摘要
目的 评价简体中文版儿童生存质量普适性核心量表（PedsQL^TM 4．0）家长报告的信度和效度。方法 采用多级整群的抽样方法，对广州市3493名6～18岁中小学生家长进行问卷调查。用克朗巴赫a系数考核其信度，分别用探索性因子分析、t检验、相关分析考核其效度。结果 PedsQLT^TM 4．0简体中文版全量表、生理领域、心理社会领域的克朗巴赫a系数分别为0．90、0．81、0.89，表明量表有较好的内部一致性。通过因子分析共提取6个公因子，与量表结构基本一致，主成分累积贡献率接近66％。感冒、皮肤过敏、食物过敏、肌肉或关节痛、气喘及哮喘频发组儿童量表总分比少发组得分低3．5～13．3分（P〈0．05）。四个方面得分与所含条目得分间均有中度到较强的相关关系（r=0．45～0．84，P〈0．01）。结论 简体中文版PedsQL^TM 4．0普适性核心量表家长报告有较好的信度与效度，与原语言版本结论一致，可适用于国内社会经济较发达的地区儿童健康相关生存质量评价。
Objective To evaluate the reliability and validity of parent proxy-report scales of Pediatric Quality of Life Inventory Version 4.0 （PedsQL^TM4.0） Generic Core Scales, the Chinese Version. Methods 3493 school students aged 6-18 years were recruited using multistage cluster sampling method. Health-related quality of life was assessed using the above-mentioned PedsQL^TM 4.0 scales. The internal consistency was assessed, using Cronbach＇s a coefficient, while its validity was tested through correlation analysis, t-test and exploratory factor analysis. Results The internal consistency reliability for Total Scale Score （ Cronbach＇ s a =0.90 ）, Physical Health Summary Score （ a =0.81 ）, and Psychosocial Health Summary Score （a= 0.89） were excellent. Six major factors were extracted by factor analysis which basically matched the designed structure of the original version accounting for nearly 66 % of the variance. The total Scale Score significantly decreased by 3.5 to 13.3 （ P 〈 0.05） in children and adolescents who had diseases including cold, skin hypersensitiveness, food allergy, courbature or arthralgia, breathlessness with a frequency of 6 times or more per year or had asthma as compared to those with lower frequency （≤5 times/y） of the diseases or without asthma. We found moderate to high correlations between items and the subscales. Correlation coefficients ranged between 0.45 to 0.84 （ P 〈 0.01 ）. Conclusion The reliability and validity of the parent proxy-report scales of PedsQL^TM4.0 Generic Core Scales of the Chinese Version were as good as the original version. Our findings suggested that the scales could be applied to evaluate the health-related quality of life in childhood children in similar Chinese regions to Guangzhou.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2008年第6期560-563,共4页
Chinese Journal of Epidemiology
基金
教育部2006年度新世纪优秀人才计划资助项目（NCET-06-0719）本次调查得到广州市教育局及相关学校协助,谨此志谢
关键词
儿童青少年
健康相关生存质量
普适性核心量表
信度
效度
Children and adolescents
Health-related quality of life
PedsQL^TM4.0
Reliability
Validity
