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对来自农村社区的中年女性进行中文版(台湾地区版)SF-36健康调查的心理测量学评估。

Psychometric evaluation of a Chinese (Taiwanese) version of the SF-36 health survey amongst middle-aged women from a rural community.

作者信息

Fuh J L, Wang S J, Lu S R, Juang K D, Lee S J

机构信息

Neurological Institute, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taiwan.

出版信息

Qual Life Res. 2000;9(6):675-83. doi: 10.1023/a:1008993821633.

DOI:10.1023/a:1008993821633
PMID:11236857
Abstract

To test the psychometric properties of the Chinese (Taiwanese) version of the short form 36 health survey (SF-36), 1,439 women, aged 40-54 years and living in Kinmen (a Taiwanese island reflecting a predominantly rural community) were recruited to participate in this survey. The rate of unavailable data points for the 36 tested items remained consistently low, and item-discriminate validity was high (95%) for all subscales. Cronbach's alpha coefficient remained above the 0.70 threshold criterion for all scales except for social functioning and bodily pain. Principal components analysis supported the two major dimensions of health, physical and mental, in the internal structure of the SF-36 scales, although the dimensions did not match the hypothesized association very well. Poorer health profiles were associated with physical and mental conditions. The mental health subscores in the SF-36 test correlated highly with the associated hospital anxiety and depression score (Spearman rank correlation coefficient = -0.62). In conclusion, the reliability and validity tests performed on the data collected support the cross-cultural application of the Chinese (Taiwanese) version of the SF-36 test.

摘要

为了测试中文版(台湾地区版)36项简短健康调查(SF - 36)的心理测量特性,我们招募了1439名年龄在40至54岁之间、居住在金门(台湾地区的一个岛屿,主要反映农村社区情况)的女性参与此次调查。36个测试项目的数据缺失率一直很低,所有子量表的项目区分效度都很高(95%)。除社会功能和身体疼痛外,所有量表的克朗巴哈α系数均保持在0.70的阈值标准以上。主成分分析支持了SF - 36量表内部结构中健康的两个主要维度,即身体和心理维度,尽管这些维度与假设的关联并不十分匹配。较差的健康状况与身体和心理状况相关。SF - 36测试中的心理健康子分数与相关医院焦虑和抑郁评分高度相关(斯皮尔曼等级相关系数 = -0.62)。总之,对所收集数据进行的信效度测试支持中文版(台湾地区版)SF - 36测试的跨文化应用。

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