2020 年第 5 期 第 15 卷

社区人群功能测定量表在社区老年高血压患者中应用的信效度检验

Reliability and validity of the COOP/WONCA charts for elderly hypertension patients in community

作者：董丽莎1；马晓腾1；王悦1；张永辉2；于琪1；杨杰1；康晨瑜3；周玉杰1

英文作者：Dong Lisha1 Ma Xiaoteng1 Wang Yue1 Zhang Yonghui2 Yu Qi1 Yang Jie1 Kang Chenyu3 Zhou Yujie1

单位：1首都医科大学附属北京安贞医院心内科100029；2北京市朝阳区大屯社区卫生服务中心100010；3首都医科大学附属北京安贞医院全科医疗科100029 

英文单位：1Department of Cardiology Beijing Anzhen Hospital Capital Medical University Beijing 100029 China; 2Datun Community Health Service Center of Chaoyang District Beijing 100010 China; 3Department of General Practice Beijing Anzhen Hospital Capital Medical University Beijing 100029 China

关键词：高血压；社区人群功能测定量表；生活质量

英文关键词：Hypertension;COOP/WONCAcharts;Qualityoflife

• 摘要：

• 目的 评估社区人群功能测定量表（COOP/WONCA）应用于社区老年高血压患者的信效度。方法 选取2018年10月至2019年9月北京市朝阳区大屯社区卫生服务中心的65岁以上高血压患者503例为调查对象，完成COOP/WONCA和健康状况调查问卷SF-36（效标量表）。使用组内相关系数（ICC）检验COOP/WONCA重测信度，使用Cronbach′ α系数测定量表内在一致性。检验COOP/WONCA各条目与SF-36相应维度的相关性，评估问卷的效标效度。结果 COOP/WONCA大多数条目具有较好的重测信度（ICC＝0.723～0.850），除了健康变化条目（ICC＝0.566）；Cronbach′α系数为0.734，具有较好的内在一致性。Spearman相关方法 分析显示，COOP/WONCA的体能、感受、社会活动、疼痛条目分别与SF-36的生理功能、精神、社会功能、疼痛维度具有强相关性（r＝－0.659、－0.550、－0.590、－0.663，均P＜0.05）。结论COOP/WONCA具有较好的信效度，可作为我国社区老年高血压人群生活质量评估的一种简便筛查工具。

• Objective To evaluate the reliability and validity of the Chinese version of the Dartmouth Primary Care Cooperative Information Project(COOP)/World Organization of National Colleges, Academies and Academic Associations(WONCA) chart for elderly hypertension patients in community. Methods A total of 503 patients with hypertension over the age of 65 were included from October 2018 to September 2019 at Datun Community Health Service Center of Chaoyang District, Beijing. The COOP/WONCA charts and Short-form 36 Health Survey(SF-36) were completed in all patients. Test-retest reliability was analyzed using intraclass correlation coefficient(ICC). Internal consistency was measured using Cronbach′ α coefficient. Validities of COOP/WONCA charts and SF-36wereanalyzed. Results ICC values of most COOP/WONCA domains were acceptable(0.723-0.850), except the change of health(0.566). Cronbach′ α coefficient was 0.734, which showed a good internal consistency. Related domains of COOP/WONCA charts and SF-36 demonstrated strong linear relations with Spearman coefficients ranging from －0.550 to －0.663(physical fitness vs physiological function －0.659, feelings vs mental state －0.550, social activities vs social function －0.590, pain vs pain －0.663, all P＜0.05). Conclusions COOP/WONCA charts show good reliability and validity. They can be used as a convenient tool for assessing the quality of life in elderly hypertension patients in community in China.