Developing an Instrument to Measure Quality of Life of Patients with Hyperhidrosis

發展多汗症病人生活品質的測量工具

郭春花(Chun-Hua Kuo) ； 顏妙芬(Miaofen Yen) ； 藺寶珍(Pao-Chen Lin)

《The Journal of Nursing Research》 12卷1期 (2004/03) Pp. 21-30

摘要

生活品質常被用以衡量一個人健康狀態指標。本研究目的發展一測量工具，以測量多汗症病人的生活品質。用多面向的生活品質模式，做為發展工具的架構。從文獻查證、與病人、護士、醫生會談，以產生測量的原始項目，經六位多汗症臨床專家做內容效度 (CVI = .70)，內在一致性及建構效度測試。本研究屬於量性研究，以方便取樣法共收集85 位個案。自民國九十一年三月至民國九十二年四月計十三個月期間，在某區域教學醫院胸腔外科門診，先向多汗症病人說明研究目的，徵求其同意，才發給自填式的問卷調查表，自填時間約需8 至10 分鐘。收集的資料以SPSS for Windows 8.0 作處理，統計方法為平均值、標準差、頻率、百分比、單變項變異分析、因素分析。結果粹取五個主要層面，分別為功能層面、心理、社會、情感、及生理等五個層面，Cronbach’s α 係數在0.71 至0.94，其解釋總變異量為68.90%。顯示此工具有滿意的信度和效度，可做為衡量多汗症病人生活品質之指標,了解病人受到困擾之程度，作為醫護人員與病人有效溝通與衛生教育之工具，進而作為手術需要與否之評估工具，值得未來研究的參考。

關鍵字

生活品質 ； 多汗症 ； 量表發展 ； 信度和效度

並列摘要

Quality of life (QOL) is an index of the state of wellness of an individual. The purpose of this study was to develop an instrument to measure quality of life of patients with hyperhidrosis. With a multidimensional model of QOL as the conceptual framework for instrument development, the study started from literature review which was followed by interviews with patients, staff nurses, and doctors to generate the original items for the instrument. The validity and reliability then were assessed. Six experts performed content validity (CVI = .70). Internal consistency and construct validity assessment followed. A quantitative research method was used in this study. During March 2002 to April 2003, 85 patients from the surgical outpatient clinic at a teaching hospital in southern Taiwan were purposively recruifed as subjects. Written consent was obtained before subjects answered a questionnaire that should take 8-10 minutes to finish. Data analysis was performed using SPSS for Windows 8.0. Mean, standard deviation, frequency, percentage, Cronbach’s , Pearson’s correlation, and factor analysis were used to analyze the data. Exploratory factor analysis identified five factors. They were functional, social interaction, personal affective, psychological and physical function. The coefficients of Cronbach’s for these five factors ranged from 0.71 to 0.94. These five factors explained 68.90% of the variance in QOL among the patients with hyperhidrosis. The results showed that the instrument had satisfactory validity and reliability. Implications of these results for future studies were discussed.

並列關鍵字

quality of life (QOL), hyperhidrosis, instrument development, reliability and validity.

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