Hyun Kim Soo, Kyung Gu Su, Ho Yun Young, Geol Lee Chang, Seon Choi Youn, Sup Lee Won, Kim Si-Young, Seog Heo Dae
Research Institute and Hospital, National Cancer Center, Goyang, Gyeonggi, 411-769, Korea.
Palliat Med. 2007 Jul;21(5):441-7. doi: 10.1177/0269216307079816.
This study aimed to test the reliability and validity of the Korean version of McGill Quality of Life Questionnaire (MQOL-K) for use with 140 palliative care patients in Korea. Our results confirmed the suitability of using the 16 questions of the questionnaire clustered into four domains (physical, psychological, existential and support) as in the original version of the MQOL, although the distribution of items among the domains differed somewhat from the original. The MQOL-K demonstrated moderate to high internal consistency (Cronbach's alpha, 0.62-0.90), convergent validity without scaling error, and a good concurrent validity with European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30, sense of dignity, and general health perception. In addition, we tested the clinical validity of the MQOL-K using a known group comparison to quantify sensitivity. Regression results indicated that the existential and psychological domains had independent effects on the overall quality of life of patients in Korea. Therefore, the MQOL-K is deemed suitable for assessing the quality of life in a Korean palliative care setting.
本研究旨在测试韩国版麦吉尔生活质量问卷(MQOL-K)在韩国140名姑息治疗患者中的信度和效度。我们的结果证实,采用与原版MQOL一样分为四个领域(身体、心理、存在和支持)的16个问题的问卷是合适的,尽管各领域间项目的分布与原版略有不同。MQOL-K表现出中度到高度的内部一致性(克朗巴哈系数,0.62 - 0.90)、无尺度误差的收敛效度,以及与欧洲癌症研究与治疗组织生活质量问卷核心30、尊严感和总体健康认知的良好同时效度。此外,我们通过已知组比较来量化敏感性,测试了MQOL-K的临床效度。回归结果表明,存在和心理领域对韩国患者的总体生活质量有独立影响。因此,MQOL-K被认为适用于评估韩国姑息治疗环境中的生活质量。