慢性病赋能量表的汉化及在社区中老年慢性病患者中的信效度分析被引量：11

Chinesization of Long-term Condition Empowerment Scale and Its Reliability and Validity in Community Middle-aged and Aged Patients with Chronic Disease

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摘要目的汉化慢性病赋能量表,并探讨其在中国社区中老年慢性病患者中的适用性。方法采用Brislin翻译模型完成量表汉化。于2015年11月—2016年1月,采用方便抽样法选取在广州市某三甲医院下属的4个社区卫生服务站就诊的中老年慢性病患者273例,采用一般资料调查表、中文版慢性病赋能量表、一般自我效能感量表(GSES)进行调查。采用Cronbach'sα系数和分半信度考察量表的信度;采用因子分析评价量表的结构效度;采用Pearson相关分析计算量表的内部相关系数;采用Spearman秩相关分析计算量表的效标关联效度。结果中文版慢性病赋能量表标准化Cronbach'sα系数为0.950,分半信度为0.930,各维度标准化Cronbach'sα系数为0.694~0.877,重测信度为0.921,平均内容效度为0.950,各维度得分与总分的相关系数为0.875~0.959,以GSES作为效标的效标效度为0.678;主轴因子分解法提取6个公因子,删除3个不归类任何因子的条目后,累计方差贡献率为54.504%。结论中文版慢性病赋能量表信效度良好,符合中国国情,适合在国内社区中老年慢性病患者中进行应用。 Objective To chinesize Long - term Condition Empowerment Scale and to explore its applicability in middle - aged and aged patients with chronic diseases in Chinese communities. Methods Use the Brislin translation model to complete the chinesization of the scale. From November 2015 to January 2016,273 middle - aged and aged patients with chronic diseases receiving treatment in 4 community health service stations subordinated to a top three hospitals in Guangzhou City were selected by convenient sampling method. The General Information Questionnaire,Long - term Condition Empowerment Scale （Chinese version）and General Self - efficacy Scale （GSES）were used to investigate the subjects. The reliability of the scale was investigated by Cronbach′s α coefficient and split - half reliability. The structural validity of the scale was evaluated by factoranalysis. The internal correlation coefficient of the scale was calculated by Pearson correlation analysis. Spearman′s rank correlation analysis was used to calculate the criterion - related validity of the scale. Results The standardized Cronbach′s α coefficient of Long - term Condition Empowerment Scale （Chinese version）was 0. 950,split - half reliability was 0. 930,the standardized Cronbach′s α of each dimension was 0. 694 - 0. 877,the retest reliability was 0. 921,the average content validity was 0. 950, the correlation coefficient of each dimensional score and the total score was 0. 875 - 0. 959,and when taking GSES as the criterion,the criterion validity was 0. 678. The principal factor decomposition method was used to extract 6 common factors. After removing the three entries which cannot classified into any factors,the cumulative variance contribution rate was 54. 504% . Conclusion The Long - term Condition Empowerment Scale （Chinese version）shows good reliability and validity,which in line with China′s national condition and can be applied in the middle - aged and aged patients with chronic diseases in Chinese communities.