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预防医学  2020, Vol. 32 Issue (5): 471-474    DOI: 10.19485/j.cnki.issn2096-5087.2020.05.009
  论著 本期目录 | 过刊浏览 | 高级检索 |
儿童生命质量测定量表用于流感儿童评价的信度和效度研究
王慎玉1, 甘正凯2, 胡晓松1, 邵燕志3, 陈颖萍1, 梁贞贞1, 邢博1, 陈直平1, 吕华坤1
1.浙江省疾病预防控制中心,浙江 杭州 310051;
2.嘉兴市秀洲区疾病预防控制中心;
3.淳安县疾病预防控制中
Reliability and validity of Chinese Pediatric Quality of Life Inventory in influenza cases
WANG Shenyu*, GAN Zhengkai, HU Xiaosong, SHAO Yanzhi, CHEN Yingping, LIANG Zhenzhen, XING Bo, CHEN Zhiping, LÜ Huakun
Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China
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摘要 目的 分析中文版儿童生命质量测定量表(PedsQL)4.0应用于流行性感冒(流感)儿童生命质量评价的信度和效度。方法 于2017年1月—2018年2月采用分阶段抽样方法抽取实验室诊断病例纳入流感儿童组,按年龄、性别比例选择正常儿童纳入对照组,采用中文版PedsQL 4.0量表测评;采用Cronbach′s α系数评价信度,Pearson相关系数评价内容效度,t检验评价区分效度,验证性因子分析评价结构效度,ROC曲线评价预测效度。结果 流感儿童组和对照组各发放问卷300份,流感儿童组回收有效问卷294份,回收有效率为98.00%;对照组回收有效问卷295份,回收有效率为98.33%。中文版PedsQL 4.0量表总体Cronbach′s α系数为0.89,各维度Cronbach′s α系数为0.79~0.84。各条目与自身所属维度的相关系数为0.537~0.755,与非自身所属维度的相关系数为0.203~0.384。验证性因子分析结果显示,RMSEA为0.06,GFI为0.88,AGFI为0.90,CFI为0.91,NFI为0.89。流感儿童组和对照组量表4个维度及总体得分差异均有统计学意义(P<0.05)。以流感儿童组得分为金标准,ROC曲线下面积为0.985(P<0.05),当得分界限值为82.18时约登指数最大,为0.87,灵敏度为0.92,特异度为0.95。结论 中文版PedsQL 4.0量表信度和效度较好,可用于评价儿童的生命质量。
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王慎玉
甘正凯
胡晓松
邵燕志
陈颖萍
梁贞贞
邢博
陈直平
吕华坤
关键词 生命质量测定量表流行性感冒信度效度    
AbstractObjective To explore the reliability and validity of the Chinese Pediatric Quality of Life Inventory(PedsQL)in influenza children. Methods From January 2017 to February 2018,we selected laboratory-diagnosed influenza cases and healthy children according to age and gender ratio by stratified random sampling and systematic sampling method. We employed Chinese version of PedsQL 4.0 to investigate their quality of life,used Cronbach's α to evaluate the reliability,and used Pearson correlation coefficient, t-test,confirmatory factor analysis(CFA)and ROC curve to evaluate the validity. Results Totally 300 influenza cases and 300 healthy children were surveyed,with 294(98.00%)and 295(98.33%)valid questionnaires recovered. The general Cronbach's α was 0.89,and the Cronbach's α of each dimension ranged from 0.79 to 0.84. The Pearson correlation coefficients between the items and their belonged dimension ranged from 0.537 to 0.755,between the items and other dimension ranged from 0.203 to 0.384. The CFA resulted in RMSEA of 0.06,GFI of 0.88,AGFI of 0.90,CFI of 0.91 and NFI of 0.89. The scores in total and in all the dimensions in influenza cases were significantly different with those in healthy children(P<0.05). Taking the scores in influenza cases as a golden standard,the area under the ROC curve was 0. 985(P<0.05),the sensitivity was 0.92,and the specificity was 0.95. When the limit score was 82.18,the Youden index was the largest. Conclusion The Chinese version of PedsQL4.0 has good reliability and validity, which can be applied to quality of life assessment in children.
Key wordsquality of life inventory    influenza    reliability    validity
收稿日期: 2019-12-24      出版日期: 2020-05-12
ZTFLH:  R179  
通信作者: 吕华坤,E-mail:hklv@cdc.zj.cn   
作者简介: 王慎玉,硕士,主管医师,主要从事传染病防控与疫苗临床研究工作
引用本文:   
王慎玉, 甘正凯, 胡晓松, 邵燕志, 陈颖萍, 梁贞贞, 邢博, 陈直平, 吕华坤. 儿童生命质量测定量表用于流感儿童评价的信度和效度研究[J]. 预防医学, 2020, 32(5): 471-474.
WANG Shenyu, GAN Zhengkai, HU Xiaosong, SHAO Yanzhi, CHEN Yingping, LIANG Zhenzhen, XING Bo, CHEN Zhiping, LÜ Huakun. Reliability and validity of Chinese Pediatric Quality of Life Inventory in influenza cases. Preventive Medicine, 2020, 32(5): 471-474.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2020.05.009      或      http://www.zjyfyxzz.com/CN/Y2020/V32/I5/471
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