简洁版平衡评定系统测试量表汉化及在慢性阻塞性肺疾病患者中的信度与效度检验
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摘要
目的:对简洁版平衡评定系统测试量表(Brief-BESTest)进行中文版汉化并在COPD患者中进行信效度检验。方法:通过取得原作者授权-翻译-综合-回译-专家评议对英文版Brief-BESTest量表进行汉化,选择20例COPD患者进行预实验,对问卷进行修改和文化调试后,另择150例COPD患者进行测试,检测中文版Brief-BESTest量表的信效度,利用Spearman相关分析测试Brief-BESTest量表与Morse评估量表的相关性。结果:中文版Brief-BESTest量表共有6个条目,其中两个需进行双向计分,探索性因子分析,共提取了3个因子,累计方差贡献率为84.020%。总量表的Cronbachα系数为0.904,折半信度系数为0.836,重测信度为0.936(P<0.01,95%CI=[0.839,0.975]),与Morse评估表之间呈显著的负相关(r=-0.494,P<0.01)。结论:中文版Brief-BESTest量表具有良好的信效度,适合在中国文化背景下测试COPD患者的平衡能力。
Objective: To perform a simplified Chinese version of the balance-evaluation system test scale(Brief-BESTest)and to test the reliability and validity for COPD patients.Method:The Chinese version of the Brief-BESTest scale was completed by obtaining the author's authorizationtranslation-synthesis-back-translation-expert review. Twenty patients with COPD were selected for pre-experiment.After the questionnaire was modified and culturally debugged, another 150 COPD Patients were tested for the reliability and validity of the Chinese version of the Brief-BESTest scale.Spearman correlation analysis was used to test the association of the Brief-BESTest scale with the Morse assessment scale.Result:The Chinese version of Brief-BESTest had 6 items in total, of which two required bidirectional scoring.Exploratory factor analysis,three factors were extracted and the cumulative variance contribution rate was 84.020%. The Cronbach's alpha coefficient of the total scale was 0.904, the coefficient of half-value reliability was 0.836 and the test-retest reliability was 0.936(P<0.01,95% CI=[0.839,0.975]), which was significantly negatively correlated with the Morse evaluation table(R=-0.494, P<0.01).Conclusion:The Chinese version of the Brief-BESTest scale has a good reliability and validity and is suitable for testing the balance of COPD patients in the Chinese culture.
Objective: To perform a simplified Chinese version of the balance-evaluation system test scale(Brief-BESTest)and to test the reliability and validity for COPD patients.Method:The Chinese version of the Brief-BESTest scale was completed by obtaining the author's authorizationtranslation-synthesis-back-translation-expert review. Twenty patients with COPD were selected for pre-experiment.After the questionnaire was modified and culturally debugged, another 150 COPD Patients were tested for the reliability and validity of the Chinese version of the Brief-BESTest scale.Spearman correlation analysis was used to test the association of the Brief-BESTest scale with the Morse assessment scale.Result:The Chinese version of Brief-BESTest had 6 items in total, of which two required bidirectional scoring.Exploratory factor analysis,three factors were extracted and the cumulative variance contribution rate was 84.020%. The Cronbach's alpha coefficient of the total scale was 0.904, the coefficient of half-value reliability was 0.836 and the test-retest reliability was 0.936(P<0.01,95% CI=[0.839,0.975]), which was significantly negatively correlated with the Morse evaluation table(R=-0.494, P<0.01).Conclusion:The Chinese version of the Brief-BESTest scale has a good reliability and validity and is suitable for testing the balance of COPD patients in the Chinese culture.
引文
[1]Smith MD,Chang AT,Seale HE,et al.Balance is impaired in people with chronic obstructive pulmonary disease[J].Gait Posture,2010,31(4):456-460.
[2]Stone KL,Blackwell TL,Ancoli-Israel S,et al.Sleep disturbances and risk of falls in older community-dwelling men:the outcomes of sleep disorders in older men(MrOS Sleep)Study[J].J Am Geriatr Soc,2014,62(2):299-305.
[3]Roig M,Eng JJ,MacIntyre DL,et al.Falls in people with chronic obstructive pulmonary disease:an observational cohort study[J].Respir Med,2011,105(3):461-469.
