文章摘要
关红丽,丘卫红,武惠香,谢纯青,颜海霞.中文版脑卒中后失语症生活质量量表的信度和效度研究[J].中华物理医学与康复杂志,2017,39(2):97-101
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中文版脑卒中后失语症生活质量量表的信度和效度研究
  
DOI:
中文关键词: 脑卒中  失语症  生活质量  信度  效度
英文关键词: Stroke  Aphasia  Quality of life  Reliability  Validity
基金项目:广东省自然科学基金(2016A030313327);广东省科技计划项目(2016A020215226);广州市科技计划项目(201607010185)
作者单位
关红丽,丘卫红,武惠香,谢纯青,颜海霞 510630广州中山大学附属第三医院康复医学科(关红丽、丘卫红、武惠香、谢纯青)广州市番禺区中心医院(关红丽、颜海霞) 
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中文摘要:
      目的通过对脑卒中失语症生活质量量表(SAQOL-39g)的编译和心理测量学考评,建立适合中国脑卒中后失语症患者使用的生活质量专表。 方法参考国内外量表的编译程序,将英文版脑卒中失语症生活质量量表(SAQOL-39g)编译为中文。使用中文版SAQOL-39g量表的自评和代评量表对脑卒中失语症患者86例及其陪护(代评者)86例进行问卷调查。考察量表的可行性、信度、效度及自评代评量表间的一致性。 结果中文版量表的回收率为100%,自评量表和代评量表的平均完成时间分别为(21.4±4.37)min和(13.25±5.6)min。自评和代评量表的总体和各维度内在信度指标Cronbach′s alpha系数的范围分别为0.879~0.950和0.863~0.943;自评和代评量表的总体和各维度重测信度相关系数范围分别为0.804~0.974和0.861~0.987。量表的结构效度检验使用因子分析共提取出3个公因子,累积贡献率59.7%。自评和代评量表之间的一致性好(P>0.05)。 结论中文版SAQOL-39g量表具有良好的可行性、信度、效度,自评和代评量表间的一致性好,可有效地对脑卒中后失语症患者的生活质量进行评估。
英文摘要:
      Objective To develop a quality of life scale suitable for aphasic Chinese stroke patients by translating and evaluating the psychometric properties of the original 39-generic version of the Stroke and Aphasia Quality of Life scale (SAQOL-39g). MethodsThe SAQOL-39g was translated into Chinese and edited. The well-edited and translated self-rated and non-self-rated scales were used to test 86 aphasia patients and their caretakers to evaluate the feasibility, internal consistency, test-retest reliability, content validity, and construct validity of the scale. ResultsThe feasibility of the Chinese version of the SAQOL-39g scale was sufficient, with 97% of the questionnaires completed. The average time taken to complete the self-report version was (21.4±4.37) minutes, with (13.25±5.61) minutes needed for the proxy version. The Cronbach′s alpha values for the overall survey ranged from 0.879 to 0.950 and for the subdomains from 0.863 to 0943 for both forms, suggesting satisfactory internal reliability. The test-retest coefficients for the two forms ranged from 0.804 to 0.974 and from 0.861 to 0.987. A total of 3 common factors were extracted using factor analysis, and the cumulative contribution rate was 59.7%. The consistency between the self-reports and the proxy-reports was good. ConclusionThe Chinese version of the SAQOL-39g scale demonstrates good feasibility, reliability and validity, and good consistency between the self-reported and proxy-reported versions. It seems suitable for assessing the quality of life of Chinese stroke patients with aphasia.
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