Reliability and validity of chinese version of vestibular rehabilitation benefit questionnaire
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摘要: 目的 翻译前庭康复获益量表(VRBQ)并检验其信效度。方法 根据Brislin模型对VRBQ进行翻译和回译，通过专家咨询和预实验对中文版VRBQ进行文化调试和初步修订，调查158例前庭功能障碍患者验证中文版VRBQ的信效度。结果 中文版VRBQ总量表Cronbach's α系数为0.90，重测信度为0.98，量表平均内容效度指数为0.98，反应度为2.066;探索性因素分析提取4个因子，累积方差贡献率为73.341%。结论 中文版VRBQ具有良好的信效度和反应度，可用于我国文化背景下前庭功能障碍患者生活质量的评估及康复疗效的评价。Abstract: Objective To translate the English version of vestibular rehabilitation benefit questionnaire (VRBQ) into Chinese, and to test its reliability and validity.Method The VRBQ was forward and backward-translated according to the Brislin model. Cultural adaption was done by expert discussion and pilot study. The scale was applied to 158 patients to test its reliability and validity.Result The Cronbach's α coefficient was 0.90, and the test-retest reliability was 0.98, the total scale responsiveness is 2.066. Chinese version of VRBQ consisted of 22 items. Four factors were extracted by factor analysis, which could explain 73.341% of the total variance.Conclusion The Chinese version of VRBQ is reliable and valid, therefore can be used to evaluate the quality of life and rehabilitation efficacy of patients with vestibular dysfunction in Chinese cultural background.
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Key words:
- vestibular diseases /
- rehabilitation /
- nursing assessment /
- reliability /
- validity
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表 1 中文版VRBQ量表及各维度的信度(n=158)
维度 条目数 Cronbach's α系数 重测信度 眩晕 3 0.82 0.98 焦虑 3 0.75 0.99 运动诱发 5 0.91 0.98 生活质量 11 0.90 0.92 总量表 22 0.90 0.98 
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表 2 中文版VRBQ旋转后的因子载荷(n=158)
例序 条目 成分 因子1 因子2 因子3 因子4 1 我感到眩晕 0.350 0.285 0.810 0.051 2 我的身体有刺痛或麻木的感觉 0.312 0.212 0.253 0.584 3 我感到我身边的东西在旋转 0.341 0.319 0.756 0.112 4 我感到心慌怦怦跳 0.118 0.126 -0.051 0.814 5 我感到站不稳，好像会失去平衡 0.323 0.231 0.829 0.109 6 我感到呼吸急促 0.057 -0.032 0.092 0.755 7 弯腰让我感到 0.312 0.888 0.203 0.077 8 躺下/坐起或在床上翻身让我感到 0.247 0.858 0.195 0.058 9 抬头让我感到 0.292 0.876 0.184 0.109 10 我的头缓慢地从一侧转向另一侧时感到 0.210 0.812 0.183 0.103 11 我的头快速地从一侧转向另一侧时感到 0.270 0.786 0.157 0.042 12 与眩晕之前的情况相比，我现在觉得旅游的可行性 0.790 0.273 0.327 -0.028 13 与眩晕之前的情况相比，我现在感到自信的程度 0.785 0.159 0.126 0.315 14 与眩晕之前的情况相比，我现在照顾自己的困难度(例如：洗头、刷牙、梳头等) 0.777 0.218 0.124 0.160 15 与眩晕之前的情况相比，我现在觉得独自外出的可行性 0.781 0.274 0.293 0.044 16 与眩晕之前的情况相比，我现在能集中的注意力和/或记住的事情 0.743 0.251 0.180 0.257 17 与眩晕之前的情况相比，我现在需要借助支撑来保持身体稳定 0.544 0.165 0.082 -0.184 18 与眩晕之前的情况相比，我现在觉得生活质量的改善 0.702 0.257 0.290 0.158 19 与眩晕之前的情况相比，我现在尽量避免的一些活动、体位或场景 0.739 0.240 0.317 0.172 20 与眩晕之前的情况相比，我现在乐意独处的程度 0.781 0.184 0.068 0.325 21 与眩晕之前的情况相比，我在黑暗中或闭眼时的平衡感 0.623 0.260 0.300 0.109 22 与眩晕之前的情况相比，我现在参与社会活动 0.791 0.227 0.334 0.048
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表 3 康复前后中文版VRBQ评分结果比较(n=50)
%，x±s 维度 康复前 康复4周后 效应量 t值 P值 眩晕 53.82±13.87 35.70±14.91 1.258 6.65 < 0.01 焦虑 38.14±17.51 23.91±11.25 0.966 6.85 < 0.01 运动诱发 45.69±12.32 26.59±9.47 1.738 10.64 < 0.01 生活质量 44.51±14.02 21.71±10.28 1.854 12.20 < 0.01 总分 45.22±11.50 25.05±7.64 2.066 13.70 < 0.01
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