[4]Yentes JM,Rennard SI,Schmid KK,et al.Patients with COPD walk with altered step time and step width variability as compared to healthy controls[J].Ann Am Thorac Soc,2017,14(6):858-866.
[5]Cruz J,Marques A,Jácome C,et al.Global functioning of COPD patients with and without functional balance impairment:An exploratory analysis based on the ICF framework[J].COPD,2015,12(2):207-216.
[6]Beauchamp MK,Sibley KM,Lakhani B,et al.Impairments in systems underlying control of balance in COPD[J].Chest,2012,141(6):1496-1503.
[7]Roig M,Eng JJ,MacIntyre DL,et al.Falls in people with chronic obstructive pulmonary disease:an observational cohort study[J].Respir Med,2011,105(3):461-469.
[8]Marques A,Cruz J,Quina S,et al.Reliability,Agreement and minimal detectable change of the timed up&go and the 10-Meter walk tests in older patients with COPD[J].COPD,2016,13(3):279-287.
[9]Padgett PK,Jacobs JV,Kasser SL.Is the BESTest at its best?A suggested brief version based on interrater reliability,validity,internal consistency,and theoretical construct[J].Phys Ther,2012,92(9):1197-1207.
[10]Jácome C,Cruz J,Oliveira A,et al.Validity,reliability,and ability to identify fall status of the berg balance scale,BESTest,Mini-BESTest,and Brief-BESTest in Patients With COPD[J].Phys Ther,2016,96(11):1807-1815.
[11]Vestbo J,Hurd SS,AgustíAG,et al.Global strategy for the diagnosis,management,and prevention of chronic obstructive pulmonary disease:GOLD executive summary[J].Am JRespir Crit Care Med,2013,187(4):347-365.
[12]Brislin RW.Comparative research methodology:cross coltrural studies[J].Int J Psychol,1976,3(11):215-229.
[13]孔凡贞,钮美娥,赵惠英,等.中文版抗抑郁药物依从性量表的信效度研究[J].解放军护理杂志,2017,34(2):27-30.
[14]石先进.老龄化对中日社会产生的影响相同吗--基于中日两国人口数据的对比研究[J].贵州财经大学学报,2017,(2):21-30.
[15]游士兵,蔡远飞.人口老龄化对经济增长影响的动态分析--基于面板VAR模型的实证分析[J].经济与管理,2017,31(1):22-29.
[16]Zykov KA,Ovcharenko SI.Approaches to drug therapy for COPD in Russia:a proposed therapeutic algorithm[J].Int J Chron Obstruct Pulmon Dis,2017,12:1125-1133.
[17]Beauchamp MK,Sibley KM,Lakhani B,et al.Impairments in systems underlying control of balance in COPD[J].Chest,2012,141(6):1496-1503.
[18]Bongue B,DupréC,Beauchet O,et al.A screening tool with five risk factors was developed for fall-risk prediction in community-dwelling elderly[J].J Clin Epidemiol,2011,64(10):1152-1160.
[19]Oliveira CC,Lee AL,McGinley J,et al.Falls by individuals with chronic obstructive pulmonary disease:a preliminary 12-month prospective cohort study[J].Respirology,2015,20(7):1096-1101.
[20]Chuang LL,Wu CY,Lin KC,et al.Quantitative mechanical properties of the relaxed biceps and triceps brachii muscles in patients with subacute stroke:a reliability study of the myoton-3 myometer[J].Stroke Res Treat,2012,2012:1-7.
[21]邓瑛瑛,彭娟,陈方尧,等.无反应性全面量表的汉化及信效度检验[J].实用医学杂志,2017,33(2):306-309.
[22]钱会娟,袁长蓉.中文版癌症自我管理效能感量表的信效度测评[J].中华护理杂志,2011,46(1):87-89.
[23]曹兰玉,魏力,王春梅,等.直肠癌前切除综合征评分量表的汉化及信效度评价[J].中国实用护理杂志,2013,29(27):69-72.
[24]Carmines EG,Zeller RA.Reliability and validity assessment[M].London:SAGE Publications,1979:22-65.
[2]Stone KL,Blackwell TL,Ancoli-Israel S,et al.Sleep disturbances and risk of falls in older community-dwelling men:the outcomes of sleep disorders in older men(MrOS Sleep)Study[J].J Am Geriatr Soc,2014,62(2):299-305.
