普通话版网球肘患者自评量表的译制及验证研究

关键词：网球肘  肱骨外上髁炎  网球肘患者自评量表  信度  效度

Keywords:tennis elbow  lateral epicondylitis  patient-rated tennis elbow evaluation  reliability  validity

摘要：

      摘要 目的：探讨网球肘患者自评量表（patient-rated tennis elbow evaluation， PRTEE）普通话翻译版的信度及效度。 方法：经源量表作者同意，遵循国际通行程序对PRTEE进行汉化。纳入江苏省人民医院100例受试者，进行VAS、DASH（The disabilities of the arm， shoulder and hand）和PRTEE的评估，并在1周后对75例受试者完成第二次PRTEE的评定。以Cronbach α系数评价量表内部一致性，以组内相关系数（intraclass correlation coefficient， ICC）评价量表重测信度，以Pearson相关系数分析PRTEE分数与 VAS和DASH分数的相关性，检验PRTEE量表的建构效度，并用探索性分析判断是否存在天花板和地板效应。 结果：PRTEE总分、疼痛和功能分量表的内部一致性Cronbach α系数分别为0.947、0.872和0.927，重测信度ICC值分别为0.988、0.975和0.980。PRTEE总量表及两个分量表与VAS的相关系数为0.838—0.920（P＜0.01），呈极强相关性。PRTEE总量表及两个分量表与DASH总分及两个维度的相关系数为0.704—0.893（P＜0.01），呈强相关性。没有受试者得分落在最低分或最高分，量表无天花板和地板效应。 结论：普通话版PRTEE具有较好的信效度，无天花板或地板效应，适用于以中文为母语的网球肘患者评估。

Abstract:

      Abstract Objective： To evaluate the reliability and validity of the Mandarin version of the patient-rated tennis elbow evaluation(PRTEE) for patients with tennis elbow. Method： With the permission of the author of the original questionnaire， the PRTEE was translated into Chinese following current international procedures. A total of 100 subjects were included in the study， and were assessed using the visual analogue scale (VAS)， the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire， and PRTEE. A second assessment using the PRTEE was completed with 75 participants after one week. The internal consistency of the scale was evaluated using Cronbach's alpha coefficient， and the test-retest reliability was evaluated using the intraclass correlation coefficient （ICC）. The construct validity of the Mandarin version of PRTEE scale was examined by analyzing correlation with the Chinese version of VAS and DASH scores using Pearson’s correlation coefficient. The ceiling or floor effect was determined by exploratory analysis. Result： The Cronbach's alpha coefficient of PRTEE total score，pain and function subscales were 0.947， 0.872， and 0.927， respectively. The ICC values for test-retest reliability of PRTEE total score， pain， and function subscales were 0.988、0.975， and 0.980， respectively. The correlation coefficient between PRTEE total score and its two subscales and VAS ranged from 0.838 to 0.920（P＜0.01）， indicating a strong correlation. The correlation coefficient between the PRTEE total score and two subscales, the DASH total score and two dimensions ranged from 0.704 to 0.893（P＜0.01）， indicating a strong correlation. There were no subjects who received the lowest or highest scores, indicating that the scale had no ceiling or floor effects. Conclusion： The Mandarin version of PRTEE demonstrates good reliability and validity， with no evidence of ceiling or floor effect. It is suitable for evaluating tennis elbow in Mandarin-speaking patients.