LeVasseur Sandra A, Green Sally, Talman Paul
Monash Institute of Health Services Research, Monash Medical Centre, Monash University, Clayton, Vic, Australia.
Qual Life Res. 2005 Apr;14(3):779-88. doi: 10.1007/s11136-004-0795-x.
This paper examines the applicability and construct validity of the Schedule for the Evaluation of Individual Quality of Life-Direct Weight (SEIQoL-DW) for measuring quality of life in stroke survivors living at home that attend a secondary prevention clinic.
Forty-six individuals attending a secondary prevention clinic following a stroke or transient ischaemic attack participated in a semi-structured interview to complete a range of outcome measures. Assessments of cognitive impairment, disability, and handicap were conducted using the Mini mental State Examination (MMSE), Barthel Index (BI), and Rankin Scale (RS). Measures to assess quality of life included perceived health status (PHS), Visual Analogue Mood Scale (VAMS), the Hospital Anxiety and Depression Scale (HADS), and the SEIQoL-DW. The construct validity of the SEIQoL-DW was assessed by correlation with the other measures.
According to the cues elicited from the SEIQoL-DW, participants nominated 'relationships with family and friends' as the most important life domain, followed by 'social and leisure activities', and 'health'. Spearman's rho correlation coefficients demonstrated significant relationships between the SEIQoL-DW index scores, PHS (r = 0.35, p = 0.016), VAMS (r = 0.419, p = 0.004), and the HADS anxiety (r = -0.546, p < 0.0001) and depression (r = -0.701, p < 0.0001) subscale scores.
The SEIQoL-DW demonstrated reasonable construct validity for use in assessing individual quality of life in a group of individuals following stroke or TIA that attend a secondary prevention clinic.
本文探讨个体生活质量直接权重评定量表(SEIQoL-DW)在测量居家且就诊于二级预防门诊的中风幸存者生活质量方面的适用性和结构效度。
46名中风或短暂性脑缺血发作后就诊于二级预防门诊的患者参与了半结构化访谈,以完成一系列结局指标评估。使用简易精神状态检查表(MMSE)、巴氏指数(BI)和Rankin量表(RS)对认知障碍、残疾和残障进行评估。评估生活质量的指标包括感知健康状况(PHS)、视觉模拟情绪量表(VAMS)、医院焦虑抑郁量表(HADS)以及SEIQoL-DW。通过与其他指标的相关性评估SEIQoL-DW的结构效度。
根据SEIQoL-DW引出的线索,参与者将“与家人和朋友的关系”列为最重要的生活领域,其次是“社交和休闲活动”以及“健康”。斯皮尔曼等级相关系数表明,SEIQoL-DW指数得分与PHS(r = 0.35,p = 0.016)、VAMS(r = 0.419,p = 0.004)以及HADS焦虑分量表得分(r = -0.546,p < 0.0001)和抑郁分量表得分(r = -0.7, p < 0.0001)之间存在显著关系。
SEIQoL-DW在评估就诊于二级预防门诊的中风或短暂性脑缺血发作患者群体的个体生活质量方面显示出合理的结构效度。