• 系統編號 RN9305-0381
• 計畫中文名稱 機車事故引起之創傷性脊髓損傷的調整後生活品質與成本效性評估
• 計畫英文名稱 --
• 主管機關 行政院國家科學委員會 • 計畫編號 NSC90-2320-B038-042-M56
• 執行機構 臺北醫學大學公共衛生學系
• 本期期間 9008 ~ 9107
• 報告頁數 13 頁 • 使用語言 中文
• 研究人員 林茂榮; 曹昭懿; 邱文達 Lin, Mau-Roung; auo, Jau-Yih; Chiu, Wen-Ta
• 中文關鍵字 世界衛生組織生活品質問卷簡明版; 生活品質; 脊髓損傷; 標準賭博法; 時間交換法間; 評分量尺模式
• 英文關鍵字 WHOQOL-BREF; Quality of life (QOL); Spinal cord injury; Standard gamble; Time trade-off; Rating scale model; SF-36
• 中文摘要
本計畫為進行世界衛生組織生活品質問卷簡明版與 SF-36、標準賭博法、時間交換法及評分量尺間的比較。研究樣本為中華民國頭部及脊髓損傷研 究小組於 1991-1996 年所收集的 809 位脊髓損傷者，其中有 187 位完成電話訪談。研究中針對五種生活品質測量工具的分數分佈情形、內部一致性、
區辨效度、收斂效度進行評估。結果顯示世界衛生組織生活品質問卷簡明版分數分佈無天花板或地板效應，但 SF-36 有；而兩者各範疇遺漏值率低，
且有良好的內部一致性。另外，世界衛生組織生活品質問卷簡明版區辨能力較 SF-36 為佳，且與 SF-36 及評分量尺間有中至高程度的相關，但與另 二者僅有低程度的相關。整體而言，世界衛生組織生活品質問卷簡明版較 SF-36 適合應用於脊髓損傷者，而與標準賭博法及時間交換法所表達的生 活品質概念有所不同。
• 英文摘要
The purpose of this study is to compare the brief version of the World Health Organization Quality of Life (WHOQOL-BREF) with the Short-Form 36 (SF-36), the standard gamble (SG), the time trade-off (TTO), and the global rating (GR) among persons with traumatic spinal cord injury (SCI). During the period of 1991 to 1996, 809 cases with SCI were collected by the Head Injury and Spinal Cord Injury Group, of which 187 completed the telephone interview.
Score distributions, internal consistency, and discriminate and convergent validity for 5 QOL measures were assessed. The WHOQOL-BREF except for SF36 showed no ceiling and floor effects. Both the WHOQOL-BREF and SF-36 had few missing values, and good internal consistency. The discriminate ability of WHOQOL-BREF was better than SF-36. Scores on the WHOQOL-BREF dimensions correlated moderately or highly well with SF-36 and GR but not as well with SG and TTO. We concluded that the WHOQOL-BREF was more suitable for SCI than SF-36, and the aspects of quality of life of WHOQOL-BREF was different with SG, and TTO.
