摘要目的 翻译症状生活干扰评估量表(SyIRS),并对中文版进行信效度检验.方法 翻译、跨文化调适量表,采用中文版SyIRS对江苏大学附属医院伤口造口门诊慢性伤口患者95例进行研究,通过内部一致性检验、重测信度、探索性因子分析、验证性因子分析来评价该量表的信效度.结果 中文版SyIRS的Cronbach α系数为0.823,重测信度系数为0.893.量表水平的内容效度指数为0.871,探索性因子分析提取了3个公因子:F1功能状态,F2社会关系,F3心理健康,累积方差贡献率为78.53%;验证性因子分析的各项拟合指数为卡方自由度比(χ2/df)为1.061,比较适配度指标为0.903,渐进残差均方和平方差为0.065,基准化适配度指标为0.932,增量适合度指标为0.996,模型拟合较好.以SF-36作为效标,与SF-36的生理状态和心理状态两方面的相关系数分别为-0.42和-0.45,均P＜0.01.结论 中文版SyIRS信效度良好,可以用于评估慢性伤口相关疼痛对患者生命质量的影响.

abstractsObjective To translate the Symptom Intrusiveness Rating Scale and test its reliability and validity. Methods The scale was modified based on translation, back-translation and cross-culture adaptation. Ninety-five patients were recruited from wound&stoma clinic of one upper first-class hospital. the questionnaire were tested by internal reliability and test-retest for reliability and exploratory factor analysis and confirmatory factor analysis for validity. Results The coefficient of Cronbach α was 0.823 and the retest reliability was 0.893. The content validity index was 0.871. Three factors, which were F1:functional status, F2: social relations, F1: mental health, were extracted by exploratory factor analysis and they could explain 78.53% of total variance. Confirmatory factor analysis indicated a good model and fit indices c 2/df=1.061, GFI=0.903, RMSEA=0.065, NFI=0.932, IFI=0.996. The Chinese version of SyIRS was moderately related with SF-36v2 physical subscales (r=-0.42, P<0.01), and mental subscales (r=-0.45, P<0.01). Conclusions The Chinese version of Symptom Intrusiveness Rating Scale is a reliable and valid instrument, which is applicable to assess the patient’s quality of life associated with chronic wound related pain.