- 期刊
中風衝擊量表用於台灣中風患者之信效度測量
Reliability and Validity of the Stroke Impact Scale 3.0 in Taiwanese Stroke Patients
摘要
背景與目的：生活品質測量是一全面性考量中風病患接受治療之預後情形的測量。中風衝擊量表（Stroke Impact Scale 3.0，簡稱SIS）為中風專屬的生活品質量表，其使用在不同國家都具有可接受之信效度，本研究之目的為了解SIS量表使用在台灣中風族群之信效度為何。方法：本研究以方便取樣的方式收取初次中風的住院病患，並使用美國國家衛生研究院中風量表（National Institutes of Health Stroke Scale，簡稱NIHSS）記錄其中風嚴重程度。另外使用功能獨立自主量表（Functional Independence Measure，簡稱FIM）、老人憂鬱量表（Geriatric Depression Scale，簡稱GDS）以及簡短智能測驗（Mini-Mental State Examination，簡稱MMSE）為標的測量量表，檢測其收斂效度。並計算各面向的內在一致性及施測者間信度之表現。結果：本研究共收取102位初次中風之病患，平均年齡為63.49（±13.22）歲。在量表之效度方面，收斂效度的結果顯示除了社會參與能力的面向（r=0.19）未被確立外，其餘面向皆為中度至良好（r=0.52~0.90）。在信度方面，量表之內在一致性除情緒面向為中度以外（Cronbach α=0.70），其餘的面向皆為良好（Cronbach α=0.89~0.96）；在施測者間信度方面，除了情緒面向為中度以外（ICC=0.70），其餘皆為良好（ICC=0.94~0.99）。結論：整體而言，中風衝擊量表用於測量台灣中風患者之生活品質，具有不錯之信效度。但在我們的研究中也顯示，在社會參與能力的面向，還未有明確的結果，仍需再進一步的研究與討論。
並列摘要
Background and Purpose: Quality of life (QOL) has been considered a comprehensive measure of health outcomes for stroke patients under treatment. The Stroke Impact Scale 3.0 (SIS 3.0) is one of the most commonly used tool to measure QOL of stroke patients in many countries. The purpose of the study was to verify the validity and reliability of the SIS 3.0 when applied to Taiwanese stroke patients. Methods: We used convenient sampling to recruit first-ever stroke patients and assess them with the National Institutes of Health Stroke Scale (NIHSS), Functional Independence Measure (FIM), Geriatric Depression Scale (GDS), and Mini-mental State Examination (MMSE). Health-related quality of life was evaluated with SIS 3.0. Pearson correlation coefficient was used to test the convergent validity and inter-rater reliability of the SIS, and the Cronbach’s alpha was used for testing the internal consistency of the SIS. Results: The mean age of the 102 patients were 63.49±13.22 years old (range 28~85). Compared with the corresponding FIM sub-score, the strength, hand function, Mobility, ADL/IADL, and Communication domains of SIS 3.0 all showed moderate to good convergent validity (r=.52 to .90), but not the social participation (r=.19) domain. The emotion domain showed a moderate correlation with the GDS (r=-.65) and the memory domain showed a good correlation with the MMSE (r=.88). The internal consistency of the SIS was good (Cronbach’s α= .89~.96 for 7 domains, and =.70 for emotion domain). The inter-rater reliability of the SIS was high (r=.94~.99 for 7 domains, r=.70 for emotion). Conclusion: The SIS showed good validity and reliability when applied in Taiwanese stroke patients. It can be used in measuring the QOL in Taiwanese stroke patients, but the use of the social participation domain may need to be more conservative.
延伸閱讀
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