摘要
目的探讨外阴白色病变(white lesions of vulva)对患者生活质量的影响程度,同时对其皮肤病生活质量指数(Dermatology Life Quality Index,DLQI)的因子和信度进行研究分析。方法2017年5月至2019年5月,招募北京大学深圳医院妇科门诊病理确诊为外阴白色病变的患者70例,最终有62例患者的数据进入分析程序。采用DLQI测评患者的生活质量指数,用因子信度分析评估DLQI的因子及信度。结果DLQI评分为1~26,平均(6.95±0.58)分。DLQI评分与患者年龄(Pearson相关系数=0.684,P>0.05),病程(Pearson相关系数=0.063,P>0.05)均无明显相关性。外阴白色病变对生活质量影响最显著的是症状与感受(49.17%),其次是治疗(41.00%),第三是人际关系(23.17%),对工作和学习及休闲娱乐影响最小。因子分析揭示特征值大于l的因子有2个,其累积贡献率为63.05%。Q3、Q5、Q6、Q7、Q8在因子1上的负荷较大,Q1、Q2、Q4、Q9、Q10在因子2上的负荷较大,提示在评价外阴白色病变对患者生活质量的影响时,DLQI测评是由两个因子构成。信度分析显示该量表的重复度量的效果良好(F=686.934,P<0.01),信度越高,问卷的内部一致性越好。结论外阴白色病变对患者的生活质量有中等程度的影响,DLQI可以有效测评外阴白色病变患者的生活质量。
Objective To explore the effect of white lesions of vulva on the quality of life in patients by the Dermatology Life Quality Index(DLQI), and to assess the factor and reliability of the DLQI.MethodsFrom May 2017 to May 2019, patients with pathologically diagnosed white lesions of the vulva in the gynecological clinic of Peking University Shenzhen Hospital were recruited. A total of 70 patients participated in the study, the data of 62 patients entered the analysis program. DLQI was used to evaluate the patients’ quality of life index, and factor analysis and reliability analysis were used to evaluate the factors and reliability of DLQI.(6.95 ± 0.58). There was no significant correlation between the DLQI score and patient age(Pearson correlation coefficient = 0.684, P > 0.05) and duration of disease(Pearson correlation coefficient =0.063, P > 0.05). White lesions of the vulva has the most significant impact on quality of life:symptoms and feelings(49.17%), followed by treatment(41.00%), and third, interpersonal relationships(23.17%), which have the least impact on work, study and leisure. Factor analysis revealed that there were 2 factors with eigenvalues greater than 1, and their cumulative contribution rate was 63.053%.The load of Q3, Q5, Q6, Q7, and Q8 on factor 1 is large, and the load of Q1, Q2, Q4, Q9, and Q10 on factor 2 is large, suggesting that when evaluating the impact of white vulvar lesions on the quality of life of patients, The DLQI evaluation consists of two factors. Reliability analysis showed that the scale’s repeated measures performed well(F = 686.934, P <0.01). The higher the reliability, the better the internal consistency of the questionnaire.Conclusions White lesions of vulva have a moderate impact on the quality of life of patients. The DLQI can be used to evaluate the quality of life of patients with white lesions of vulva. The results are more credible an, which can reliably and objectively reflect the quality of life of patients with white lesions of vulva.
作者
李汉秦
梁金涛
胡艳
程德敏
李环
LI Han-qin;LIANG Jin-tao;HU Yan;CHENG De-min;LI Huan(School of Clinical Medicine,Peking University Shenzhen Hospital,An hui University,Department of Obstetrics and Gynecology,Peking University Shenzhen Hospital,Shenzhen 518036,China;不详)
出处
《妇产与遗传（电子版）》
2019年第4期14-18,共5页
Obstetrics-Gynecology and Genetics (Electronic Edition)
关键词
外阴白色病变
生活质量
问卷调查
因子分析
信度分析
White lesions of vulva
Quality of life
Questionnaire survey
Factor analysis
Reliability analysis
