谭嘉升，丘卫红，刘中良，李丽娟，谢纯青.中文版吞咽生命质量量表信度和效度的研究[J].中华物理医学与康复杂志,2016,38(9):669-673
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| 中文版吞咽生命质量量表信度和效度的研究 |
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| DOI： |
| 中文关键词: 吞咽生命质量量表 信度 效度 |
| 英文关键词: Swallowing Quality of Life Questionnaire Reliability Validity |
| 基金项目:广东省科技计划项目（2009 B030801123）；广东省自然科学基金（S2013010016316） |
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| 中文摘要: |
| 目的通过对吞咽生命质量量表翻译和编制，进行心理测量学考评，建立适合中国人群使用的吞咽障碍患者生命质量评估专表。 方法参考国内外推荐的量表汉化程序，将英文版吞咽生命质量量表（SWAL-QOL）编译成中文。选取吞咽障碍患者103例为受试者，并采用编译后的中文版SWAL-QOL进行评估。对其测量者间信度、重测信度、同质性信度及内容效度和结构效度进行检测。 结果中文版SWAL-QOL的测量者间信度相关系数范围为0.945～0.990（P<0.01）；重测信度相关系数范围为0.965～0.992（P<0.01）；同质性信度，量表内部一致性指标Cronbachα系数范围为0.708～0.933（P<0.01）；每一个条目与其所在领域的相关系数范围为0.723～0.982（P<0.01），且每一个条目与其所在维度的相关系数均高于与其他维度的相关系数；在10个维度各个条目的因子分析中提取出10个公因子，累计贡献率为79.029%；10个维度总分的因子分析中提取出2个公因子（吞咽相关生命质量领域和普通生命质量领域），累计贡献率为54.718%。 结论中文版SWAL-QOL量表具有良好的信度和效度，可以作为一种有效的测量工具对吞咽障碍患者的生命质量进行评估。 |
| 英文摘要: |
| Objective To develop the quality of life questionnaire applicable to the Chinese patients with dysphagia by the translation and modification, as well as psychometric evaluation of the original swallowing quality of life questionnaire (SWAL-QOL). MethodsThe English version of the SWAL-QOL was translated into Chinese according to the well-accepted scale translation procedure. Then 103 patients with dysphagia were tested using the translated Chinese SWAL-QOL. The inter-rater reliability, test-retest reliability, internal consistency reliability, the content validity and construct validity were tested. ResultsThe inter-rater reliability correlation coefficient of the SWAL-QOL was between 0.945-0.990 (P<0.01). Its test-retest coefficients ranged from 0.965 to 0.992 (P<0.01). The Cronbach coefficients ranged from 0.708 to 0.933 (P<0.01). There revealed significant correlation between each item of SWAL-QOL and its domain, with correlation coefficients between 0.723 and 0.982 (P<0.01). Factor analysis of each item of the 10 domains of SWAL-QOL extracted 10 common factors, which were with a cumulative contribution of 79.029%. Factor analysis of the total score of the 10 dimensions extracted 2 common factors including dysphagia-related quality of life and general quality of life, with a cumulative contribution of 54.718%. ConclusionsThe Chinese version of SWAL-QOL is reliable and valid. It can be used as an effective measuring tool to evaluate the quality of life of dysphagia patients. |
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