摘要
目的 编制HIV/AIDS患者非理性认知量表(ICQAIDSP),并检验其信度和效度。方法 通过文献整合、专家效度核查等多种方式形成初步问卷,以偶遇方式抽取254名门诊HIV/AIDS患者进行问卷修订,使用医学应对方式(MCMQ)和抑郁情绪量表(TDQ)进行校标检验。结果 探索性因素分析得出ICQAIDSP量表包括自我非理性认知(IC)、机构IC、身体IC、传染IC和绝症IC五个因子,累积方差解释率达75.962%,5个因子的α系数分别为0.943、0.838、0.840、0.909、0.832,总表的α系数为0.946;ICAIDSP总分与回避应对及屈服应对呈极显著性正相关(r=0.164,P <0.01;r=0.527,P <0.01),与面对应对呈显著性负相关(r=-0.130,P <0.05);而且ICAIDSP总分与TDQ总分极显著性正相关(r=0.521,P <0.01)。同时,ICAIDSP总分和因子分在性别、治疗与否以及确诊时长等方面差异有统计学意义。结论 ICQAIDSP具有良好的信度和效度,值得医务社工在艾滋病防治领域中推广使用。
Objective To develop a scale for measuring the irrational cognition questionnaire of HIV/AIDS patients(ICQAIDSP) and being tested for its reliability and validity.Methods A preliminary questionnaire was formed using literature integration and expert validity verification,a formal test was carried out based on prediction,and 254 outpatients with HIV/AIDS wereselected for revision.Medical Coping Modes Questionnaire(MCMQ) and Taiwan Residents Depression Questionnaire(TDQ) were used to test their criterion validity.Results Exploratory factor analysis showed that ICQAIDSP included five factors:Self-IC,Institutional-IC,Body-IC,Infectious-IC,and Terminal illness-IC were obtained,with the cumulative variance explanation rate having reached 75.962%.The α coefficients of the five factors were 0.943,0.838,0.840,0.909,and 0.832,respectively,and the α coefficients of the total table were 0.946.ICAIDSP total scores were significantly positively correlated with avoidance(r=0.164,P<0.01) and resignation(r=0.527,P<0.01),and also significantly negatively correlated with the confronce(r=-0.130,P<0.05).Besides,the total score of ICAIDSP was positively correlated with the total score of the Taiwan Residents Depression Questionnaire(TDQ)(r=0.521,P<0.01).At the same time,ICAIDSP total score and factors had significant differences in gender,treatment or not,and duration of diagnosis.Conclusions ICQAIDSP has good reliability and validity,worthy of being popularized by medical social workers in AIDS prevention and treatment.
作者
钟向阳
唐超雄
曾永辉
ZHONG Xiangyang;TANG Chaoxiong;ZENG Yonghui(Department of Social Work of School of Public Administration,of South China Agricultural University,Guangzhou 510642,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2022年第7期816-821,共6页
Chinese Journal of Aids & STD
基金
广东省公安厅联合高校建设专业人才培育基地项目(skzx2019060)。