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《韩国版更年期特异性生活质量的有效性和可靠性》

[Validity and Reliability of the Korean Version of the Menopause-Specific Quality of Life].

作者信息

Park Jin Hee, Bae Sun Hyoung, Jung Young Mi

机构信息

College of Nursing · Research Institute of Nursing Science, Ajou University, Suwon, Korea.

Department of Nursing, College of Health & Medical Science, Cheongju University, Cheongju, Korea.

出版信息

J Korean Acad Nurs. 2020 Jun;50(3):487-500. doi: 10.4040/jkan.20049.

Abstract

PURPOSE

This study aimed to evaluate the validity and reliability of the Korean version of Menopause-Specific Quality of Life (MENQOL).

METHODS

The MENQOL was translated into Korean according to algorithm of linguistic validation process. A total of 308 menopausal women were recruited and assessed using the Korean version of MENQOL (MENQOL-K), the World Health Organization Quality of Life Brief Version (WHOQOL-BREF), and Center for Epidemiological Studies Depression Scale (CES-D-K). In estimating reliability, internal consistency reliability coefficients were calculated. Validity was evaluated through criterion validity and construct validity with confirmatory factor analyses using SPSS 23.0 and AMOS 25.0 software.

RESULTS

In item analyses, the "increased facial hair" symptom was excluded because of the low contribution of MENQOL-K. The confirmatory factor analysis supported good fit and reliable scores for MENQOL-K model, and the four-factor structure was validated (χ²=553.28, <.001, NC=1.84, RMSEA=.05, AGIF=.85, AIC=765.28). The MENQOL-K consists of 28 items in 4 domains, including vasomotor (3 items), psychosocial (7 items), physical (15 items), and sexual subscales (3 items). There was an acceptable criterion validity with moderately significant correlation between MENQOL-K and WHOQOL-BREF. The Cronbach's α for the 4 subsacles ranged from .80 to .93.

CONCLUSION

The MENQOL-K is a valid and reliable scale to measure condition-specific quality of life for perimenopausal and postmenopausal women. It can be used to assess the impact of menopausal symptoms on the quality of life of Korean women in clinical trials.

摘要

目的

本研究旨在评估更年期特异性生活质量量表(MENQOL)韩文版的有效性和可靠性。

方法

根据语言验证过程的算法将MENQOL翻译成韩文。共招募了308名更年期女性,使用MENQOL韩文版(MENQOL-K)、世界卫生组织生活质量简表(WHOQOL-BREF)和流行病学研究中心抑郁量表(CES-D-K)进行评估。在估计可靠性时,计算了内部一致性可靠性系数。使用SPSS 23.0和AMOS 25.0软件通过标准效度和验证性因素分析来评估结构效度。

结果

在项目分析中,由于MENQOL-K的贡献较低,“面部毛发增多”症状被排除。验证性因素分析支持MENQOL-K模型具有良好的拟合度和可靠分数,并且四因素结构得到验证(χ²=553.28,<.001,NC=1.84,RMSEA=.05,AGIF=.85,AIC=765.28)。MENQOL-K由4个领域的28个项目组成,包括血管舒缩(3项)、心理社会(7项)、身体(15项)和性分量表(3项)。MENQOL-K与WHOQOL-BREF之间存在适度显著的相关性,具有可接受的标准效度。4个分量表的Cronbach's α系数范围为0.80至0.93。

结论

MENQOL-K是一种有效且可靠的量表,用于测量围绝经期和绝经后女性特定状况下的生活质量。它可用于在临床试验中评估更年期症状对韩国女性生活质量的影响。

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