摘要
目的汉化儿童对护士信任度量表(children’s trust in general nurses scale,CTGNS),并进行项目反应理论分析及信效度评价。方法遵循Brislin翻译模型对GTGNS进行翻译、回译和跨文化调试,形成中文版CTGNS。选取2022年7—8月南京市某儿童专科医院502例患儿进行调查,采用项目反应理论中的Samejima等级反应模型计算各条目难度系数及区分度,绘制各条目项目特征曲线,并评价中文版CTGNS的信效度。利用SPSS 26.0、Mplus 8.0和MULTILOG 7.03软件进行数据分析。结果中文版CTGNS量表条目区分度为0.088~2.730;难度系数范围为-4.667~26.094,且随着难度等级增加而递增,无逆反阈值;项目特征曲线形态除条目9外其他条目均基本达到理想效果,根据相应参数的筛选标准共保留8项条目。修订后的中文版CTGNS(8条目)共3个维度;各条目内容效度指数(content validity index,CVI)为0.833~1.000,总量表CVI为0.960;总量表Cronbach’s α系数为0.822,各维度Cronbach’s α系数为0.752~0.852;量表重测信度为0.87。探索性因子分析共提取3个公因子,累计方差贡献率73.468%,验证性因子提示模型适配度良好(χ^(2)/df=2.674,RMSEA=0.082,SRMR=0.046,CFI=0.964)。结论修订后的中文版CTGNS具有良好信效度,可作为儿童对护士信任水平的评估工具。
Objective To translate the Children's trust in general nurses scale(CTGNS)into Chinese,and conduct item response theory(IRT)analysis and reliability and validity evaluation.Methods Following Brislin's translation model,the CTGNS was translated,back-translated,and cross-culturally adapted to form the Chinese version of the CTGNS.A total of 502 pediatric inpatients from a pediatric hospital in Nanjing city were surveyed from July to August 2022.The Samejima graded response model in IRT was used to calculate the difficulty and discrimination parameters of each item,while item characteristic curves were plotted.The reliability and validity of the Chinese version CTGNS were evaluated.SPSS 26.0,Mplus 8.0 and MULTILOG 7.03 softwares were used for data analysis.Results The item discrimination of the Chinese version CTGNS ranged from 0.088 to 2.730.The difficulty parameters ranged from-4.667 to 26.094 and increased with increasing difficulty levels without any reverse thresholds.The item characteristic curves exhibited sound shapes for all items except for item 9.Based on the selection criteria of the corresponding parameters,8 items were retained.The revised Chinese version CTGNS(8 items)consisted of 3 dimensions.The content validity index(CVI)of each item ranged from 0.833 to 1.000,and the total scale CVI was 0.960.The Cronbach'sαcoefficient for the overall scale was 0.822,and the Cronbach'sαcoefficients for each dimension ranged from 0.752 to 0.852.The test-retest reliability of the scale was 0.87.Exploratory factor analysis yielded 3 common factors with a cumulative variance contribution rate of 73.468%.Confirmatory factor analysis indicated a good model fit(χ^(2)/df=2.674,RMSEA=0.082,SRMR=0.046,CFI=0.964).Conclusion The revised Chinese version CTGNS demonstrates sound reliability and validity and can be used as an assessment tool for measuring children's trust in nurses.
作者
崇青青
陈丹
詹志恒
陈晶
单恩芳
李现文
Chong Qingqing;Chen Dan;Zhan Zhiheng;Chen Jing;Shan Enfang;Li Xianwen(Department of Orthopedics,Children's Hospital of Nanjing Medical University,Nanjing 210008,China;Department of Respiratory,Children's Hospital of Nanjing Medical University,Nanjing 210008,China;School of Nursing,Nanjing Medical University,Nanjing 211103,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2023年第11期1032-1037,共6页
Chinese Journal of Behavioral Medicine and Brain Science
基金
江苏省社科应用研究精品工程课题(22SYB-091)
南京医科大学科技发展基金(NMUB20210084)。
关键词
信任度
量表
信度
效度
项目反应理论
儿童
护士
Trust
Scale
Reliability
Validity
Item response theory
Children
Nurses
