Sullivan M, Ahlmén M, Bjelle A, Karlsson J
Department of Internal Medicine/Health Care Research Unit, Gothenburg University, Sweden.
J Rheumatol. 1993 Sep;20(9):1500-7.
To develop a shortened form of the Sickness Impact Profile (SIP) for routine practice.
We used data from a study of health status in 99 women with rheumatoid arthritis (RA). A stepwise analysis model used physical discomfort (global rating), self-assessed pain (Body Symptom Scale), mental well-being (Mood Adjective Check List) and joint function (Keitel Index) to define important aspects of health.
Short forms of the SIP for discrimination (53 items), evaluation (25 items) and prediction (28 items) compared well in validity to the original 136-item SIP. The discriminative short form showed excellent reliability (internal consistency), matching the level of the generic SIP. The evaluative and predictive short forms had acceptable but lower internal consistency than the original Profile.
We suggest a 64-item core health status questionnaire (SIP-RA) to be included and further tested in the arsenal of routine measurements in outpatients with RA. The questionnaire should include physical (Body care and movement, Mobility), psychosocial (Emotional behavior, Social interaction, Alertness behavior, Communication) and free-standing (Sleep and rest, Home management, Recreation and past-times, Eating) SIP categories, and it will improve the description of patients with RA.
开发一种用于常规实践的疾病影响量表（SIP）简化版。
我们使用了一项针对99名类风湿性关节炎（RA）女性健康状况研究的数据。一个逐步分析模型利用身体不适（总体评分）、自我评估疼痛（身体症状量表）、心理健康（情绪形容词检查表）和关节功能（凯特尔指数）来确定健康的重要方面。
SIP的鉴别版（53项）、评估版（25项）和预测版（28项）简化版在效度方面与原始的136项SIP相比表现良好。鉴别性简化版显示出出色的信度（内部一致性），与通用SIP的水平相当。评估性和预测性简化版具有可接受但低于原始量表的内部一致性。
我们建议将一份64项的核心健康状况问卷（SIP-RA）纳入类风湿性关节炎门诊患者常规测量工具库并进行进一步测试。该问卷应包括身体方面（身体护理与活动、活动能力）、心理社会方面（情绪行为、社会交往、警觉行为、沟通）以及独立方面（睡眠与休息、家庭管理、娱乐与休闲、饮食）的SIP类别，并且它将改善对类风湿性关节炎患者的描述。