[3]Roig M,Eng JJ,MacIntyre DL,et al.Falls in people with chronic obstructive pulmonary disease:an observational cohort study[J].Respir Med,2011,105(3):461-469.
[4]Yentes JM,Rennard SI,Schmid KK,et al.Patients with COPD walk with altered step time and step width variability as compared to healthy controls[J].Ann Am Thorac Soc,2017,14(6):858-866.
[5]Cruz J,Marques A,Jácome C,et al.Global functioning of COPD patients with and without functional balance impairment:An exploratory analysis based on the ICF framework[J].COPD,2015,12(2):207-216.
[6]Beauchamp MK,Sibley KM,Lakhani B,et al.Impairments in systems underlying control of balance in COPD[J].Chest,2012,141(6):1496-1503.
[7]Roig M,Eng JJ,MacIntyre DL,et al.Falls in people with chronic obstructive pulmonary disease:an observational cohort study[J].Respir Med,2011,105(3):461-469.
[8]Marques A,Cruz J,Quina S,et al.Reliability,Agreement and minimal detectable change of the timed up&go and the 10-Meter walk tests in older patients with COPD[J].COPD,2016,13(3):279-287.
[9]Padgett PK,Jacobs JV,Kasser SL.Is the BESTest at its best?A suggested brief version based on interrater reliability,validity,internal consistency,and theoretical construct[J].Phys Ther,2012,92(9):1197-1207.
[10]Jácome C,Cruz J,Oliveira A,et al.Validity,reliability,and ability to identify fall status of the berg balance scale,BESTest,Mini-BESTest,and Brief-BESTest in Patients With COPD[J].Phys Ther,2016,96(11):1807-1815.
[11]Vestbo J,Hurd SS,AgustíAG,et al.Global strategy for the diagnosis,management,and prevention of chronic obstructive pulmonary disease:GOLD executive summary[J].Am JRespir Crit Care Med,2013,187(4):347-365.
[12]Brislin RW.Comparative research methodology:cross coltrural studies[J].Int J Psychol,1976,3(11):215-229.
[13]孔凡贞,钮美娥,赵惠英,等.中文版抗抑郁药物依从性量表的信效度研究[J].解放军护理杂志,2017,34(2):27-30.
[14]石先进.老龄化对中日社会产生的影响相同吗--基于中日两国人口数据的对比研究[J].贵州财经大学学报,2017,(2):21-30.
[15]游士兵,蔡远飞.人口老龄化对经济增长影响的动态分析--基于面板VAR模型的实证分析[J].经济与管理,2017,31(1):22-29.
[16]Zykov KA,Ovcharenko SI.Approaches to drug therapy for COPD in Russia:a proposed therapeutic algorithm[J].Int J Chron Obstruct Pulmon Dis,2017,12:1125-1133.
[17]Beauchamp MK,Sibley KM,Lakhani B,et al.Impairments in systems underlying control of balance in COPD[J].Chest,2012,141(6):1496-1503.
[18]Bongue B,DupréC,Beauchet O,et al.A screening tool with five risk factors was developed for fall-risk prediction in community-dwelling elderly[J].J Clin Epidemiol,2011,64(10):1152-1160.
[19]Oliveira CC,Lee AL,McGinley J,et al.Falls by individuals with chronic obstructive pulmonary disease:a preliminary 12-month prospective cohort study[J].Respirology,2015,20(7):1096-1101.
[20]Chuang LL,Wu CY,Lin KC,et al.Quantitative mechanical properties of the relaxed biceps and triceps brachii muscles in patients with subacute stroke:a reliability study of the myoton-3 myometer[J].Stroke Res Treat,2012,2012:1-7.
[21]邓瑛瑛,彭娟,陈方尧,等.无反应性全面量表的汉化及信效度检验[J].实用医学杂志,2017,33(2):306-309.
[22]钱会娟,袁长蓉.中文版癌症自我管理效能感量表的信效度测评[J].中华护理杂志,2011,46(1):87-89.
[23]曹兰玉,魏力,王春梅,等.直肠癌前切除综合征评分量表的汉化及信效度评价[J].中国实用护理杂志,2013,29(27):69-72.
[24]Carmines EG,Zeller RA.Reliability and validity assessment[M].London:SAGE Publications,1979:22-65.