Ishihara Y, Sakai H, Nukariya N, Kobayashi K, Yoneda S, Matsuoka R, Hojo N, Nishiwaki Y, Hoshi A, Kuratomi Y
Dept of Hygiene, Tokyo Women's Medical College.
Gan To Kagaku Ryoho. 1995 Jun;22(7):895-902.
We investigated the validity and reliability of QOL questionnaire for lung cancer patients in palliative therapy. The questionnaire covered twelve items: appetite, feelings, sleep, mental and physical fatigue, pain, anxiety, daily activity, abdominal and respiratory conditions, linear and face scales. The data were collected from 65 patients and analyzed with principal component analysis and correlation analysis. 1) The percentage of complete answers was 81.5%. 2) Appetite, feelings, sleep, mental fatigue, anxiety and mental scale, pain, respiratory condition, abdominal condition, physical fatigue and physical scale, and satisfied internal consistency. 3) The test-retest reliability was satisfied 4) The inquiry items were grouped into physical, mental and activity scales, and these scales belonged to different dimension. 5) There were correlations between a linear scale, face scale, total score and items. 6) In concurrent validity, there were correlations between performance status and the activity scale, SDS, STAI and the mental scale. 7) In sensitivity, the total score and face score were worst within one week after chemotherapy, and then recovered. This questionnaire was indeed valid and reliable for use as a QOL questionnaire for lung cancer patients in palliative therapy.
我们调查了用于肺癌姑息治疗患者的生活质量问卷的有效性和可靠性。该问卷涵盖十二个项目：食欲、情绪、睡眠、精神和身体疲劳、疼痛、焦虑、日常活动、腹部和呼吸状况、线性量表和面部量表。数据收集自65名患者，并进行主成分分析和相关分析。1）完整回答的百分比为81.5%。2）食欲、情绪、睡眠、精神疲劳、焦虑和精神量表、疼痛、呼吸状况、腹部状况、身体疲劳和身体量表，具有满意的内部一致性。3）重测信度令人满意。4）询问项目被分为身体、精神和活动量表，且这些量表属于不同维度。5）线性量表、面部量表、总分与各项目之间存在相关性。6）在同时效度方面，体能状态与活动量表、抑郁自评量表（SDS）、状态特质焦虑问卷（STAI）与精神量表之间存在相关性。7）在敏感性方面，化疗后一周内总分和面部评分最差，随后恢复。这份问卷确实可有效且可靠地用作肺癌姑息治疗患者的生活质量问卷。
