| 摘要: |
| 目的:评价简体中文版脊柱侧凸研究学会22项问卷表（SRS-22）的信度和效度。方法:对英文版SRS-22量表进行翻译和文化调适，由专家委员会确定最终的简体中文版量表。然后，将SRS-22及SF-36量表寄给87位青少年特发性脊柱侧凸术后患者。63位患者（72.4％）寄回了第一份调查表。这些患者（男6例，女57例）的平均年龄为(17.7±3.1)岁（14.3~23.8岁）。63位患者中的56位（88.9％）寄回了第二份调查表。内部一致性信度及重测信度的评价指标分别为Cronbach’s α系数和组内相关系数(ICC)。同期效度通过与SF36各维度的比较获得，评价指标为Pearson’s相关系数（r）。结果:4个维度（功能/活动度、疼痛、自我形象/外观、精神健康）的Cronbach’s α系数都大于0.7，治疗满意度维度的Cronbach’s α系数也是可以接受的。5个维度的组内相关系数分别为0.74、0.78、0.86、0.81、0.84,显示了良好的重测信度。就同期效度而言，3个维度间的相关性极高，10个维度间的相关性高，相关性中等的维度有21个。结论:简体中文版SRS-22量表拥有良好的信度及同期效度，可能对中国内地的青少年特发性脊柱侧凸术后患者的临床评估有效。 |
| 关键词: 脊柱侧凸 生活质量 量表 信度 效度 |
| DOI：10.3724/SP.J.1008.2008.00203 |
| 投稿时间：2007-12-10修订日期：2008-01-24 |
| 基金项目:国家自然科学基金（30571888）. |
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| Reliability and validity of adapted simplified Chinese version of the Scoliosis Research Society 22 (SRS-22) Questionnaire |
| LI Ming,WANG Chun-feng,HE Shi-sheng,ZHU Xiao-dong |
| (Department of Orthopeadics，Changhai Hospital，Second Military Medical University，Shanghai 200433，China) |
| Abstract: |
| Objective：To evaluate the validity and reliability of adapted simplified Chinese Version of the Scoliosis Research Society-22 (SRS-22) questionnaire. Methods: The English version of the SRS-22 was translated into simplified Chinese and was subjected to cross-culture adaptation; the final version of the simplified Chinese SRS-22 questionnaire was a consensus reached by an expert committee. Then the simplified Chinese version SRS-22 questionnaire and 36Item Short Form Health Survey (MOS SF-36) questionnaire were used to survey 87 patients with adolescent idiopathic scoliosis who had been surgically treated; 63 patients （72.4％） responded to the SRS-22 questionnaire. The average age of these patients (6 male, 57 female) was (17.7±3.1) years (range, 14.3-23.8 years). Fifty-six of the 63 patients returned the MOS SF-36 questionnaire. The 2 indicators of reliability were Cronbach’s α of internal consistency and intraclass correlation coefficient（ICC）. Concurrent validity of the SRS-22 questionnaire was measured by comparing with domains of the SF-36 questionnaire, which was reflected by Pearson correlation coefficient (r). Results: The Cronbach α values for 4 domains (function/activity，pain，self-image/appearance, and mental health) were all higher than 0.7; and the Cronbach α value for satisfaction of management domain was acceptable. The intraclass correlation coefficients for function/activity，pain，self-image/appearance, mental health, and satisfaction domain were 0.74, 0.78, 0.86, 0.81 and 0.84, respectively, demonstrating a satisfactory reproducibility. For the concurrent validity, 3 domains had excellent correlation, 10 had good correlation, and 21 had moderate correlation. Conclusion: The adapted simplified Chinese Version of the SRS-22 questionnaire has satisfactory reliability and concurrent validity, and might be suitable for post-operation clinical evaluation of Chinese adolescent patients with scoliosis. |
| Key words: scoliosis quality of life questionaire reliability validity |
