慢性病病耻感量表的汉化及其在脑卒中患者中的信效度研究
发布时间：2019-07-25 06:33
【摘要】：目的汉化慢性病病耻感量表(SSCI)并检验其在脑卒中患者中的信效度。方法通过翻译、回译、专家小组评定及文化调试,建立SSCI中文版。于2016年3—6月采用方便抽样法在天津市2家社区卫生服务中心选取脑卒中患者204例进行问卷调查,内容包括患者基本情况、SSCI、抑郁自评量表(SDS)、Barthel指数(BI)、12条简明健康状况调查问卷(SF-12)。采用临界比值法、相关性分析对量表进行项目分析,采用内容效度指数(CVI)评价量表内容效度,采用因子分析法评价量表结构效度,根据SSCI得分与SDS、BI、SF-12得分的相关性评价量表构念效度,采用Cronbach'sα系数、重测信度评价量表信度。结果项目分析结果显示:中文版SSCI能够鉴别高分组和低分组(P0.01);内在病耻感、外在病耻感维度得分与量表总分呈线性正相关(r值分别为0.955、0.900,P0.01),各条目得分与量表总分均呈线性正相关(r值为0.472~0.806,P0.01),内在病耻感维度的13个条目得分与该维度得分呈线性正相关(r为0.673~0.807,P0.01),外在病耻感维度的11个条目得分与该维度得分呈线性正相关(r为0.519~0.845,P0.01)。各条目CVI为0.800~1.000,总量表CVI为0.932。探索性因子分析共获得3个公因子,累计方差贡献率为65.586%,各条目在其相应维度上的因子载荷为0.463~0.850。SSCI得分与SDS得分呈线性正相关(r=0.609,P0.01),与BI、SF-12中心理功能(MCS)、生理功能(PCS)得分呈线性负相关(r值分别为-0.486、-0.524、-0.462,P0.01)。总量表的Cronbach'sα系数为0.951,内在病耻感和外在病耻感维度的Cronbach'sα系数均为0.927;总量表的重测信度为0.881,内在病耻感和外在病耻感维度的重测信度分别为0.927、0.797。结论汉化版的SSCI具有较好的信效度,可在我国神经系统疾病病耻感的相关研究中使用。
[Abstract]:Objective to test the reliability and validity of Chinese chronic disease shame scale (SSCI) in stroke patients. Methods the Chinese version of SSCI was established by translation, re-translation, expert group evaluation and cultural debugging. From March to June 2016, a questionnaire survey was conducted among 204 stroke patients in two community health service centers in Tianjin, including the basic situation of the patients and 12 concise health status questionnaires (SF-12) with SSCI, self-rating depression scale (SDS), Barthel index (BI), (SF-12). The critical ratio method and correlation analysis were used to analyze the items of the scale, the content validity index (CVI) was used to evaluate the content validity of the scale, the factor analysis method was used to evaluate the structural validity of the scale, the construct validity of the scale was evaluated according to the correlation between SSCI score and SDS,BI,SF-12 score, and the reliability of the scale was evaluated by Cronbach's 伪 coefficient and retest reliability. Results the results of project analysis showed that the Chinese version of SSCI could distinguish high score group from low score group (P 0.01). There was a linear positive correlation between the scores of internal shame and external shame and the total score of the scale (r = 0.955, 0.900, P 0.01), a linear positive correlation between the scores of each item and the total score of the scale (r = 0.472 = 0.806, P 0.01), and a linear positive correlation between the scores of 13 items of the dimension and the score of the dimension (r = 0.673, P 0.01), and there was a linear positive correlation between the score of the dimension and the total score of the scale (r = 0.955, 0.900, P 0.01), and there was a linear positive correlation between the scores of 13 items and the score of the scale. There was a linear positive correlation between the scores of 11 items in the dimension of external shame and the score of the dimension (r = 0.519 卤0.845, P 0.01). The CVI of each item was 0.800 鈮，
本文编号：2518905
[Abstract]:Objective to test the reliability and validity of Chinese chronic disease shame scale (SSCI) in stroke patients. Methods the Chinese version of SSCI was established by translation, re-translation, expert group evaluation and cultural debugging. From March to June 2016, a questionnaire survey was conducted among 204 stroke patients in two community health service centers in Tianjin, including the basic situation of the patients and 12 concise health status questionnaires (SF-12) with SSCI, self-rating depression scale (SDS), Barthel index (BI), (SF-12). The critical ratio method and correlation analysis were used to analyze the items of the scale, the content validity index (CVI) was used to evaluate the content validity of the scale, the factor analysis method was used to evaluate the structural validity of the scale, the construct validity of the scale was evaluated according to the correlation between SSCI score and SDS,BI,SF-12 score, and the reliability of the scale was evaluated by Cronbach's 伪 coefficient and retest reliability. Results the results of project analysis showed that the Chinese version of SSCI could distinguish high score group from low score group (P 0.01). There was a linear positive correlation between the scores of internal shame and external shame and the total score of the scale (r = 0.955, 0.900, P 0.01), a linear positive correlation between the scores of each item and the total score of the scale (r = 0.472 = 0.806, P 0.01), and a linear positive correlation between the scores of 13 items of the dimension and the score of the dimension (r = 0.673, P 0.01), and there was a linear positive correlation between the score of the dimension and the total score of the scale (r = 0.955, 0.900, P 0.01), and there was a linear positive correlation between the scores of 13 items and the score of the scale. There was a linear positive correlation between the scores of 11 items in the dimension of external shame and the score of the dimension (r = 0.519 卤0.845, P 0.01). The CVI of each item was 0.800 鈮，
本文编号：2518905
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