**临床康复chinese journal of clinical rehabilitation2002 vol.6 no.14 p.2042-2044--------------------------------------------------------------------------------诺丁汉健康量表对恶性肿瘤患者生存质量的评估贾恩志 摘 要:诺丁汉健康量表(nhp)量表由两部分组成,第1部分包括38个条目,分为6个维度,即躯体活动、精力、疼痛、睡眠、社会联系与情感反应,第2部分包括工作、照料家庭、社会生活、家庭生活、性生活、爱好与兴趣、度假等7方面.该量表是国际上公认的信度、效度、敏感度均较好的生存质量量表,在恶性肿瘤患者的生存质量研究中有较为广泛的应用,可以评价患者的生存质量,研究影响生存质量的因素以提高患者的生存质量,也可以研究恶性肿瘤患者的预后及评价治疗措施等. 关键词:诺丁汉健康量表;生存质量;恶性肿瘤分类号:r73-31 文献标识码:b文章编号:1671-5926(2002)14-2042-03作者简介:贾恩志(1971-),男,山东济宁人,博士研究生,研究方向为心血管疾病的人群防治. 作者单位:贾恩志(南京医科大学第一附属医院,江苏南京,210029) 参考文献:〔1〕hunt sm, mcewen j. the development of a subjective health indicator[j].social health illness,1983,2:231- 245.〔2〕mckenna sp, hunt sm, mcewenn j. weighting the seriousness of perceived health problems using thurstone's method of paired compar**ons[j].int j epidemiol, 1981,10:93- 97.〔3〕alonso j, anto jm, moreno c.span**h version of the nottingham health profile: translation and preliminary validity[j].am j public health,1990,80:704- 708.〔4〕bucquet d,condon s,ritchie k.the french version of the nottingham health profile. a compar**on of items weights with those of the source version[j].soc sci med,1990,30:829- 835.〔5〕koivukangas p,ohinmaa a,koivukangas j.nottingham health profile suomalainen version[m]. (the finn**h version of the nottingham health profile, with engl**h summary).helsinki: stakes, 1995:187.〔6〕hunt sm, wicklund i.crosscultural variation in the weightong of health statements: a compar**on of engl**h and swed**h valuations[j]. health policy,1987,8: 227- 235.〔7〕kohlmann t,bullinger m,kirchberger-blumstein i. german version of the nottingham health profile (nhp): translation and psychometric validation[j].soz pr**entivmed,1997,42(3):175- 185.〔8〕bernie j o'brien, martin j buxton, brian a ferguson. measuring the effectiveness of heart transplant programmes: quality of life data and their relationship to survival analys**[j].j chron d**, 1987,40(suppl 1):137s- 153s.〔9〕sonja m hunt, j mcewen, s p mckenna. perceived health: age and sex compar**ons in a community[j]. journal of epidemiology and community health,1984,38:156- 160.〔10〕何成奇.腰痛评定方法及其信度的研究进展[j].**临床康复,2002,6(2):157-159.〔11〕宋黎君.全喉切除患者的生存质量评估[j].**临床康复,2002,6(2):172-173.〔12〕bouchet c,guillemin f,paul-dauphin a,et al.selection of quality-of-life measures for a prevention trial: a psychometric analys**[j].control clin trials,2000,21(1):30- 43.〔13〕bureau- chalot f, novella jl,jolly d,et al.feasibility, acceptability and internal cons**tency reliability of the nottingham health profile in dementia patients[j].gerontology,2002,48(4):220- 225.〔14〕v**ser mc, koudstaal pj, erdman ra, et al. measuring quality of life in patients with myocardial infarction or stroke: a feasibility study of four questionnaires in the netherlands[j].j epidemiol community health,1995,49(5):513- 517.〔15〕邓建华.kappa值在nottingham健康量表信度测量中的应用[j].**卫生统计,1997,14(1):17-19.〔16〕贾恩志,徐耀初,沈洪兵,等.恶性肿瘤患者生命质量研究[j].**行为医学科学,2000,9(1):23-26.〔17〕贾恩志,王海燕,徐耀初.spssforwindows10.0科研统计应用[m].