Validation of the Chinese Version of the SF-36 Health Survey Questionnaire in People Undergoing Physical Examinations

中文版SF-36健康量表使用於健康檢查民衆的信效度評估

李采娟(Tsai-Chung Li) ； 劉秋松(Chiu-Shong Liu) ； 林正介(Cheng-Chieh Lin) ； 李毅達(Yih-Dar Lee) ； 賴俊雄(Jim-Shoung Lai) ； 李佳霙(Chia-Ing Li)

《Mid-Taiwan Journal of Medicine》 10卷1期 (2005/03) Pp. 8-17

https://doi.org/10.6558/MTJM.2005.10(1).2

摘要

目的　SF-36量表可用於測量一般民眾及不同疾病病患的健康狀態，然而，要廣泛使用中文版的SF-36量表之前，評估該工具的信效度是重要的工作。因此本研究目的係為評估中文版SF-36量表使用於健康檢查民眾的信效度。
方法　採用橫斷性研究，以1996年至某醫學大學附設醫院接受健康檢查民眾為對象，獲得18歲以上至65歲以下有效樣本共434人，其完訪率為68.7%。主要測量工具為SF-36量表，該量表測量八個構面，八個構面分別為身體活動功能、社交功能、因身體活動功能致角色受限情形、心理健康狀態、因心理健康狀態致角色受限情形、活力狀態、身體疼痛及自覺健康狀態。
結果　各構面均符合項目內部一致性（100%符合）及項目鑑別效度（達95.4%符合）的檢測，內部一致性的係數值範圍以身體疼痛構面的0.66最低，社交功能及身體活動功能構面的0.89最高；因素效度分析結果顯示近似於原作者在發展SF-36量表的概念。另發現不同年齡層其身體活動相關構面如身體活動功能及身體疼痛構面分數有顯著不同；在有無身心症者間所有構面均有顯著不同。
結論　使用於民眾健康檢查的中文版SF-36量表有良好的信度及效度。

關鍵字

SF-36健康調查 ； 健康檢查 ； 效度

並列摘要

Objectives. The SF-36 is a generic measure of health status and has gained popularity as a measure of outcome in a wide variety of patient groups and surveys. The Chinese version of SF- 36 was introduced in 1995 and its reliability and validity in the general population has been reported. However, the reliability and validity has never been reported in clinical settings. Therefore, we provide estimates of the reliability and test validity of the Chinese SF-36 in people undergoing physical examinations.
Methods. A cross-sectional study was conducted among individuals who underwent physical examinations in the China Medical University Hospital in 1996. A total of 434 individuals over the age of 18 years were recruited. The overall completion rate was 68.7%. Outcome was evaluated by the Short Form 36 (SF-36), a short questionnaire with 36 items measuring eight multi-item variables: physical functioning, social functioning, role limitation due to physical problems, role limitation due to emotional problems, mental health, vitality, pain and general health.
Results. All variables passed tests for item-internal consistency and item-discriminant validity. Analyses of internal consistency coefficients ranged from a low of 0.66 for the bodily pain variable to a high of 0.89 for social and physical functioning variables. Validation by factor analysis yielded results remarkably similar to those proposed by the authors who developed the SF-36. We found significant differences in physical-related variables such as physical functioning, and bodily pain between different age groups, and significant differences in all variables except for bodily pain in different categories of minor psychiatric morbidity.
Conclusions. In general, the Chinese version of the SF-36 is reliable and valid for measuring health status in people undergoing physical examination.

並列關鍵字

health examination ； SF-36 health survey ； validity