關節炎病患的柯氏性格量表反應研究

The Preliminary Study of the Ko's Mental Health Questionnaire (KMHQ) Response Among Patients with Arthropathies

作者於民國73年4月利用郵寄「柯氏性格量表」給156位曾於兩年以內住入榮民總醫院臺中分院過敏免疫風濕病科檢查而確定診斷為關節炎疾患的病人，而在發卷後一個月內收回76份問卷（回應率53.9％），但有效卷為71份可供分析之用。利用隨機取樣法抽出40份問卷來作「柯氏性格量表」各量尺奇偶數題目得分的折半信度驗證，可得r值皆在0.4816至0.9169間（p值為0.0021到少於0.0001），顯示本研究有良好的內在一致性而值得相信其所得結果。經過分析後，不同類型的關節炎病患在「柯氏性格量表」各量尺的得分反應上並沒有顯著的差異出現。

Authors had made a survey of personality traits on arthropathic patient by means of mailing the Ko's Mental Health Questionnaire (KMHQ), a good reliable measurement tool for personality trait survey in Taiwan, to 156 patients diagnosed definitely in accordance of American Rheumatism Association's diagnostic criteriae for arthropathies at the Division of Allergy- Immunology-Rheumatology of VGH-Tiachung within 2 years prior to this study. By one month of interval from April 10, 1984, there had sent back 76 questionnaires from patient and 15 from the post offices because of errous address or moving out. Therefore, the response rate of this study was equal to 53.9% After check up of patients' answer, we rejected 5 patients due to missing answer above one fifth or more of questionnaire items. The first step of analyzing 71 patients is to see how reliable at answers. We had chosen the oddeven items half- split reliability test and modified with Spearman-Brown formula for the 11 subscales of KMHO. The final results of r seemed to be highly satisfactorily (ranging from 0.4816 for Aggression Scale to 0.9169 for Anxiety Scale) at this study. It meant that there had a good reliable in internal consistency of KMHQ among the arthropathic patients. We found there did not reveal a significant difference of response mean score in each scale of KMHQ between rheumatoid and non-rheumatoid arthritic patients, indicating a homogenous personality traits. However, if divided patients into four groups (RA, AS, GA & Others), there had only significant difference in the Self-confidence Scale among them.