IPAQ长问卷表在全膝关节置换术后患者活动量应用的信度与效度分析研究

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摘要目的探讨国际体力活动问卷(international physical activity questionnaire，IPAQ)长问卷表检测膝关节置换术后患者群体的信度和效度。方法选取2016年1月至2017年6月榆林市第四(星元)医院骨科行膝关节置换术后随访的病例45例进行问卷调查，其中男性20例，女性25例；年龄55~69岁，平均年龄(60.22±5.42)岁。45例间隔1周后重新调查评价问卷信度，同时采用体力活动日记记录表(physical activity，PA)和IPAQ长问卷进行区分效度和内容效度分析，采用SPSS 24.0统计分析组内相关系数验证效度。结果 IPAQ长问卷表信度：1周后重测信度组内相关系数(intraclass correlation coefficient，ICC)为0.814~0.979。IPAQ长问卷表效度：IPAQ长问卷表与PA日记比较分析发现步行、中度体力活动、重度体力活动、总体力活动能量消耗的相关系数(r=0.70~0.87)，其中步行活动的相关系数较高(r=0.87)。结论 IPAQ长问卷表检测膝关节置换术后患者群体的活动量具有一定的信度和效度。

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关键词 ：国际体力活动问卷, 全膝关节置换术, 信度, 效度

Abstract：Objective To investigate the reliability and validity of the International Physical Activity Questionnaire (IPAQ) long forms of patients after total knee arthroplasty. Methods This study was carried out on 45 patients who had undergone total knee arthroplasty between January 2016 and June 2017.Among them were 20 males and 25 females with an average age of (60.22±5.42) years(range 55~69 years).We assessed test re-test reliability by repeating the questionnaire one week later (n=45).Discriminant and content validity was analyzed using physical activity (PA)，IPAQ long forms.Statistical analysis including the intraclass correlation coefficient (ICC) was carried out using the SPSS 24.0 software.Results The reliability of IPAQ long forms one week later (ICC=0.814~0.979).IPAQ long forms were compared with the PA，and wefound that the physical activity energy expenditure of walking activities，moderate physical activity (MPA)，heavy physical activity，and total physical activity (TPA) for Intraclass correlation coefficient ranged from 0.70 to 0.87.Intraclass correlation coefficient values for walking activities were high (r=0.87).Conclusion The IPAQ long forms measure the activity of patients after total knee arthroplasty and has demonstrated reliability and validity.

Key words： international physical activity questionnaire total knee arthroplasty reliability validity

基金资助:陕西省社会发展科技攻关项目(2016SF-291)

通讯作者: 张晓瑞

作者简介: 高东(1982－ )，男，主治医师，陕西省榆林市第四医院骨关节外科，719000。

引用本文:

高东 1，张晓瑞 1*，潘治军 1，李耀章 1，白马恒 1，刘增亮 1，张亮 2，马建兵 2. IPAQ长问卷表在全膝关节置换术后患者活动量应用的信度与效度分析研究[J]. 实用骨科杂志, 2020, 26(3): 214-218.
Gao Dong，Zhang Xiaorui *，Pan Zhijun，et al. Reliability and Validity of IPAQ Long Forms in Patients with Activity After Total Knee Arthroplasty. sygkzz, 2020, 26(3): 214-218.

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http://www.sygkzz.com/CN/ 或 http://www.sygkzz.com/CN/Y2020/V26/I3/214

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