绝经后女性骨质疏松症患者生活质量问卷的汉化及信效度检验

doi:10.3761/j.issn.1672-9234.2023.06.018

摘要/Abstract

摘要：

目的对骨质疏松症患者生活质量问卷（ECOS-16）进行本土化研究，并检验其信效度。方法通过翻译-综合-回译-文化调适对ECOS-16进行汉化，采用便利抽样法对216例绝经后女性骨质疏松症患者进行调查。采用Cronbach’s α系数、重测信度评价问卷信度；采用结构效度、内容效度及已知族群效度评价其效度。结果中文版ECOS-16问卷总的Cronbach’s α系数为0.909，重测信度为0.946。通过项目分析以及探索性因子分析提取出4个公因子（疼痛、躯体功能、心理功能和疾病恐惧感），16个条目，累积方差贡献率为83.761%；总问卷的内容效度指数（S-CVI）为0.902；骨折组与非骨折组ECOS-16得分差异存在统计学意义（P<0.05）。结论中文版ECOS-16信效度良好，可用于绝经后女性骨质疏松症患者生活质量的评测。

关键词: 骨质疏松，绝经后, 生活质量, 问卷, 信度, 效度

Abstract:

Objective To translate and revise the Assessment of Health Related Quality of Life in Osteoporosis（ECOS-16），and test the reliability and validity of the Chinese version of ECOS-16 in the postmenopausal osteoporosis patients. Methods ECOS-16 was translated and revised following the procedure of translation-integrate-back translation-expert review. After having modified the questionnaire to adapt to Chinese culture，the reliability and validity of the questionnaire were tested in a convenient population of 216 postmenopausal patients. The reliability was evaluated by internal consistency Cronbach’s α coefficient and test-retest reliability；and the validity was evaluated by exploratory factor analysis（EFA），content validity and known-group validity. Results The Chinese version of ECOS-16 includes 16 items，a total of four domains（pain，physical function，mental function and fear of illness）. The Cronbach’s α coefficient for the total questionnaire was 0.909 and test-retest reliability was 0.946. Principal component analysis resulted in a 4-factor structure explaining 83.761% of the total variance. The content validity index （S-CVI） was 0.902. There was a significant difference in ECOS-16 scores between the fracture group and the non-fracture group. Conclusion The Chinese version of ECOS-16 appears to possess adequate reliability and validity，and can be used for the evaluation of quality of life of postmenopausal osteoporosis patients.

Key words: Osteoporosis，Postmenopausal, Quality of Life, Questionnaire, Reliability, Validity

赵新爽,刘霖,张洛灵,桂莉. 绝经后女性骨质疏松症患者生活质量问卷的汉化及信效度检验[J]. 中华护理教育, 2023, 20(6): 740-744.

ZHAO Xinshuang,LIU Lin,ZHANG Luoling,GUI Li. Localization and the reliability and validity of the Chinese version of ECOS-16 in the postmenopausal osteoporosis patients[J]. Chinese Journal of Nursing Education, 2023, 20(6): 740-744.

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