以台灣簡明版世界衛生組織生活品質問卷為基礎的過敏性鼻炎問卷之發展

Development of an Add-On Module for the WHOQOL-BREF on Patients with Allergic Rhinitis

10.6224/JN.55.3.49

王九華(Chiu-Hua Wang)；馬素華(Suh-Hwa Maa)；楊賢鴻(Sien-Hung Yang)；陳盈霖(Ying-Lin Chen)；陳偉君(Wei-Chun Chen)

WHOQOL-BREF ； 過敏性鼻炎 ； 效度 ； 信度 ； WHOQOL-BREF ； allergic rhinitis ； validity ； reliability

護理雜誌

55卷3期（2008 / 06 / 01）

49 - 60

繁體中文

The purpose of this study was to develop an add-on module for the Taiwan-version WHOQOL-BREF for assessing the quality of life of people with allergic rhinitis. A cross-sectional survey design was used. In accordance with the seven steps for the development of population-specific modules of the WHOQOL, the instrument added new items on the basis of opinions of expert groups, including patients, families and physicians, to the Taiwan-version WHOQOL-BREF measure. The new questionnaire, comprising 52 items, was tested on 252 patients with allergic rhinitis. For content validity, each item was significantly correlated with the domain to which it belonged (r=.157-.715, p＜.05); and each domain was significantly correlated with each other domain (r=.211-.535, p＜.01). The construct validity was examined by means of the multitrait-multimethod method. The total score and the scores on the physiological and environmental subscales showed convergent validity with the score for IgE (r=-.317--.380, p＜.01) and with the total score and the scores on the subscale of the allergic rhinitis symptom questionnaire (r = -.202--.360, p＜.01). The scores on the body constitution subscale also showed convergent validity with the score for IgE (r=.329, p＜.01) and with the total score and the scores on the subscale of the allergic rhinitis symptom questionnaire (r=.187-.261, p＜.01). This result supports the appropriateness of this new questionnaire specifically for assessing the quality of life of people with allergic rhinitis. As regards concurrent validity, the total score was significantly correlated with the score of all subscales in the Medical Outcomes Study Short Form Taiwan-version (SF-36) (r=.256-.542, p＜.01). The internal consistency reliability established by Cronbach's alpha ranged for each domain from .73-.81. The test-retest reliability correlated for each domain of the instrument was .719-.794 (p＜.01). In conclusion, the add-on module developed in this paper for the Taiwan-version WHOQOL-BREF for patients with allergic rhinitis is reliable, valid and specific.

The purpose of this study was to develop an add-on module for the Taiwan-version WHOQOL-BREF for assessing the quality of life of people with allergic rhinitis. A cross-sectional survey design was used. In accordance with the seven steps for the development of population-specific modules of the WHOQOL, the instrument added new items on the basis of opinions of expert groups, including patients, families and physicians, to the Taiwan-version WHOQOL-BREF measure. The new questionnaire, comprising 52 items, was tested on 252 patients with allergic rhinitis. For content validity, each item was significantly correlated with the domain to which it belonged (r=.157-.715, p＜.05); and each domain was significantly correlated with each other domain (r=.211-.535, p＜.01). The construct validity was examined by means of the multitrait-multimethod method. The total score and the scores on the physiological and environmental subscales showed convergent validity with the score for IgE (r=-.317--.380, p＜.01) and with the total score and the scores on the subscale of the allergic rhinitis symptom questionnaire (r = -.202--.360, p＜.01). The scores on the body constitution subscale also showed convergent validity with the score for IgE (r=.329, p＜.01) and with the total score and the scores on the subscale of the allergic rhinitis symptom questionnaire (r=.187-.261, p＜.01). This result supports the appropriateness of this new questionnaire specifically for assessing the quality of life of people with allergic rhinitis. As regards concurrent validity, the total score was significantly correlated with the score of all subscales in the Medical Outcomes Study Short Form Taiwan-version (SF-36) (r=.256-.542, p＜.01). The internal consistency reliability established by Cronbach's alpha ranged for each domain from .73-.81. The test-retest reliability correlated for each domain of the instrument was .719-.794 (p＜.01). In conclusion, the add-on module developed in this paper for the Taiwan-version WHOQOL-BREF for patients with allergic rhinitis is reliable, valid and specific.

1. 邱郁欣(2017)。父母健康與18個月人工生殖技術出生嬰兒發展之相關性-臺灣出生世代研究。中山醫學大學護理學系學位論文。2017。1-67。