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浙江大学学报(医学版)  2015, Vol. 44 Issue (2): 138-144    DOI: 10.3785/j.issn.1008-9292.2015.03.004
专题报道     
眩晕症状量表的汉化及信效度和反应度检验
邓真1,2, 元唯安1,2, 王辉昊1,2, 詹红生1,2
1. 上海中医药大学附属曙光医院石氏伤科医学中心, 上海 201203;
2. 上海中医药研究院骨伤科研究所, 上海 201203
Development of Chinese version vertigo symptom scale(VSS):reliability and validity
DENG Zhen1,2, YUAN Wei-an1,2, WANG Hui-hao1,2, ZHAN Hong-sheng1,2
1. Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China;
2. Institute of Traumatology & Orthopedics, Shanghai Academy of TCM, Shanghai 201203, China
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摘要:

目的:汉化眩晕症状量表(Vertigo Syndrome Scale中文版,VSS-C量表),并通过评估以眩晕为主要症状的椎动脉型颈椎病患者对VSS-C量表进行信效度、反应度检验。方法:征得原量表作者同意后,按照相关指南及要求,将原量表汉化为VSS-C量表。将VSS-C量表应用于健康对照组(21名)和椎动脉型颈椎病患者(52例),对照组在2周内独立完成VSS-C量表评定2次;患者组在3周内独立完成VSS-C评定3次(在第3次评定前接受为期1周的手法康复治疗),同时与SF-36健康调查量表评定结果对照。通过两次VSS-C量表的评定结果相关性分析来测试其重测信度,以科隆巴赫α系数来评定VSS-C量表的内部一致性。将VSS-C量表的结果与SF-36健康调查量表的各个维度进行相关性分析来评定VSS-C量表的效度。比较患者组第2次和第3次的VSS-C量表结果评定其对于手法康复治疗的反应度。结果:VSS-C量表两次测验组内相关系数均大于0.9(P<0.05),两个子量表的科隆巴赫α系数均在0.7以上,总体VSS-C 量表的科隆巴赫α系数大于0.85。VSS-C 量表各个项目与所属子量表之间相关系数值均大于0.5; VSS-C量表与SF-36健康调查量表中相应的亚项目之间相关系数值均大于0.5;VSS-C量表经限定抽取公共因素法行因子分析,所抽取的2个公因子在各条目中所占比重与原版VSS量表中所属子量表大致相符。患者组和对照组VSS-C量表评分分别为22.9±9.2和10.6±10.2,两者之间差异有统计学意义(P<0.01);患者组手法治疗前后VSS-C量表评分分别为24.4±10.0和23.0±9.3,差异也有统计学意义(P<0.01)。结论:VSS-C量表在评价椎动脉型颈椎病患者眩晕程度上具有较好的信度、效度及可重复性。

关键词: 眩晕椎底动脉供血不足评价研究    
Abstract:

Objective: To develop a Chinese version of Vertigo Symptom Scale (VSS-C) and to examine its reliability and validity. Methods: The VSS was translated into Chinese and developed a Chinese version VSS (VSS-C) with the consent of the author. The VSS-C scale was tested in 52 subjects with cervical spondylosis of vertebral artery type(CSA group)and 21 healthy subjects (control group). In CSA group VSS-C scale and SF-36 scale investigation was performed for 2 times with 1 week interval, after receiving 1-week orthopedic rehabilitation the patients were evaluated with the VSS-C and SF-36 scale; while subjects in control group received the investigation twice in two weeks. The reliability of the scale was evaluated with Cronbach's alpha method and the correlation between SF-36 scale and the VSS-C were also evaluated for the validity. Results: The internal consistency of VSS-C was good with Cronbach's alpha of 0.886. Test-retest reliability was also very good with an intraclass correlation coefficient (ICC) between two time points, being 0.970 for VSS-C,0.965 for VSS-AA and 0.992 for the VSS-VER. Regarding concurrent validity,significant low correlation was found between the VSS-AA and VSS-VER (r=0.379,P<0.05). Significant expected correlation was detected between the VSS-C and SF-36 (r>0.5,P<0.05). The independent-samples t test results (t=6.261,P<0.01) of the CSA group and the control group showed that the VSS-C was able to distinguish healthy people from CSA patients. The paired-samples t test results (t=5.513,P<0.01) showed that VSS-C reflected the improvement of patients after treatment of Chinese massage manipulation. Conclusion: The Chinese version of VSS has a high comprehensibility, internal consistency and validity, and it can be a useful instrument for evaluation of patients with cervical spondylosis of vertebral artery type in China.

Key words: Vertigo    Vertebrobasilar insufficiency    Evaluation studies
收稿日期: 2014-11-09 出版日期: 2015-03-25
:  R681.5+5  
基金资助:

“中医骨伤科学”国家重点学科(100508); 国家自然科学基金(81473702,81001528); 上海领军人才项目(041); 上海市科委重点项目(14401970402,09dZ1973800); 上海高校“中医脊柱病损研究”创新团队建设项目(2009-26)

通讯作者: 詹红生(1964-),男,博士,主任医师,教授,博士生导师,主要从事骨和关节退行性疾病的防治研究;E-mail:zhanhongsheng2010@163.com     E-mail: zhanhongsheng2010@163.com
作者简介: 邓真(1988-),男,博士研究生,主要从事中医药防治慢性筋骨病损研究;E-mail:dengzhen0923@163.com
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引用本文:

邓真, 元唯安, 王辉昊, 詹红生. 眩晕症状量表的汉化及信效度和反应度检验[J]. 浙江大学学报(医学版), 2015, 44(2): 138-144.

