腰椎间盘突出症患者报告结局量表结构探索△
作者:
作者单位:

作者简介:

黄峰,在职硕士,研究方向:患者报告结局量表研制与评价,(电话)18611521071,(电子信箱)18611521071@163.com

通讯作者:

中图分类号:

R681.53

基金项目:

国家自然科学基金面上项目(编号:82173627)


Structure exploration of patient reported outcome scale for lumbar disc herniation
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的]构建腰椎间盘突出症患者报告结局概念模型,初步探索腰椎间盘突出症患者报告结局量表结构,为量表进一步编制提供基础。[方法]通过文献回顾、专家咨询和患者访谈构建腰椎间盘突出症患者报告结局的概念模型、预设维度和条目池。使用初始问卷对某综合医院门诊就诊的 200 例腰椎间盘突出症患者进行调查,使用经典测量理论对初始问卷条目进行筛选,使用探索性因子分析和平行分析探索量表结构。[结果]构建出包含 4 个一级指标、9 个二级指标的腰椎间盘突出症患者报告结局概念模型。经过条目筛选形成,形成 25 个条目的初始量表。探索性因子分析结合平行分析提取出 6 个公因子,分别反映患者社会适应、心理情感、功能限制、治疗效果、站立行走、躯体症状,方差贡献率分别为 13.4%、12.5%、11.0%、9.9%、 7.7%、4.5%。[结论]提取出的 6 个公因子均涵盖在所构建的概念模型内,能够解释腰椎间盘突出症对患者的影响,应围绕社会适应、心理情感、功能限制、治疗效果、站立行走、躯体症状 6 个维度编制腰椎间盘突出症患者报告结局量表。

    Abstract:

    [Objective] To develop a conceptual model for lumbar disc herniation patient reported outcome, and to explore the structure of patient reported outcome scale preliminary, in order to provide the basis for scale compilation. [Methods] A conceptual model, initial di- mension and item pool were developed by literature review, expert consultation and patient interviews. A total of 200 patients with lumbar disc herniation in a general hospital were investigated and the items of initial questionnaire were screened by using classical test theory. Scale structure was explored using exploratory factor analysis and parallel analysis. [Results] A conceptual model for lumbar disc herniation patient reported outcome was constructed which consists of 4 first-level indicators and 9 second-level indicators. Six common factors were extracted according to the exploratory factor analysis and parallel analysis. The variance contribution rates were 13.4% , 12.5% , 11.0% , 9.9%, 7.7% and 4.5%, respectively, reflecting the social adaptation, psychological emotion, functional limitation, therapeutic effect, standing and walking, and somatic symptoms of patients. [Conclusion] The 6 common factors extracted were all covered in the constructed conceptu- al model, which could explain the impact of lumbar disc herniation on patients. The lumbar disc herniation patient reported outcome scale should be complied in 6 dimensions , including social adaptation, psychological emotion, functional limitation, therapeutic effect, standing and walking, and somatic symptoms of patients.

    参考文献
    相似文献
    引证文献
引用本文

黄峰,王飞,甄鹰,等. 腰椎间盘突出症患者报告结局量表结构探索△[J]. 中国矫形外科杂志, 2023, 31 (7): 601-606. DOI:10.3977/j. issn.1005-8478.2023.07.05.
HUANG Feng, WANG Fei, ZHEN Ying, et al. Structure exploration of patient reported outcome scale for lumbar disc herniation[J]. ORTHOPEDIC JOURNAL OF CHINA , 2023, 31 (7): 601-606. DOI:10.3977/j. issn.1005-8478.2023.07.05.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2022-08-14
  • 最后修改日期:2022-12-07
  • 录用日期:
  • 在线发布日期: 2023-04-20
  • 出版日期: