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[阿普加家庭功能测试的有效性和可靠性]

[Validity and reliability of the family Apgar family function test].

作者信息

Bellón Saameño J A, Delgado Sánchez A, Luna del Castillo J D, Lardelli Claret P

机构信息

Centro de Salud Zaidín-Sur, Unidad Docente de Medicina Familiar y Comunitaria de Granada, Universidad de Granada.

出版信息

Aten Primaria. 1996 Oct 15;18(6):289-96.

PMID:8983381
Abstract

OBJECTIVE

The aim of this study is to analyse the validity and reliability of the Apgar family questionnaire on family function.

DESIGN

A crossover and descriptive study.

SETTING

Urban health centre.

PATIENTS

656 patients of the Zaidín-Sur health centre in Granada were interviewed at home. The questionnaire was repeated an average of 6 days later to 60 of the patients (30 with an interviewer and 30 filling in their own).

MEASUREMENTS AND MAIN RESULTS

The within-class correlation coefficients for the 5 items in the Apgar-family we over 0.55, both for self-filled and interviewer questionnaires; the scale coefficients were 0.86 and 0.81, respectively. Item-scale correlation varied between 0.61 and 0.71. Crombach's alpha was 0.84 and none of the items, when taken out of the scale, increased the alpha. The factorial analysis isolated only one factor. 16% of the sample had dysfunctional Apgar-family: the average score was 8.4. After adjustment (multiple logistic regression), the following were significantly linked to family dysfunction: lack of social support; being widowed or separated/divorced; greater perception of susceptibility to, or seriousness of, illness; being an over-user of the health service; and being a woman.

CONCLUSIONS

The Apgar-family questionnaire on family function is valid and reliable.

摘要

目的

本研究旨在分析阿普加家庭问卷在家庭功能方面的有效性和可靠性。

设计

一项交叉描述性研究。

地点

城市健康中心。

患者

对格拉纳达宰丁 - 苏尔健康中心的656名患者进行了家访。平均6天后,对60名患者(30名由访员询问,30名自行填写)再次使用该问卷。

测量与主要结果

阿普加家庭问卷中5个条目的组内相关系数,自行填写问卷和访员询问问卷均超过0.55;量表系数分别为0.86和0.81。条目与量表的相关性在0.61至0.71之间。克伦巴赫α系数为0.84,且从量表中剔除任何一个条目后,α系数均未增加。因子分析仅分离出一个因子。16%的样本阿普加家庭功能失调:平均得分为8.4。经过调整(多重逻辑回归),以下因素与家庭功能失调显著相关:缺乏社会支持;丧偶或分居/离婚;对疾病易感性或严重性的更高认知;过度使用医疗服务;以及女性。

结论

阿普加家庭功能问卷有效且可靠。

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