相關文獻
- 健康相關生活品質之效用測量方法信度與效度的評估:以血液透析之末期腎病患者為例
- 血液透析病之健康相關生活品質問卷的設計與驗證
- 如何編製一份問卷:以「健康相關生活品質」問卷為例
- 膝部骨性關節炎醫療照護成效量表之發展
- A Preliminary Study of the Development, Validity, and Reliability of a Caregiver Questionnaire for the Health-related Quality of Life in Children with Cerebral Palsy
- 中醫藥生活品質評估之療效指標建立研究
- 修改後健康信念模式測量理論基礎之探討--以青少年無照騎車之研究為例
- 盧一尼神經心理測驗組中文修訂版的信效度研究
- 器官捐贈量表信效度之建立
- 五種作文能力測驗的效度研究
題 名 | 健康相關生活品質之效用測量方法信度與效度的評估:以血液透析之末期腎病患者為例=Reliability and Validity of Utility Appoach to Measuring Health Related Quality of Life: An Example of Patients on Hemodialysis |
---|---|
作 者 | 林榮第; 姚開屏; 游芝亭; 王榮德; |
書刊名 | 中華公共衛生雜誌 |
卷 期 | 16:5 1997.10[民86.10] |
頁 次 | 頁404-416 |
分類號 | 415.74 |
關鍵詞 | 健康相關生活品質; 效用; 信度; 效度; Healthy-related quality of life; Utility; Reliability; Validity; |
語 文 | 中文(Chinese) |
中文摘要 | 健康相關生活品質的測量已逐漸被運用於臨床決策、決定衛生政策優先順序、評 估衛生計畫效益及經濟學之成本一效用分析上。本研究首先嘗試以血液透析患者為研究對象 ,對時間交換及評價等級兩種效用測量方法在健康相關生活品質之測量上的信度及效度進行 評估,希望能建立起一個適合我國國情的健康狀態效用評估方法,並逐步修改而推廣到其他 健康狀態的效用評估上,以作為臨床決策、衍生政策分析及計畫評估的參考指標。本研究採 橫斷研究法, 以 1993 年 8 月至 11 月期間,在臺北市三所教學醫院之血液透析中心接受 長期血液透析,能夠並願意接受訪問的所有末期腎病患者為研究對象。由標準化訪視員以結 構式問卷進行訪視及再測。 共有 125 名患者完成訪問,回應率為 90%。研究結果發現,時 間交換及評價等級兩種效用測量方法對於不同的訪視者、不同的訪視時問及不同的訪視方法 或訪視情境,都可得到穩定的結果,而且兩種方法在建構效度及效標相關效度等效度檢定上 ,均具有良好的表現。標準賭博、時間交換及評價等級等方法所測得的血液透析患者之健康 相關生活品質的效用數值分別為 0.75、0.61 與 0.57。 在健康狀態效用的測量方法中,標 準賭博、時間交換及評價等級皆其有良好的信度及效度。但就可行性而言,時間交換及評價 等級是較受大多數學者所建議採行的方法。另外,由於評價等級施測容易且所得結果與其他 方法同樣其有信度及效度,故很適合應用於大規模的研究。 |
英文摘要 | The measure of health-related quality of life has been used progressively in clinical decision making, public health priority setting, assessing the effectiveness of health programs and economic cost-utility analysis. The purpose of this study is to evaluate the reliability and validity of two utility measurement techniques including time tradeoff and rating scale in the measure of health-related quality of life in order that we could develop an indicator for health policy decision and program evaluation based on Chinese cultural background. Subjects of this cross-sectional study consisted of all the patients of end-stage renal disease receiving maintenance hemodialysis at the bemodialysis room of three teaching hospitals in the Taipei between August 1993 and November 1993. Interviews were undertaken by standardized interviewers with a structured questionnaire. 125 subjects completed the interview. The response rate was about 90%. The results showed that both time tradeoff and rating scale measurement techniques got consistent results by different interviewers and method and at different interviewing time and situations. These two measurement techniques had good performance in the assessment of validity including construct validity and criterion-related validity. The utilitv values measured by standard gamble, time tradeoff, and rating scale were 0.75, 0.61, and 0.57 respectively. Standard gamble, time tradeoff and rating scale are all reliable and valid techniques in the measure of health-related quality of life. Based on feasibility, the time tradeoff and rating scale methods are more popular with most investigators. The rating scale method is easiest to administer and appears to yield results that are as valid as any other method. Thus, this would seem to be the method of choice in large-sample studies. |