Development of practical scales on daily life, health and welfare domains and its methodology

1.建立了评价量表的题库，供人们进行“批判性思维”和患者对医生沟通风格的评价。这将有助于将赋权作为促进健康的一个重要基本概念。参照前者，我们从285个样本中得到了一个由9个条目组成的量表，后者从147个癌症门诊患者中得到了4个因素。重点放在“健康生活方式”和“会议感”两个方面。在对391名员工进行问卷调查的基础上，编制了包含19个条目的6个因素量表，并参照后者编制了包含29个条目的日语版问卷。通过对162名护士的问卷调查，研究了质量调整寿命年效用的评价方法，包括已婚中年妇女的“心理健康”、老年人的“适应”、留学生的“日常生活困难”、糖尿病患者的“适应正常生活”、智障人士的日常生活行为等。

1. We built up item pools for developing scales, with which people make "critical thinking and patients make evaluation of communication styles of doctors". This will contribute to empowerment as a important base notion of health promotion. With references to the former subject, we got a scale consisting of 9 items from 285 samples, and the latter gave us 4 factors from 147 outpatients of cancer.2. Focus was brought into "wellness life style" and "sense of conference". We got a scale for 6 factors consisting of 19 items after survey of 391 employees, with reference to the former subject, and developed a scale in Japanese language with 29 items with reference to the latter.3. The most cases of developing scales are on adaptations to life practically such as : "mental health" of married middle aged women, "adjustment" to relocation among the aged, "difficulties on daily life" for students from abroad, "adaptation to regulated life" for diabetic patients, "daily life actions by intellectually handicapped persons."4. Through a surrey of 162 nurses we studied utility assessment mehtods for quality adjusted life years (QALYs) which is an important indication of utility of cost-utility analysis.