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SIP68:康复医学中与健康相关的功能状态指标。

The SIP68: a measure of health-related functional status in rehabilitation medicine.

作者信息

Post M W, de Bruin A, de Witte L, Schrijvers A

机构信息

Department of Medicine, University of Utrecht, The Netherlands.

出版信息

Arch Phys Med Rehabil. 1996 May;77(5):440-5. doi: 10.1016/s0003-9993(96)90031-3.

DOI:10.1016/s0003-9993(96)90031-3
PMID:8629919
Abstract

OBJECTIVE

To demonstrate the usefulness of the SIP68, a recently developed short version of the sickness impact profile (SIP), for measuring health-related functional status in rehabilitation medicine.

DESIGN

Survey, oral interviews.

SETTING

Patient's homes.

PATIENTS

315 persons (out of 423 that could be reached) with a spinal cord injury whose mean average age was 39.4 years and who were living in the community at the time of the interview.

MAIN OUTCOME MEASURES

Internal consistency is tested by computing Cronbach's alpha. Construct validity is tested by principal components analysis and computing Cattell's similarity index. Criterion validity is tested by comparing SIP68 results with the level of the spinal cord lesion and with results of specific measures of disability (Barthel Index) and life satisfaction (Life Satisfaction Questionnaire), and with vocational status.

RESULTS

SIP68 scores and subscale scores indicate that our spinal cord injured group falls well within the scope of this instrument. Internal consistency figures are good and the proposed six-dimensional structure is confirmed. Criterion validity figures are also satisfactory. Barthel Index scores show high agreement with the scores of the subscale "somatic autonomy," moderate agreement with the other physically related and socially related subscales, and low agreement with the mentally related subscales of the SIP68. LSQ scores show low agreement with the physically related subscales and moderate agreement with the mentally and socially related subscales. Figures of vocational status show strongest agreement with the socially oriented subscales.

CONCLUSION

The SIP68 is recommended as a useful generic outcome measure for research in rehabilitation medicine.

摘要

目的

验证SIP68(一种最近开发的疾病影响量表[SIP]简版)在测量康复医学中与健康相关的功能状态方面的效用。

设计

调查、口头访谈。

地点

患者家中。

患者

423名脊髓损伤患者中可联系到的315人,平均年龄39.4岁,访谈时居住在社区。

主要观察指标

通过计算克朗巴哈系数来检验内部一致性。通过主成分分析和计算卡特尔相似性指数来检验结构效度。通过将SIP68结果与脊髓损伤水平、残疾特定测量结果(巴氏指数)、生活满意度(生活满意度问卷)以及职业状况进行比较来检验效标效度。

结果

SIP68得分及分量表得分表明,我们的脊髓损伤组完全处于该工具的适用范围内。内部一致性数据良好,所提出的六维结构得到证实。效标效度数据也令人满意。巴氏指数得分与“躯体自主性”分量表得分高度一致,与其他身体相关和社会相关分量表中度一致,与SIP68的心理相关分量表低度一致。生活满意度问卷得分与身体相关分量表低度一致,与心理和社会相关分量表中度一致。职业状况数据与社会导向分量表一致性最强。

结论

推荐将SIP68作为康复医学研究中一种有用的通用结局测量指标。

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