摘要
目的探讨简体中文版罗兰-莫里斯残疾问卷(SC-RMDQ)在城乡腰背痛患者功能评估中的应用价值。方法 2009年4月至2011年4月采用SC-RMDQ、简体中文版Oswestry功能障碍指数(SC-ODI)和视觉模拟量表(VAS)对187例腰背痛患者(城市99例、农村88例)进行问卷调查评估。记录腰背痛发病的主要原因;采用内部一致性分析(显著性水平α)和重复性分析(组内相关系数,ICC)进行可靠性测试,运用Pearson相关分析进行有效性测试。结果农村患者腰背痛主要原因为弯腰(49%)和扭伤(25%),城市患者为久坐(39%)和震动(18%)。农村、城市腰背痛患者SC-RMDQ显著性水平α和ICC分别为0.883、0.874和0.952、0.949,内部一致性和重复性均良好;农村、城市腰背痛患者SC-RMDQ与SC-ODI评分之间(r=0.841、0.818)、SC-RMDQ与VAS评分之间(r=0.685、0.666)均有显著相关性(P<0.05)。结论尽管农村与城市患者腰背痛主要原因不尽相同,但SC-RMDQ具有良好的可靠性和有效性,是评估城乡患者残疾的适合方法之一。
Objective To explore the application value of simplified Chinese version of Roland-Morris disability questionnaire （SC-RMDQ） in functional evaluation for urban and rural patients with low back pain （LBP）. Methods From April 2009 to April 2011, 187 LBP patients including 99 urban and 88 rural patients were evaluated by SC-RMDQ, simplified Chinese Oswestry disability index （SC-ODI） and visual analogue scale （VAS）. Major causes of LBP were recorded. Reliability was tested by internal consistency （Cronbach＇s α） and＆nbsp;reproducibility （intraclass coefficient of correlation, ICC） analysis; Validity was tested by Pearson correlation analysis. Results The leading causes for LBP were waist bending （49%） and spraining （25%） in rural patients, and sedentariness （39%） and vibration （18%） in urban patients. SC-RMDQ had high internal consistency （Cronbach＇s α value of 0.883 in rural patients and 0.874 in urban patients） and good reproducibility （ICC value of 0.952 in rural patients and 0.949 in urban patients）. SC-RMDQ also showed significant correlation with SC-ODI and VAS in rural areas （SC-RMDQ/SC-ODI： r = 0.841; SC-RMDQ/VAS： r = 0.685, P 〈0.05） and in urban areas （SC-RMDQ/SC-ODI： r = 0.818, P 〈0.05; SC-RMDQ/VAS： r = 0.666, P 〈0.05）. Conclusions Although the major causes of LBP are significantly different between rural and urban patients, SC-RMDQ has good reliability and validity, which is a suitable method to evaluate disability of rural and urban LBP patients.
出处
《中国骨科临床与基础研究杂志》
2013年第6期335-340,共6页
Chinese Orthopaedic Journal of Clinical and Basic Research
