中文版Connor-Davidson心理弹性量表在糖尿病患者中的信效度研究

发布时间：2018-01-18 15:17

本文关键词：中文版Connor-Davidson心理弹性量表在糖尿病患者中的信效度研究　出处：《中国全科医学》2016年10期 　论文类型：期刊论文

【摘要】：目的研究中文版Connor-Davidson心理弹性量表(CD-RISC)在糖尿病患者中的信效度,为国内糖尿病人群心理弹性相关研究提供测评工具。方法采用方便抽样法,选取湖南省长沙市4所三甲医院作为调查基地。采用单纯随机抽样法,抽取于2014年5—9月在4所三甲医院内分泌科住院的糖尿病患者300例为调查对象。采用自编个人情况问卷、中文版CD-RISC、一般自我效能感量表(GSES)、社会支持评定量表(SSRS)对300例糖尿病患者进行调查。对中文版CD-RISC的各条目进行项目分析;效度检验包括探索性因子分析、内部相关性分析及效标效度;信度检验包括Cronbach'sα、重测信度及分半信度。结果共发放问卷300份,回收有效问卷285份,有效回收率为95.0%。患者的中文版CD-RISC得分为21~95分,平均(63.66±15.17)分。低分组与高分组患者25个条目的得分比较,差异均有统计学意义(P0.05);各条目得分与总分间的相关系数为0.059~0.709,呈正相关(P0.01)。中文版CD-RISC包含5个因子,因子载荷为0.379~0.870,累计方差贡献率为55.138%。各因子得分与量表总分间呈正相关,相关系数为0.159~0.917(P0.01)。患者的GSES总得分为12~40分,平均(25.76±5.71)分;SSRS总得分为19~61分,平均(40.28±8.22)分,其中客观支持维度得分(9.22±3.37)分,主观支持维度得分(23.91±5.15)分,支持利用度维度得分(7.15±1.87)分。除因子5与GSES总得分、客观支持维度得分、支持利用度维度得分外,其余因子均与效标得分呈正相关(P0.05)。量表的Cronbach'sα为0.916,重测信度为0.821,分半信度为0.863。结论中文版CD-RISC在糖尿病患者中具有良好的信效度,适用于糖尿病人群心理弹性的研究。
[Abstract]:Objective to study the reliability and validity of the Chinese version of Connor-Davidson Psychoelasticity scale (Connor-Davidson) in patients with diabetes mellitus (DM). Methods four third Class A hospitals in Changsha City Hunan Province were selected as the investigation base and the simple random sampling method was used. A total of 300 diabetic patients who were hospitalized in the Endocrinology Department of 4 third Class A hospitals from May to September in 2014 were selected as the subjects. A self-designed personal situation questionnaire, Chinese version of CD-RISC, was used. General Self-efficacy scale (GSES) and Social support rating scale (SSRS) were used to investigate 300 patients with diabetes mellitus. The items of Chinese version of CD-RISC were analyzed. The validity test includes exploratory factor analysis, internal correlation analysis and criterion validity. Reliability test included Cronbach's 伪, test-retest reliability and split-half reliability. Results A total of 300 questionnaires were sent out and 285 valid questionnaires were collected. The effective recovery rate was 95.0. The scores of the Chinese version of CD-RISC were 21 ~ 95 points. The average score was 63.66 卤15.17. The scores of 25 items in the low group and the high score group were significantly higher than those in the high score group (P 0.05). The correlation coefficient between the score of each item and the total score was 0.059 / 0.709, which was positively correlated with P0.01. the Chinese version of CD-RISC contained five factors. The factor load was 0.379 卤0.870 and the cumulative variance contribution rate was 55.138. The scores of each factor were positively correlated with the total score of the scale. The correlation coefficient was 0. 159 卤0. 917 (P 0. 01). The total GSES score of the patients was 12 ~ 40, with an average of 25. 76 卤5. 71). The total score of SSRS was 190.61, the average score was 40.28 卤8.22, and the objective support dimension was 9.22 卤3.37). The score of subjective support dimension was 23.91 卤5.15, the score of support utilization dimension was 7.15 卤1.87. Except factor 5 and GSES total score, objective support dimension score. There was a positive correlation between the other factors and the scores of efficacy scale (P 0.05). The Cronbach's 伪 of the scale was 0.916, and the test-retest reliability was 0.821. The split-half reliability is 0.863. Conclusion the Chinese version of CD-RISC has good reliability and validity in diabetic patients and is suitable for the study of psychological elasticity in diabetic patients.
【作者单位】：中南大学湘雅护理学院护理心理学研究中心;
【基金】：湖南省重点学科资助项目(B12105337) 中南大学研究生自主探索创新项目(2014zzts338)
【分类号】：R587.1
【正文快照】： 糖尿病是一组以高血糖为特征的代谢性疾病,随着物质生活水平的提高,糖尿病的发病率呈逐年上升的趋势。2010年的最新数据显示,我国18岁以上人群糖尿病患病率达到9.7%,成人糖尿病患者总数达9 240万[1]。作为最常见的慢性病之一,糖尿病给患者、家庭、社会带来了沉重的负担。良好

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