THE SF-36 HEALTH SURVEY QUESTIONNAIRE - AN OUTCOME MEASURE SUITABLE FOR ROUTINE USE WITHIN THE NHS
THE SF-36 HEALTH SURVEY QUESTIONNAIRE - AN OUTCOME MEASURE SUITABLE FOR ROUTINE USE WITHIN THE NHS
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DOI：
10.1136/bmj.306.6890.1440
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发表时间：
1993-05-29
影响因子：
105.7
通讯作者：
RUSSELL, IT
中科院分区：
文献类型：
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作者：
GARRATT, AM;RUTA, DA;RUSSELL, IT
目的 - 评估简式 36 (SF36) 健康调查问卷（包含 149 个健康状况问题的缩写版本）的有效性、可靠性和可接受性，作为对患有四种常见临床病症的患者的广泛样本的患者结果的衡量标准。设计邮政问卷，随后每隔两周进行两次提醒。在苏格兰东北部设置诊所和四次培训实践。受试者 - 超过 1700 名 16-86 岁的患者，其中四项之一条件 - 腰痛、月经过多、疑似消化性溃疡或静脉曲张 - 以及 900 名普通人群的比较样本。 主要结果指标 - SF36 健康概况中的八个量表。 结果 - 患者群体（1310 名受访者）中的反应率超过 75%。 SF36 满足严格的有效性和内部一致性心理测量标准。临床有效性通过针对每种病症生成的独特概况来证明，每种病症都以可预测的方式与一般人群不同。此外，转诊患者的 SF36 评分低于未转诊患者，并且与全科医生对严重程度的看法密切相关。结论 - 这些结果支持 SF36 作为 NHS 内患者结果的潜在衡量标准。 SF36 似乎为患者所接受，内部一致，并且是广泛患者健康状况的有效衡量标准。然而，在将其用于新的医疗服务之前，还必须测试其对健康状况随时间变化的敏感性。
Objective-To assess the validity, reliability, and acceptability of the short form 36 (SF36) health survey questionnaire (a shortened version of a battery of 149 health status questions) as a measure of patient outcome in a broad sample of patients suffering from four common clinical conditions.Design-Postal questionnaire, followed up by two reminders at two week intervals.Setting-Clinics and four training practices in north east Scotland.Subjects-Over 1700 patients aged 16-86 with one of four conditions-low back pain, menorrhagia, suspected peptic ulcer, or varicose veins-and a comparison sample of 900 members of the general population.Main outcome measures-The eight scales within the SF36 health profile.Results-The response rate exceeded 75% in the patient population (1310 respondents). The SF36 satisfied rigorous psychometric criteria for validity and internal consistency. Clinical validity was shown by the distinctive profiles generated for each condition, each of which differed from that in the general population in a predictable manner. Furthermore, SF36 scores were lower in referred patients than in patients not referred and were closely related to general practitioners' perceptions of severity.Conclusions-These results provide support for the SF36 as a potential measure of patient outcome within the NHS. The SF36 seems acceptable to patients, internally consistent, and a valid measure of the health status of a wide range of patients. Before it can be used in the new health service, however, its sensitivity to changes in health status over time must also be tested.