中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (35): 6570-6577.doi: 10.3969/j.issn.2095-4344.2012.35.022

• 骨与关节损伤基础实验 basic experiments of bone and joint injury • 上一篇    下一篇

保髋治疗股骨头坏死的特异性量表

郑志辉1，王少伟1，李伟居1，曾意荣2   

  1. 1汕头市中医医院创伤骨科，广东省汕头市 515000；
    2广州中医药大学第一附属医院三骨科， 广东省广州市510405  
  • 收稿日期:2011-12-18 修回日期:2012-02-04 出版日期:2012-08-26 发布日期:2013-07-12
  • 通讯作者: 曾意荣，博士，主任医师，广州中医药大学第一附属医院三骨科， 广东省广州市 510405 zeng6612@163.com
  • 作者简介:郑志辉★，男，1984年生，广东省汕头市人，汉族，2011年广州中医药大学毕业，硕士，主要从事髋膝关节疾病的临床和研究。 89000231@qq.com 并列第一作者：王少伟，男，1973年生，广东省汕头市人，汉族，副主任医师，主要从事四肢骨折与关节疾病的临床和研究。 drwsw@sina.com

Specific scale of hip-preserving treatment for osteonecrosis of the femoral head

Zheng Zhi-hui1, Wang Shao-wei1, Li Wei-ju1, Zeng Yi-rong2   

  1. 1Department of Orthopedic Trauma, Shantou Hospital of Traditional Chinese Medicine, Shantou 515000, Guangdong Province, China;
    2Third Department of Orthopedics, First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • Received:2011-12-18 Revised:2012-02-04 Online:2012-08-26 Published:2013-07-12
  • Contact: Zeng Yi-rong, Doctor, Chief physician, Third Department of Orthopedics, First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, Guangdong Province, China zeng6612@163.com
  • About author:Zheng Zhi-hui★, Master, Department of Orthopedic Trauma, Shantou Hospital of Traditional Chinese Medicine, Shantou 515000, Guangdong Province, China 89000231@qq.com Wang Shao-wei, Associate chief physician, Department of Orthopedic Trauma, Shantou Hospital of Traditional Chinese Medicine, Shantou 515000, Guangdong Province, China drwsw@sina.com Zheng Zhi-hui and Wang Shao-wei contributed equally to the paper.

PDF

600

被引次数

7

摘要：

背景：目前评价保髋治疗的疗效标准较多，没有统一标准，因此保髋治疗的疗效缺乏一定的可比性。
目的：参考WHO生存质量量表发展模式及医药领域量表研制与应用指南，试图研制一款特异性的用于评价保髋治疗疗效的生存质量量表。
方法：通过复习文献和小组讨论，在相关理论指导下，参照一般量表制定的程序化方式，制定理论模型，通过患者访谈形成条目池，优化条目并初步筛选后形成预调查表。用预调查表进行现场调查，借助专家重要性评分、因子分析、离散趋势法、逐步回归、判别分析和Cronbach’s α系数等统计学方法筛选条目，形成终选量表。
结果与结论：终量表包括生理、心理、社会及健康意识4个领域，分疼痛、跛行、关节功能、积极因素、消极因素、社会角色、社会关系、健康的自我评价、对疾病的了解9个方面，外加一条独立条目，共32个条目。终选量表一旦完成其科学性考核，将是一款适用于股骨头坏死保髋治疗疗效评价的特异性量表，将对接受保髋治疗的患者提供一个更为全面的疗效评价。

关键词: 股骨头坏死, 保髋治疗, 生存质量, 量表, 临床疗效评价

Abstract:

BACKGROUND: There are many criteria used to evaluate the curative effects of hip-preserving treatment for osteonecrosis of the femoral head, and there have been no consistent criteria, so the curative effects of hip-preserving treatment lack comparability to some extent.
OBJECTIVE: To develop a specific scale used to evaluate the curative effect of hip-preserving treatment reference to WHO Quality of Life Scale model of development and scale development and application of the medical field guide.
METHODS: Through the literature review and panel discussions, to design the theory model in reference to general scale under the guidance of related theory. Through the patient interview to form the entries pool, optimize the entries and get preliminary screening then form questionnaire. The field investigations were performed by pre-questionnaire, with the help of experts’ importance ratings, factor analysis, discrete trend method, regression, discriminant analysis and Cranach’s alpha coefficients to screen the entries, and finally form the eventually selected scale.
RESULTS AND CONCLUSION: The eventually scale including four areas: physiological, psychological, social and health consciousness. The scale was divided into nine aspects: pain, limp, joint function, the positive and negative factors, social role, social relations and healthy self-evaluation and understanding of disease, plus an independent entry, a total of 32 entries. Once the eventually selected scale of the hip-preserving treatment of osteonecrosis of the femoral head completed its scientific assessment, it will be a specific scale to evaluate the curative effect of the hip-preserving treatment of osteonecrosis of the femoral head, and will provide a more comprehensive outcomes assessment to the patients who accept the hip-preserving treatment of osteonecrosis of the femoral head.

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