目的:评估SF-36量表使用宫内节育器(IUD)的农村育龄妇女生存质量的信度和效度。方法:使用自行改编设计的调查问卷,采用分层随机抽样方法,抽取安徽和云南2省的4个县计划生育服务站及下属12个乡服务所放置IUD的育龄妇女,进行面对面调查。结果:量表的分半信度Spearman Brown系数为0.89(P<0.01)。内部一致性信度α系数除总体健康(general health,GH)(α=0.63)、活力(vitality,VT)(α=0.55)、社会功能(social functioning,SF)(α=0.27)、精神健康(mental health,MH)(α=0.64)外,其余各维度α系数均>0.7。各条目与该条目所在的维度的相关系数均≥0.4,与其他维度的相关系数均<该条目与该条目所在的维度的相关系数。35个条目中提取的6个因子分布与量表理论假设基本一致。主成分分析法提取2个因子,累计贡献率达57.19%。与常规模型比,农村育龄妇女使用IUD生存质量5个维度得分低于常规模型。结论:从总体上看,中文版SF-36量表用于评价使用IUD的农村育龄妇女生存质量有较好的信度和效度。 OBJECTIVE: To assess the reliability and validity of the quality of life of rural women of childbearing age using the IUD for the SF-36 scale. Methods: A self-adapted questionnaire was used to survey face-to-face women of childbearing age with four county family planning service stations in Anhui and Yunnan Provinces and 12 IUD women’s service stations in subordinate townships by stratified random sampling method. Results: Spearman Brown’s coefficient of half-reliability was 0.89 (P <0.01). The α coefficients of internal consistency reliability, except for general health (GH) (α = 0.63), vitality (α = 0.55), social functioning (α = 0.27) (α = 0.64) except for mental health (MH) The correlation coefficients between each item and the dimension where the item is located are all ≥0.4, and the correlation coefficients with other dimensions are both