首页> 中文期刊> 《广州中医药大学学报》 >中西医结合围手术期康复量表的反应尺度分析

中西医结合围手术期康复量表的反应尺度分析

         

摘要

Objective To screen appropriate response descriptors for the Perioperative Recovery Scale for Integrated Chinese and Western Medicine ( PRSICWM). Methods The scale descriptors for the PRSICWM are classified into four kinds, and they are capacity, frequency, intensity and evaluation. Each response scale has five ordinal descriptors. We invited experts to decide the two anchors for extreme levels, and then developed the questionnaire of 62 scale descriptors for the PRSICWM. In the questionnaire there was a line of 10 cm long for each descriptor. Forty respondents were invited to determine and mark the relative position for each candidate descriptor on the 10-cm line between the two anchors. Then we measured the distance from zero to the relative position, and calculated the mean, median and standard deviation, which were used for evaluation. The selection of scale descriptors was based on comprehensive consideration of the median, average score and standard deviation of each descriptor, the median and average score should be close to 0, 2. 50, 5. 00, 7. 50 and 10. 00, and standard deviation should be minor. For the selection of some individual descriptor, the description of the items should follow the Chinese linguistic rule. Results Four kinds of response scales including capacity, frequency, evaluation and intensity with a total of 20 scale descriptors were selected. "Completely not" (完全没有 ) , "sometimes" (有时有) , "moderately"有 (一般), "very often" (常常有) and "always" (总是有) were the most appropriate descriptors for frequency; "completely not" (完全不能), "not very" (不太能), "moderately" (中等程度 能), "mostly" (多数能), and "completely" (完全能) were for capacity; "completely dissatisfied" (完全 不满意), "mostly dissatisfied" (多数不满意), "half half" (一般满意一般不满意) , "mostly satisfied" (多 数满意) and "completely satisfied" (完全满意) were for evaluation; "very poor" (非常差), "fairly poor" (较差), "so-so" (不好也不差), "fairly good" (较好) and "very good" (非常好) were for intensity. Conclusion The selected scale descriptors are suitable for the PRSICWM, and the results can be used for the references for developing similar health profile assessment.%[目的]筛选符合中西医结合围手术期康复量表条目答案的量尺语词.[方法]中西医结合围手术期康复量表的量尺语词包括能力、频率、强度以及评估4类,每类须含有5个序位的量尺语词.选择语词的顺序是先由专家讨论决定序位量尺语词的两个端点的用词.制定包含62个量尺语词的“中西医结合围手术期康复量表量尺语词选择问卷”初稿,问卷中每个量尺语词的两个端点之间有1条10 cm长的线段.邀请40名被调查者在线段上标示每个候选量尺语词相对于两个端点用词的位置,测量两端点的距离并计算均数、中位数和标准差做为评测选择依据.各类量尺语词的选择是根据均数和中位数接近0、2.50、5.00、7.50、10.00为主,并以标准差较小为原则,个别语词需结合条目和中文语言习惯进行调整.[结果]包含频率、能力、评估、强度4类的共20个量尺语词被选出,其中频率类量尺语词为“完全没有”、“有时有”、“有(一般)”、“常常有”、“总是有”;能力类量尺语词为“完全不能”、“不太能”、“中等程度能”、“多数能”、“完全能”;评估类量尺语词为“完全不满意”、“多数不满意”、“一半不满意一半满意”、“多数满意”、“完全满意”;强度类量尺语词为“非常差”、“较差”、“不好也不差”、“较好”、“非常好”.[结论]本研究选出的量尺语词符合中西医结合围手术期康复量表的需要.

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