中文版患者尊严量表初步修订及信、效度评价

发布时间：2018-04-14 10:19

本文选题：中文版患者尊严量表(PDI) + 修订　；参考：《中国公共卫生》2016年08期

【摘要】：目的初步修订中文版患者尊严量表,并评价其信度和效度,为该量表在中国的推广使用提供科学依据。方法 2014年8月—2015年1月,在患者尊严量表(PDI)的基础上,辅以访谈法和问卷调查法初步对PDI量表的理论结构进行修订,并采用项目分析、验证性因素分析和信效度检验方法对山西省某2所三级甲等医院抽取的150例晚期癌症患者的尊严问题进行分析,验证该量表理论结构的合理性。结果修订后的中文版PDI量表具有较好的项目区分度,除条目22之外,其他条目的相关系数均为0.270~0.768(均P0.01);量表总体Cronbach'sα系数和分半信度分别为0.924和0.885;验证性因素分析结果显示,χ2/df为2.32,比较拟合指数、规范拟合指数、不规范拟合指数、增量拟合指数分别为0.93、0.89、0.92、0.93,PDI模型与原量表因子拟合指数基本达到可接受的标准;效标效度检验结果显示,中文版PDI量表总分与癌症患者生命质量测定量表(EORTC QLQ-C30)5个功能领域和1个总体健康状况/生命质量领域得分均呈负相关,与症状领域中的疲倦、疼痛、气促、失眠、食欲丧失和经济困难均呈正相关(均P0.01);与医院焦虑抑郁量表(HAD)焦虑和抑郁2个维度得分均呈正相关(均P0.01)。结论修订的中文版PDI量表在晚期癌症患者中的信度和效度指标均符合心理测量学要求,可作为晚期癌症患者尊严研究的一个有效工具。
[Abstract]:Objective to amend Chinese version with dignity scale, and to evaluate its reliability and validity, and provide scientific basis for promoting the use of the scale in China. Methods from August 2014 to January 2015, in patients with dignity scale (PDI) on the basis of interview and questionnaire preliminary revision of the theoretical structure of the PDI scale and, the item analysis, the dignity of 150 cases of advanced cancer patients in Shanxi Province, 2 selected from three hospitals of the confirmatory factor analysis and validity test methods to analyze, verify the rationality of the scale structure theory. The results Chinese version of PDI revised project has good discrimination, in addition to item 22, the other to the correlation coefficient was 0.270~0.768 (P0.01); Scale total Cronbach's alpha coefficient and split half reliability were 0.924 and 0.885; confirmatory factor analysis showed that the DF is 2.32 x 2/, comparison Fit index, standard fit index, standard fit index, incremental fit index were 0.93,0.89,0.92,0.93, PDI model and scale factor index reached acceptable standards; criterion validity test results show that the Chinese version of PDI total score and quality of life for patients with cancer scale (EORTC QLQ-C30) 5 functional areas and the 1 general health field / quality of life scores were negatively correlated with symptoms in the field of fatigue, pain, shortness of breath, insomnia, loss of appetite and economic difficulties were positively correlated (P0.01); and the hospital anxiety and Depression Scale (HAD) anxiety and depression scores were positively related to 2 dimensions (all P0.01). Conclusion Chinese revised version of the PDI scale reliability and validity index in patients with advanced cancer in accord with the psychometric requirements, can be used as an effective tool to study in patients with advanced cancer of the dignity.

【作者单位】：山西医科大学医学心理学教研室;山西省肿瘤医院宁养院;山西医科大学第一附属医院肿瘤科;
【基金】：山西省高等学校人文社会科学重点研究基地项目(2014320)
【分类号】：B841.7;R48

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