摘要
目的 对英文版自我护理决策量表进行汉化,并基于经典测量理论及项目反应理论对中文版量表进行信效度检验。方法 按照Brislin翻译模式,对英文版自我护理决策量表进行汉化,形成中文版自我护理决策量表。采用便利抽样法于2024年4-8月,选取在浙江大学医学院附属第一医院门诊或住院治疗的慢性病患者为研究对象。运用经典测量理论及项目反应理论中的Rasch模型检验量表信效度。结果 中文版自我护理决策量表的条目内容效度指数为0.85~1.00,平均量表内容效度指数为0.95;共提取出特征根>1的6个主要公因子,累计方差贡献率分别为72.733%,各条目在所属因子上载荷值均>0.50;Cronbach's α系数为0.830,折半系数为0.820,各分量表Cronbach's α系数均>0.600;Rasch模型分析结果显示,量表各条目难度估计值为-1.50~2.47,SE为0.06~0.10;各分量表的条目信度为0.99~1.00,分离指数为9.21~17.68。结论 中文版自我护理决策量表信度、效度良好,难度适中,具备测量慢性病患者自我护理决策受情境因素影响程度的能力。
Objective To translate the Self-Care Decisions Inventory into Chinese and assess the reliability and validity of the Self-Care Decisions Inventory-Chinese using classical test theory and item response theory.Methods Following the Brislin translation model,the Self-Care Decisions Inventory was translated into Chinese version.From April to August 2024,a convenience sample of patients with chronic diseases treated in the outpatient or inpatient departments of the First Affiliated Hospital Zhejiang University School of Medicine were selected.The reliability and validity of the scale were evaluated using classical test theory and Rasch model from item response theory.Results The item-level content validity index of the Self-Care Decisions Inventory-Chinese ranged from 0.85 to 1.00,the scale-level content validity index/average was 0.95.Six main common factors with eigenvalues greater than 1 were extracted,accounting for a cumulative variance of 72.733%.All items had factor loadings greater than 0.50 on their respective factors.The Cronbach'sαcoefficient was 0.830,and the split-half coefficient was 0.820.The Cronbach'sαcoefficients for each subscale were all greater than 0.600.Rasch model analysis revealed that the estimated difficulty values for each item ranged from-1.50 to 2.47,with standard errors from 0.06 to 0.10.The reliability of each subscale ranged from 0.99 to 1.00,and the separation indices ranged from 9.21 to 17.68.Conclusion The Self-Care Decisions Inventory-Chinese demonstrates good reliability and validity,with moderate difficulty,and is capable of mea-suring the extent to which situational factors influence self-care decision-making among patients with chronic diseases.
作者
于璐尧
李涵宇
蒋智丽
项新月
俞玉娣
郑甜
黄丽华
Yu Luyao;Li Hanyu;Jiang Zhili;Xiang Xinyue;Yu Yudi;Zheng Tian;Huang Lihua(The First Affiliated Hospital Zhejiang University School of Medicine,Hangzhou Zhejiang 310003,China)
出处
《护理与康复》
2025年第3期4-14,共11页
Journal of Nursing and Rehabilitation
基金
浙江省基础公益研究计划项目,编号LGF20G030009。
