中文版内在力量量表的修订及在慢性病儿童青少年中的应用

发布时间：2019-05-16 18:56

【摘要】：目的:评价中文版内在力量量表(ISS)用于中国慢性病儿童、青少年的信度和效度;研究国内慢性病儿童、青少年的内在力量水平现状,探讨年龄、民族、身高/体重、独生子女情况、家庭所在地、疾病种类、患病时间、发病年限、用药种类、忘记吃药次数、主要照顾者及其受教育程度和工作情况、家庭月收入、保险类型等因素与内在力量的关系。方法:(1)对英文版内在力量量表进行翻译、回译,进行文化调试后,形成中文版内在力量量表。(2)采用便利抽样的方法选取2014年7-12月就诊于国内四个不同城市的六所三级甲等医院儿科门诊及住院部的195名儿童、青少年慢性病患者作为调查对象。共发放问卷202份,回收有效问卷195份,有效回收率96.5%。调查工具包括一般状况调查表、中文版内在力量量表、慢性病儿童韧性量表。(3)收集的调查数据编码核对后录入SPSS17.0软件,对数据进行统计分析,采用相关分析和临界值进行条目的筛选;采用因子分析法和结构方程验证量表的结构效度;采用慢性病儿童韧性量表为校标,验证量表的校标关联效度;采用内在一致性信度、重测信度、折半信度评价量表的信度。慢性病儿童青少年在内在力量水平现状的描述采用百分率、均数、标准差等统计描述方法;采用T检验、方差分析法分析内在力量在不同年龄、民族、身高/体重、独生子女情况、家庭所在地、、疾病种类、患病时间、发病年限、用药种类、忘记吃药次数、主要照顾者及其受教育程度和工作情况、家庭月收入、保险类型等因素上的差异。结果:(1)通过对量表的项目分析和跨文化调试,确定内在力量量表由20个条目组成。效度研究表明,中文版内在力量量表共提取5个因子,解释的总变异量为59.345%,5个因子分别命名为坚定、创造、勇气、连通、灵活。信度研究表明,量表的Cronbach' s a系数为0.88,各维度的 Cronbach's α 系数分别为 0.751、0.672、0.733、0.754、0.768,分半信度为0.779,重测信度为0.623.(2)慢性病儿童青少年的内在力量平均得分(94.35±13.923)分,处于中等水平。其内在力量在不同体重指数、学业成绩、病程、主要照顾着及其文化程度和工作状态、家庭人均月收入情况的群组中存在显著差异。结论:(1)修订了中文版内在力量量表,包含五个维度,20个条目,有较好的信效度,可以作为测量慢性病青少年内在力量的有效工具。(2)慢性病儿童、青少年患者的内在力量得分处于中等水平,尚有待提高。(3)慢性病儿童、青少年患者的内在力量在年龄、体质指数、学业成绩、患病时间、疾病类型、主要照顾者、照顾者文化程度、照顾者工作状态、家庭人均月收入等方面具有显著性差异,有统计学意义。
[Abstract]:Objective: to evaluate the reliability and validity of Chinese version of Internal strength scale (ISS) in children and adolescents with chronic diseases in China. To study the present situation of internal strength of children and adolescents with chronic diseases in China, and to explore the age, nationality, height / weight, the situation of only child, the location of family, the type of disease, the time of onset, the type of medicine used, and the number of times they forgot to take medicine. The relationship between the main caregivers, their educational level and work, family monthly income, insurance type and internal strength. Methods: (1) after translating, returning to translation and cultural debugging of the English version of the Internal strength scale, A Chinese version of the Internal strength scale was formed. (2) 195 children from the pediatrics clinic and inpatient department of six Grade 3A hospitals in four different cities in China were selected by means of convenient sampling. Adolescents with chronic diseases were investigated. A total of 202 questionnaires were sent out, 195 valid questionnaires were recovered, and the effective recovery rate was 96.5%. The survey tools include the general status questionnaire, the Chinese version of the internal strength scale, and the chronic disease children resilience scale. (3) the collected survey data are encoded and checked into SPSS17.0 software, and the data are statistically analyzed. Correlation analysis and critical value were used to screen the items. Factor analysis and structural equation were used to verify the structural validity of the scale, chronic children resilience scale was used as the calibration standard to verify the calibration correlation validity of the scale, and internal consistency reliability, retest reliability and split reliability were used to evaluate the reliability of the scale. The percentage, average, standard deviation and other statistical methods were used to describe the internal strength level of children and adolescents with chronic diseases. T test and variance analysis were used to analyze the internal strength in different ages, nationalities, height / weight, only child situation, family location, disease type, disease time, duration of onset, type of medication, times of forgetting to take medicine. The main caregivers and their educational level and work situation, family monthly income, insurance type and other factors. Results: (1) through the item analysis and cross-cultural debugging of the scale, it was determined that the internal strength scale was composed of 20 items. The validity study showed that the Chinese version of the Internal strength scale extracted a total of five factors, the total amount of variation explained was 59.345%, and the five factors were named firm, creative, brave, connected and flexible, respectively. The reliability study showed that the Cronbach's a coefficient of the scale was 0.88, the Cronbach's 伪 coefficient of each dimension was 0.751, 0.772, 0.733, 0.754, 0.768, and the split-half reliability was 0.779. The test-retest reliability was 0.623. (2) the average score of internal strength of children and adolescents with chronic diseases was (94.35 卤13.923), which was at the middle level. There were significant differences in internal strength among the groups with different body mass index, academic achievement, course of disease, mainly taking care of their educational level and working status, and the per capita monthly income of the family. Conclusion: (1) the Chinese version of the internal strength table is revised, which contains five dimensions and 20 entries, and has good reliability and validity, which can be used as an effective tool to measure the intrinsic strength of chronic adolescents. (2) Children with chronic diseases, The score of internal strength of adolescent patients is in the middle level, which needs to be improved. (3) the internal strength of children with chronic diseases, adolescent patients in age, body mass index, academic achievement, disease time, disease type, main caregivers, There were significant differences in the educational level of caregivers, the working status of caregivers and the per capita monthly income of families.
【学位授予单位】：延边大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473

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