Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, China.
School of Public Health, Sun Yat-sen University, Guangzhou 510080, China.
Int J Environ Res Public Health. 2019 Dec 17;16(24):5165. doi: 10.3390/ijerph16245165.
Thus far, there have been no studies adapting the Mandarin 36-Item Short Form Health Survey (the SF-36) questionnaire for assessment of the health-related quality of life (HRQOL) of medical students in China. This study aimed to explore the feasibility of that form and analyse its impact factors. The study involved 498 randomly sampled medical students stratified by their academic majors, and general information was collected. The effective response rate was 83.53%. Split-half reliability coefficients and Cronbach's α coefficients of seven dimensions were more than 0.7 with the exception of the social function (SF) dimension. Spearman's correlation analysis results were basically in accord with the theoretical construction of the SF-36. The HRQOL of the students was scored from 43.83 (the RE dimension) to 93.34 (the PF dimension). The primary impact factors affecting the HRQOL of medical students included major, sleep quality, degree of physical exercise, post-exercise status, relationship with roommate, and satisfaction with family. These findings suggested that the Mandarin SF-36 was reliable for measuring the HRQOL, that the HRQOL of medical students in a Chinese university was relatively poor, and that its improvement requires concerted efforts.
迄今为止，尚未有研究将普通话 36 项简短健康调查问卷（SF-36）问卷用于评估中国医学生的健康相关生活质量（HRQOL）。本研究旨在探讨该问卷的可行性，并分析其影响因素。该研究纳入了 498 名按专业分层的随机抽样医学生，收集了一般信息。有效应答率为 83.53%。七个维度的分半信度系数和克朗巴赫 α 系数除社会功能（SF）维度外均大于 0.7。Spearman 相关分析结果基本与 SF-36 的理论结构相符。学生的 HRQOL 评分从 43.83（RE 维度）到 93.34（PF 维度）不等。影响医学生 HRQOL 的主要因素包括专业、睡眠质量、体育锻炼程度、锻炼后状态、与室友的关系以及对家庭的满意度。这些发现表明，普通话 SF-36 可用于测量 HRQOL，中国某高校医学生的 HRQOL 相对较差，需要共同努力加以改善。
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