DENG Zhen, YUAN Wei-an, WANG Hui-hao, ZHAN Hong-sheng. Development of Chinese version vertigo symptom scale(VSS):reliability and validity. Journal of ZheJiang University(Medical Science), 2015, 44(2): 138-144.

链接本文:

http://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.2015.03.004        http://www.zjujournals.com/med/CN/Y2015/V44/I2/138

[1] AGGARWAL N T,BENNETT D A,BIENIAS J L,et al. The prevalence of dizziness and its association with functional disability in a biracial community population[J]. J Gerontol A Biol Sci Med Sci,2000,55(5):M288-292.
[2] NAZARETH I,YARDLEY L,OWEN N,et al. Outcome of symptoms of dizziness in a general practice community sample[J]. Fam Pract,1999,16(6):616-618.
[3] YARDLEY L,MASSON E,VERSCHUUR C,et al.Symptoms,anxiety and handicap in dizzy patients:development of the vertigo symptom scale[J].J Psychosom Res,1992,36(8):731-741.
[4] 王楚怀,卓大宏.颈性眩晕患者症状与功能评估的初步研究[J].中国康复医学杂志,1998,13(6):245-247. WANG Chu-huai,ZHUO Da-hong. A preliminary evaluation of symptoms and functions of patients with cervical vertigo[J]. China Journal of Rehabilitation Medicine,1998,13(6):245-247.(in Chinese)
[5] 魏毅,梁伟雄,蔡业峰.椎动脉型颈椎病功能评定量表的初步建立[J].中国康复医学杂志,2003,18(7):410-412. WEI Yi,LIANG Wei-xiong,CAI Ye-feng. Development of functional scale for cervical spondylosis of vertebral artery type[J]. China Journal of Rehabilitation Medicine,2003,18(7):410-412.(in Chinese)
[6] YARDLEY L,MEDINA S M,JURADO C S,et al. Relationship between physical and psychosocial dysfunction in Mexican patients with vertigo:a cross-cultural validation of the Vertigo Symptom Scale[J]. J Psychosom Res,1999,46(1):63-74.
[7] YANIK B, KULCU D G,KURTAIS Y,et al. The reliability and validity of the Vertigo Symptom Scale and the Vertigo Dizziness Imbalance Questionnaires in a Turkish patient population with Benign Paroxysmal Positional Vertigo[J]. J Vestib Res,2008,18(2-3):159-170.
[8] GLOOR-JUZI T,KURRE A,STRAUMANN D, et al. Translation and validation of the vertigo symptom scale into German:a cultural adaption to a wider German-speaking population[J]. BMC Ear Nose Throat Disord,2012,12:7. doi:10.1186/1472-6815-12-7.
[9] ROGERS C,DE WET J,GINA A,et al. The translation of the Vertigo Symptom Scale into Afrikaans:a pilot study[J]. S Afr J Commun Disord, 2011,58(1):6-12.
[10] 李鲁,王红妹,沈毅,SF-36健康调查量表中文版的研制及其性能测试.中华预防医学杂志,2002,36(2):109-113. LI Lu, WANG Hong-mei, SHEN Yi.Development and validation of Chinese language version of the MOS 36-item short form health survey(SF-36). Chinese Journal of Preventive Medicine, 2002,36(2):109-113.(in Chinese)
[11] BEATON D E,BOMBARDIER C,GUILLEMIN F,et al. Guidelines for the process of cross-cultural adaptation of self-report measures[J]. Spine,2000,25(24):3186-3191.
[12] WILD D,GROVE A,MARTIN M,et al. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures:report of the ISPOR Task Force for Translation and Cultural Adaptation[J]. Value Health,2005,8(2):94-104.
[13] 李增春,陈德玉,吴德升,等,第三届颈椎病专题座谈会纪要[J].中华外科杂志,2008,46(23):1796-1799. LI Zeng-chun,CHEN De-yu,WU De-sheng,et al. The third cervical spondylosis panel summary[J]. Chinese Journal of Surgery,2008,46(23):1796-1799.(in Chinese)
[14] MCDOWELL I,NEWELL C. Measuring health:a guide to rating scales and questionnaire[M]. New York:Oxford University Press,1991:30-46.
[15] 赵斐然,周天驰,张俊颖,等,量表(问卷)信度、效度评价在我国医学领域的应用与展望[J].中华中医药杂志,2014,29(7):2280-2283. ZHAO Fei-ran,ZHOU Tian-chi,ZHANG Jun-ying,et al. Prospect and application of evaluation about reliability and validity assessment on scale or questionnaire applied in the medical domain[J]. China Journal of Traditional Chinese Medicine and Pharmacy,2014,29(7):2280-2283.(in Chinese)
[16] MURPHY K R,DAVIDSHOFER C O. Psychological testing:principles and applications[M]. America:Prentice Hall,2004:216-367.
[17] ROOS E M,ROOS H P,EKDAHL C,et al. Knee injury and osteoarthritis outcome score(KOOS)—validation of a Swedish version. Scand J Med Sci Sports,1998,8(6):439-448.
[18] TSCHAN R,WILTINK J,BEST C,et al. Validation of the German version of the Vertigo Symptom Scale (VSS) in patients with organic or somatoform dizziness and healthy controls[J].J Neurol,2008,255(8):1168-1175.

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