摘要
目的 :研究支气管哮喘患者生活质量的变化 ,创建其生活质量问卷。方法 :广泛调查、搜集与哮喘生活质量有关的项目 ,制成初表。用初表评测 10 2名哮喘患者 ,总均分高的项目构成了哮喘生活质量问卷。 5 4名哮喘患者接受了问卷的测评。结果 :问卷包含 4类、2 0项 ,分别评价了哮喘对活动的限制、哮喘的症状、心理变化、环境的影响。采用 5分法赋分 ,问卷满分为 10 0分 ,最低分为 2 0分。短期预检验显示 :稳定组 2周前后评分无差异 ,而变化组内则显示出明显的差异 ,稳定组与变化组间显示有明显差异。该问卷的有效性 (与哮喘症状积分、误工、误学天数、β2 -激动剂喷数之间的相关关系 )得以初步证实。结论 :本支气管哮喘患者生活质量问卷灵敏、可靠、有效、简短的特性 ,可做为独立的工具 。
Objective:To assess health related life quality in adult asthmatic patients and to develop a questionnaire for life quality measurement in clinical trials on asthma. Method: A preliminary questionnaire was built according to discuss with doctors, nurses and patients. It was selected by 102 asthmatic outpatients in Jinan. Result: A 20-item self-administed questionnaire with 5-point scale responses was developed .The questionnaire included four domains : limitation of activities , asthma symptoms , emotional dysfunction and responses to environmental stimuli. Fifty-four subjects completed the pretesting of the questionnaire .It took about four minutes to administer and was shown to be acceptable. In the stable group good short term test-retest reliability was demonstrated. Pairedt test in the change group showed statistical differences after two weeks. There were statistical differences between the stable group and the change group . Construct validity ( related to symptom scores , the days off work or school,β2-agonist puffs ) was also confirmed . Conclusion:This questionnaire had been designed to be responsiveness , reliability ,validity and pratical , therefore it may be used as a measurement of outcome in clinical trails in asthma .
出处
《中国康复医学杂志》
CAS
CSCD
2001年第3期169-172,共4页
Chinese Journal of Rehabilitation Medicine
关键词
哮喘
生活质量
问卷
asthma
quality of life
questionnaire