南京:东南大学出版社,2001:158-162,177-193.〔18〕montazeri a,milroy r,hole d, et al.quality of life in lung cancer patients: as an important prognostic factor[j].lung cancer, 2001,31(2- 3):233- 240.〔19〕bonfill x, montes j, roque m, et al. prospective assessment of clinical outcomes in patients with lung cancer[j].med clin (barc),2000,114( suppl 3):104- 111.〔20〕pietrab**sa a, v**toli f, carobbi a, et al. thoracoscopic splanchnicectomy for pain relief in unresectable pancreatic cancer[j]. arch surg,2000,135(3):332- 335.收稿日期:2002年6月1日出版日期:2002年7月25日**心理卫生杂志chinese mental health journal2003 vol.17 no.11 p.768-770,767--------------------------------------------------------------------------------简明心境量表(bpoms)的初步修订the preliminary rev**ion of brief profile of mood states (bpoms) -chinese edition迟松 林文娟 摘 要:目的:修订并检验简明心境量表(bpoms)的信度和效度.方法:对886名大学生实施该量表,并对其中74人间隔9天评定重测信度.随机抽取87名门诊初诊神经症患者进行bpoms、抑郁自评量表(sds)和焦虑自评量表(sas)的测查,评定效标效度.选取87名年龄、性别和文化与病例组相匹配的正常个体为对照组填写bpoms,评定区分效度.结果:bpoms的重测信度系数在0.406~0.664之间,α系数在0.705~0.890之间,具有较满意的信度.原量表共有6个维度,本研究对bpoms进行因素分析后提取了5个维度,仍能够合理地解释该量表的结构.修订后bpoms的"抑郁"维度与sds、"紧张"维度与sas的相关系数分别为0.605和0.602(p<0.01),神经症组与对照组在bpoms和各维度的得分均有显著性的差异(p<0.01),说明bpoms有良好的区分效度和效标效度.结论:该量表具有良好的信效度,是测量个体心境状态简便易行的工具.关键词:临床心理学 心境 心理测量学 量表 信度 效度分类号:r395 文献标识码:a基金项目:本研究由**科学院创新工程项目(kscx2-2-03)资助和**自然科学重点基金项目资助作者单位:迟松(**科学院心理研究所脑-行为研究中心,100101) 林文娟(**科学院心理研究所脑-行为研究中心,100101) 参考文献:〔1〕mcnair d.m, lorr m, droppleman l.f. edits manual for the profile of mood states. publ**hed by: educational and industrial testing service: edits, san diego, california 92167,1992.〔2〕albrecht, richard-r, ewing, et al. standardizing the admin**tration of the profile of mood states (poms): development of alternative word l**ts. journal of personality assessment. 1989 , 53(1): 31-39.〔3〕hooper l, mackinnon l t, hanrahan s. mood states as an indication of staleness and recovery. international journal of sport psychology, 1997,28(1): 1-12.〔4〕f**hman m.w, shuster c.r, hatano y.a compar**on of the subjective effects of **e and lidocaine in humans. pharmacology, biochem**try and beh**ior, 1983,18:123-127.〔5〕holland j.c, korzun a.h, tross s, et al. comparative psychological d**t**ce in patients with pancreatic and gastric cancer. american journal of psychiatry, 1986,143:982-986.〔6〕schiffman s s, suggs m s, sattely m, et al. effect of pleasant odors on mood of males at midlife: compar**on of african-american and european-american men:brain research bulletin 1995; 36(1): 31-7.〔7〕汪向东,王希林,马弘.心理卫生评定量表手册. **心理卫生杂志增订版,1999.〔8〕孟昭兰 .普通心理学.北京大学出版社,1999.〔9〕cunningham a j, edmonds c v, jenkins g,et al. a random**ed compar**on of two forms of a brief, group, psychoeducational program for cancer patients: weekly sessions versus a"weekend intensive". international journal of psychiatry in medicine 1995, 25(2): 173-89.〔10〕waldon eg. the effects of group music therapy on mood states and cohesiveness in adult oncology patients. journal of music therapy, 2001 fall,38(3):212-38.出版日期:2003年11月10日 20210311