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| 題 名 | Development and Measurement Properties of the Brief Sng Index in Patients with Lumbar Degenerative Spinal Disease=腰椎退化性脊椎疾病病人簡明痠量表之發展與信效度檢定 |
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| 作 者 | 許秀珠; 林建和; 周伯鑫; 陳志成; 邱曉彥; | 書刊名 | 新臺北護理期刊 |
| 卷 期 | 27:1 2025.03[民114.03] |
| 頁 次 | 頁63-73 |
| 分類號 | 416.616 |
| 關鍵詞 | 腰椎退化性疾病; 信度; 效度; 下背部痠; 問卷開發; Lumbar degenerative spine disease; Reliability; Validity; Lower back sng; Questionnaire development; |
| 語 文 | 英文(English) |
| DOI | 10.6540/NTJN.202503_27(1).0006 |
| 中文摘要 | 背景:腰部和腿部痠(所謂的sng)被認為是腰椎退化性脊椎疾病(LDSD)患者獨特症狀。目前沒有發展出評估下背痠或小腿痠狀況的工具。此研究目的是建立簡明痠量表Brief Sng Index(BSI)並驗證其可靠性和有效性。方法:這是一項方法學研究。納入診斷為腰椎退化性脊椎疾病的成年人。總共構建簡明痠量表共12題(下背痠及下肢痠視覺類比量表2題與對日常生活影響10題)。使用Cronbachl's alpha係數及組內相關係數評估量表的重測信度及內在一致性。探索性因素分析驗證建構效度,以中文版RAND-36健康問卷、歐式失能量表和匹茲堡睡眠品質量表驗證量表的聚合效度。結果:總共納入300位平均年齡58.69歲的患者。內部一致性信度係數為0.89。通過探索性因素分析結果萃取出2個因素,命名為「生理層面影響」與「心理層面影響」,累計解釋量為59.91%,顯示具有良好的建構效度。研究結果也顯示下背痠量表與RAND-36健康調查問卷之生理功能問卷r=-0.48、心理功能問卷r=-0.45、中文版歐氏失能量表r=0.55以及中文版匹茲堡睡眠品質量表r=0.49,皆有適度的相關性。結論:簡明痠量表具有令人滿意的信度和效度,臨床上評估腰椎退化性疾病病人的下背痠或下肢痠方面是合適的。 |
| 英文摘要 | Background: Lower back and leg soreness (so called sng) is considered unique symptoms reported by patients with lumbar degenerative spinal diseases (LDSD). No tool assessing the condition of lower back or lower leg sng has been developed. We aimed to construct the Brief Sng Index (BSI) and to verify its reliability and validity. Methods: This was a methodological study. Adults diagnosed with LDSD were included. A total of 12 items were constructed in the BSI (2 for lower back sng and lower leg sng; 10 for daily life interferences). Cronbach's alpha and the intraclass correlation coefficient were used to test the internal consistency and test-retest reliability, respectively. Construct validity was demonstrated using exploratory factor analysis. The Chinese versions of the RAND-36 health questionnaire (RAND-36-C), the Oswestry Disability Index (CODI), and the Pittsburgh Sleep Quality Index (CPSQI) were employed to assess concurrent validity. Results: A total of 300 patients with a mean age of 58.69 years were included. The internal consistency reliability was 0.89. Two domains, the physical and mental functions interferences, were extracted using exploratory factor analysis, and their cumulative variance was 59.91%. The BSI was moderately correlated with the RAND-36-C physical component scale (r = -0.48), mental component scale (r = -0.45), CODI (r = 0.55), and CPSQI (r = 0.49). Conclusion: The BSI has satisfactory reliability and validity and is clinically suitable for the assessment of lower back or leg sng among patients with LDSD. |
本系統中英文摘要資訊取自各篇刊載內容。