SF-12量表评价全髋关节置换术患者生存质量Evaluation of quality of life in patients who underwent total hip arthroplasty by SF-12 health survey
陈城;陈继营;张国强;柴伟;苟文隆;耿磊;
摘要(Abstract):
[目的]评估SF-12量表用于评价全髋关节置换术后患者生存质量的适用性。[方法]Harris髋关节功能评分量表(Harris hip score,HHS)、SF-12生存质量量表(MOS 12-item Short Form Health Survey,SF-12)评估接受全髋关节置换术治疗的患者283例381髋,采用内部一致性信度(Cronbach's alpha系数)评估SF-12量表的信度;采用集合效度、区分效度和结构效度评估SF-12量表的效度;Pearson相关分析评估HHS与生理总分、心理总分关联度;单因素方差分析评估生理及心理总分分级的组间差异性。[结果]SF-12量表总的Cronbach's alpha系数为0.879,各维度Cronbach's alpha系数均>0.8;集合效度及区分效度定标实验均为100%;结构效度因子分析产生两个公因子生理及心理总分,累积解释72.229%的总方差,8个维度因子负荷与理论假设基本符合;HHS与生理总分、心理总分均为强相关(r1=0.745,r2=0.703,P<0.01);组间差异F1=85.282,F2=61.377,P<0.01。[结论]SF-12量表具有良好的信度和效度,适用于评价全髋关节置换术后患者的生存质量,评估效果良好。
关键词(KeyWords): 全髋关节置换;生存质量;SF-12
基金项目(Foundation):
作者(Author): 陈城;陈继营;张国强;柴伟;苟文隆;耿磊;
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参考文献(References):
- [1]张宁,杨晨,李冬松.术前功能对初次人工全髋关节置换术后早期功能的影响[J].中国矫形外科杂志,2011,9:721-723.
- [2]Ware J Jr,Kosinski M,Keller SD.A 12-Item Short-Form HealthSurvey:construction of scales and preliminary tests of reliability andvalidity[J].Med Care,1996,3:220-233.
- [3]Tucker G,Adams R,Wilson D.New Australian population scoringcoefficients for the old version of the SF-36 and SF-12 healthstatus questionnaires[J].Qual Life Res,2010,7:1069-1076.
- [4]孙振球,徐勇勇.医学统计学[M].北京:人民卫生出版社,2010:444-476.
- [5]李鲁,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,2:38-42.
- [6]Johnson JA,Pickard AS.Comparison of the EQ-5D and SF-12health surveys in a general population survey in Alberta,Canada[J].Med Care,2000,1:115-121.
- [7]薛源,贺加.SF-36量表应用于人工髋关节置换患者生命质量测定的效果评价[J].中国矫形外科杂志,2008,7:507-509.
- [8]Wera GD,Gillespie RJ,Petty C,et al.Revision of hip resurfacingarthroplasty[J].Am J Orthop(Belle Mead NJ),2010,8:78-83.
- [9]Bentur N,King Y.The challenge of validating SF-12 for its usewith community-dwelling elderly in Israel[J].Qual Life Res,2010,1:91-95.
- [10]Garavaglia G,Lubbeke A,Barea C,et al.Ten-year results with theMorscher press-fit cup:an uncemented,non-modular,porous-coated cup inserted without screws[J].Int Orthop,2011,7:957-963.
- [11]Ostendorf M,van SHF,Buskens E,et al.Patient-reported outcomein total hip replacement.A comparison of five instruments of healthstatus[J].J Bone Joint Surg Br,2004,6:801-808.