.An empirical comparison of the St George's Respiratory Questionnaire(SGRQ)and the Chronic Respiratory Disease Questionnaire(CRQ)in a clinical trial setting[J].Thorax,1999,54(11):995-1003.
[7]杨铮,李晓梅,万崇华,等.慢性阻塞性肺疾病患者生命质量测定量表的研制与考评[J].中国全科医学,2007,10(13):1080-1083.
[8]万崇华,李晓梅,杨铮,等.慢性病患者生命质量测评与应用[M].北京:科学出版社,2015:81-93.
[9]万崇华,禹玉兰,谭健烽,等.生命质量研究导论:测定·评价·提升[M].北京:科学出版社,2016:44-52.
[10]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.
[11]张韵.慢性阻塞性肺疾病住院患者焦虑情况的影响因素分析[J].齐齐哈尔医学院学报,2016,37(6):735-737.
[12]郝文东,王国芳,张彩莲.百令胶囊联合布地奈德福莫特罗粉吸入剂治疗稳定期慢性阻塞性肺疾病的疗效及机制[J].临床肺科杂志,2016,21(9):1603-1606.