失语症生活质量问卷的汉化及信效度检验OA
Chinesization of Quality of Life Questionnaire for Aphasics and its reliability and validity test
目的:对失语症生活质量问卷(QLQA)进行汉化并检验其在脑卒中失语症病人中的信度和效度.方法:采用Brislin翻译模型对QLQA进行翻译,随后进行文化调适、预调查形成中文版QLQA.选取2024年1月1日—2025年5月1日就诊于我院的222例脑卒中失语症住院病人进行问卷调查,检验中文版QLQA的信效度.结果:中文版QLQA包括3个维度,共37个条目.问卷条目水平的内容效度指数为0.80~0.97,全体一致量表水平内容效度指数为0.939,平均量表水平内容效度指数为0.958.以脑卒中失语症生活质量量表(SAQOL-39g)作为效标,中文版QLQA得分与SAQOL-39g得分的相关系数为0.566(P<0.05).探索性因子分析提取3个特征值>1的公因子,累计方差贡献率为66.0%.验证性因子分析结果显示,三因子结构方程模型拟合效果良好.问卷总体的Cronbach's α系数为0.952,重测信度为0.969.结论:中文版QLQA具有良好的信效度,可用于测评脑卒中失语症病人的生活质量.
Objective:To translate the Quality of Life Questionnaire for Aphasics(QLQA)into Chinese and test its reliability and validity in stroke patients with aphasia.Methods:The Brislin translation model was adopted for the translation of QLQA.The Chinese version of QLQA was developed after cultural adaptation and a preliminary survey.A total of 222 hospitalized stroke patients with aphasia from our hospital between January 1,2024 and May 1,2025 were selected for the questionnaire survey.The reliability and validity of the Chinese version of QLQA were tested.Results:The Chinese version of QLQA comprised 3 dimensions and 37 items in total.The item-level content validity index ranged from 0.80 to 0.97.The scale-level content validity index based on universal agreement was 0.939.The average content validity index was 0.958.The Stroke and Aphasia Quality of Life Scale(SAQOL-39g)was used as the criterion.The correlation coefficient between the Chinese version of QLQA and the SAQOL-39g scores was 0.566(P<0.05).Exploratory factor analysis extracted 3 common factors with eigenvalues greater than 1 with the cumulative variance contribution rate of 66.0%.Confirmatory factor analysis indicated that the three-factor structural equation model demonstrated a good fit.The overall Cronbach's α coefficient of the questionnaire was 0.952,and the test-retest reliability was 0.969.Conclusions:The Chinese version of QLQA exhibits good reliability and validity.It could be used to assess the quality of life of stroke patients with aphasia.
徐大才;丁瑶;王璐
南京大学医学院附属盐城市第一人民医院,江苏 224001南京大学医学院附属盐城市第一人民医院,江苏 224001南京大学医学院附属盐城市第一人民医院,江苏 224001
脑卒中失语症生活质量汉化信度效度
strokeaphasiaquality of lifeChinesizationreliabilityvalidity
《护理研究》 2026 (10)
1736-1740,5
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