摘要
目的对糖尿病照顾者活动和支持量表(D-CASS)进行翻译和调适,检验其在糖尿病患者家庭照顾者中的信效度。方法运用Brislin模型翻译原始版本的D-CASS。2018年8月至2019年1月通过便利抽样选取天津医科大学总医院和天津医科大学代谢病医院(现天津医科大学朱宪彝纪念医院)330名糖尿病患者的家庭照顾者,应用探索性因素分析和验证性因素分析测试量表的建构效度。使用项目分析、Cronbachα系数、重测信度、分半信度对量表的心理测量学特性进行测试。结果中文版D-CASS有11个条目,探索性因素分析提取2个公因子,累积方差贡献率为56.623%。验证性因素分析显示修正模型与数据契合良好,总量表的Cronbachα系数为0.881,各维度的Cronbachα系数分别为0.819和0.835;总量表的重测信度为0.900(P<0.01),各维度的重测信度分别为0.823和0.883;分半信度为0.840,各维度分半信度分别为0.822和0.806。结论中文版D-CASS对糖尿病患者家庭照顾者的照顾活动和支持行为难易程度的评价是可靠有效的。
Objective Translate and debug Diabetes Caregiver Activity and Support Scale(D-CASS)and to test its reliability and validity in family caregivers of diabetes.Methods The original version of D-CASS was translated according to Brislin model.A total of 330 family caregivers for diabetes were chosen by convenience sampling in Tianjin Medical University General Hospital and Tianjin Medical university Metabolic Disease Hospital(Chu Tianjin Medical University Zhu Xianyi Memorial Hospital)in the period of August 2018 to January 2019 to assess construct validity through exploratory factor analysis(EFA)and confirmatory factor analysis(CFA).Item analysis,Cronbach alpha coefficients,test-retest reliability and the split-half reliability were conducted to test the psychometric properties of the scale.Results There were 11 items in the Chinese version of D-CASS,with 2 common factors extracted by EFA,accounting for 56.623%of the variance.The modified model fitted well with the data through CFA.The coefficient of Cronbach'sɑfor the total D-CASS and the two dimensions was 0.881,0.819 and 0.835 respectively.Test-retest reliability was 0.900(P<0.01)for the overall scale,and each dimension were 0.823 and 0.883;the split-half reliability coefficient was 0.840,each dimension was 0.822 and 0.806.Conclusions It indicated that the Chinese version of D-CASS was valid and reliable for the evaluation of family caregiver activity and support for diabetes.
作者
丁兰
王泽慧
张清
Ding Lan;Wang Zehui;Zhang Qing(School of Nursing,Tianjin Medical University,Tianjin 300070,China)
出处
《中国实用护理杂志》
2020年第9期663-669,共7页
Chinese Journal of Practical Nursing
关键词
糖尿病
家庭照顾者
信度
效度
Diabetes mellitus
Family caregiver
Reliability
Validity