石丹,李铮,杨坚,等.脑卒中症状体验量表的编制及信效度检验[J].中华物理医学与康复杂志,2019,41(2):96-100
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| 脑卒中症状体验量表的编制及信效度检验 |
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| DOI：DOI:10.3760/cma.j.issn.0254-1424.2019.02.004 |
| 中文关键词: 脑卒中 症状体验 症状负担 症状评估量表 |
| 英文关键词: Stroke Symptoms experienced Symptom burden Symptom assessment scales |
| 基金项目:复旦大学护理科研基金（FNF201611） |
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| 摘要点击次数: 6127 |
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| 中文摘要: |
| 目的 编制脑卒中症状体验量表，并进行信效度检验。 方法 经文献回顾、现有脑卒中相关量表和患者访谈，拟定初版症状条目池。通过专家咨询进行条目的增删和修改，预调查，对患者不理解项目进行补充说明，确定初版症状体验量表。对上海市两家医院康复科的200名脑卒中患者进行问卷调查，应用SPSS 22.0版软件对数据进行处理和分析，评价量表的信效度。 结果 脑卒中症状体验量表包括19个条目，经探索性因子分析提取6个公因子，累积方差贡献率为62.133%。量表平均内容效度指数为0.947，各条目内容效度指数为0.800-1。量表与脑卒中影响量表的相关系数为-0.714。量表内部一致性Cronbach′s α系数为0.810，折半信度为0.760。 结论 脑卒中症状体验量表具有良好的信效度，可用于康复科脑卒中患者症状体验、症状负担的评估，为脑卒中患者症状管理策略的制订提供依据。 |
| 英文摘要: |
| Objective To develop a symptom experience scale for stroke survivors and to test its reliability and validity. Methods The initial item pool was formulated by combining the results of a literature review with existing stroke-related scales and interviews with stroke patients. Items were added, deleted or modified after expert consultation and a pilot study to set up the scale. Then 200 in-patients in the rehabilitation departments of two hospitals in Shanghai were surveyed using the scale. The scale′s reliability and validity were examined. Results The final scale consisted of 19 items. An exploratory factor analysis identified six principal factors which explained 62% of the total variance in the results. The average scale-level content validity index was 0.95 and the item content validity index ranged from 0.80 to 1. The scale results correlated well with those using the Stroke Impact Scale. The Cronbach′s α coefficient was 0.81 and the split-half coefficient was 0.76. Conclusion The symptom experience scale for stroke survivors has good reliability and validity. It can be used to evaluate the symptom experiences of stroke survivors and provide information for the management of symptoms． |
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