中文版患者授权量表在老年慢性病患者中的信效度研究

发布时间：2017-12-28 09:26

本文关键词：中文版患者授权量表在老年慢性病患者中的信效度研究　出处：《中国全科医学》2017年21期 　论文类型：期刊论文

【摘要】：目的对英文版患者授权量表进行翻译,并对翻译后的量表进行信效度分析,评价其在老年慢性病患者中的适用性。方法于2015年4—6月,采取便利抽样法抽取郑州大学第一、第二附属医院的60岁以上,符合各专科慢性病诊断标准的患者为研究对象。遵循Brislin翻译原则对英文版患者授权量表进行了汉化,利用专家咨询法调试条目,形成中文版患者授权量表。2周后随机选取30例患者进行重复测量。采用SPSS 17.0统计学软件和AMOS 17.0软件进行数据处理。内容效度采用专家内容效度指数(CVI)进行评价;结构效度采用探索性因子分析;通过主成分分析和最大方差正交旋转的方法提取公因子;运用极大似然法进行验证性因子分析;信度分析采用Cronbach's α系数、分半信度及重测信度。结果共发放问卷300份,回收有效问卷284份,有效回收率为94.7%。中文版患者授权量表各条目得分与总分的相关系数(r值)为0.570~0.828(P0.01)。高分组与低分组在20个条目上的得分比较,差异均有统计学意义(P0.05)。量表水平的内容效度指数(S-CVI)=0.96,条目水平的内容效度指数(I-CVI)为0.90~1.00。探索性因子分析结果显示:KMO=0.851,Bartlett's球形检验χ~2=1 099.428(P0.01)。共提取出4个公因子,累积方差贡献率为73.458%。验证性因子分析显示:最终模型显著性概率值P=0.348,各项拟合指标均在参考范围内。中文版患者授权量表总体Cronbach's α系数为0.931,分半信度为0.814,重测信度为0.820(P0.01)。结论中文版患者授权量表信效度良好,可用于老年慢性病患者授权评估。
[Abstract]:Objective to translate the English version of the patient's empowerment scale, and to analyze the reliability and validity of the translated scale, and to evaluate its applicability in the elderly patients with chronic diseases. Methods from 2015 to June 2015, a convenience sampling method was used to select the patients over 60 years of age in the first and second affiliated hospitals of Zhengzhou University. In accordance with the Brislin translation principle, the English version of the patient's authorization scale was sinised, and the items were adjusted by the expert consultation method to form a Chinese version of the patient's authorization scale. After 2 weeks, 30 patients were randomly selected to carry out repeated measurements. SPSS 17 statistics software and AMOS 17 software are used to deal with the data. The content validity by expert content validity index (CVI) evaluation; construct validity by exploratory factor analysis; through the method of principal component analysis and varimax orthogonal rotation factor extraction; by the method of maximum likelihood for confirmatory factor analysis; reliability analysis using Cronbach's coefficient, split half reliability and test-retest reliability. Results a total of 300 questionnaires were issued and 284 valid questionnaires were recovered. The effective recovery rate was 94.7%. The correlation coefficient (r value) of the score and total score of the Chinese version of the patient's authorization scale was 0.570~0.828 (P0.01). The scores of the high and low scores on the 20 items were statistically significant (P0.05). The content validity index (S-CVI) of the scale was =0.96, and the content validity index (I-CVI) of the entry level was 0.90~1.00. The results of exploratory factor analysis showed that KMO=0.851, Bartlett's sphericity test X ~2=1 99.428 (P0.01). 4 common factors were extracted, and the cumulative variance contribution rate was 73.458%. The confirmatory factor analysis showed that the probability value of the final model was P=0.348, and all the fitting indexes were within the reference range. The total Cronbach's alpha coefficient of the Chinese version of the patient authorized scale was 0.931, the half reliability was 0.814, and the retest reliability was 0.820 (P0.01). Conclusion the Chinese version of the patient's authorized scale has good reliability and validity, and can be used for the assessment of the elderly patients with chronic diseases.
【作者单位】：郑州大学护理学院;天津中医药大学护理学院;郑州大学第二附属医院;郑州大学第一附属医院;
【基金】：国家社会科学基金资助项目(14BSH124) 河南省医学科学技术攻关计划省部共建项目(201201014) 郑州大学护理学院新兴学科招标课题资助(2014HLXK010)
【分类号】：R473
【正文快照】： 1.450052河南省郑州市,郑州大学护理学院2.300073天津市,天津中医药大学护理学院3.450001河南省郑州市,郑州大学第二附属医院4.450001河南省郑州市,郑州大学第一附属医院Reliability and Validity of the Chinese Version of Patient Empowerment Scale among the Elderly wit

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