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基于消化性溃疡患者报告结局量表的条目筛选

Item selection based on the patient-reported outcome scale of peptic ulcer patients
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摘要 目的在建立好的理论框架基础上,对消化性溃疡患者生存质量量表进行条目筛选,形成最终量表。方法从8所医疗机构收集150例消化性溃疡的患者和50例健康人,采用经典测量理论和项目反应理论进行条目筛选。结果经过7种方法的筛选,形成包括4个领域,11个维度,共54个条目的消化性溃疡量表。其中生理领域17个条目,包括躯体症状和身体状况2个维度;心理领域16个条目,包括工作压力、焦虑、抑郁和恐惧4个维度;社会领域9个条目,包括社会适应和社会支持2个维度;治疗领域12个条目,包括依从性、有效性和满意度3个维度。结论经典测量理论和项目反应理论相结合得到的量表条目,提高了量表质量,为进一步改善消化性溃疡患者的生命质量提供支持。 Objective To select items to compose the final scale for assessment of peptic ulcer(PU)quality of life on the basis of framing theory.Method A total of 150 PU patients and 50 healthy people were selected to survey from eight different levels of medical institutions in Shanxi,and items were selectedby using classical measure theory and item response theory.Results The item selection process produced a final scale with 4 domains(physiology,psychology,society and treatment),12 dimensions and 54 items.Physical domain included 17 items,which belonged to two dimensions of somatic symptoms and physical state; 16 items were included in the psychological domain,which belonged to four dimensions of working pressure,anxiety,depression,and fear; social domain included 9 items,which belonged to two dimensions:social adaptation and social support; 12 items were included in the treatment domain,which belonged to three dimensions:compliance,effectiveness and satisfaction.Conclusion Combining classic measure theory and item response theory,items are selected to improve the quality of scale and to provide support for the PU patients’ quality of life.
出处 《慢性病学杂志》 2016年第4期365-368,共4页 Chronic Pathematology Journal
基金 国家自然科学基金资助项目(81273180)
关键词 消化性溃疡 条目池 条目筛选 项目反应理论 Peptic ulcer Item pool Item selection Item response theory(IRT)
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