炎症性肠病患者疲乏自我评估量表的汉化与信效度检验

doi:10.3761/j.issn.1672-9234.2022.02.013

摘要/Abstract

摘要：

目的汉化炎症性肠病患者疲乏自我评估量表[Inflammatory Bowel Disease Fatigue（IBD-F）Patient Self-assessment Scale],并验证其信效度,为我国炎症性肠病患者疲乏评估提供可靠工具。方法在取得源量表作者的授权后,应用直译-回译法将炎症性肠病患者疲乏自我评估量表（IBD-F自我评估量表）翻译为中文;通过专家函询法和预调查进行跨文化调试;邀请7名专家进行效度测评,并应用该量表对门诊100例炎症性肠病患者进行调查,以检验该量表的信效度。结果中文版IBD-F自我评估量表的Cronbach’s α系数为0.966;重测信度为0.850;专家内容效度指数为0.986;中文版IBD-F自我评估量表得分与中文版多维度简便疲乏评估量表相关系数为0.793（P<0.001）;探索性因子分析显示量表第一部分、第二部分均为单一维度结构,各条目因子载荷系数为0.383~0.955。形成的终版汉化量表包括3个部分,第一部分为5个条目,第二部分为30个条目,第三部分为5个开放问题。结论中文版IBD-F自我评估量表具有良好的信效度,可作为炎症性肠病患者疲乏的初步筛查工具。

关键词: 肠炎, 局限性, 可靠性和有效性, 问卷调查, 疲乏

Abstract:

Objective To translate the Inflammatory Bowel Disease Fatigue（IBD-F） Patient Self-assessment Scale into Chinese,and to evaluate the reliability and validity of the scale of the Chinese version. Methods Permission to translate the instrument was obtained from the original developer. The Inflammatory Bowel Disease Fatigue（IBD-F） Patient Self-assessment Scale was translated and back-translated into the Chinese version. Through expert consultation and pre-test,the cross-cultural adaptation of the instrument was completed. Seven experts were invited to evaluate the validity of the instrument. The Chinese version of the instrument was distributed to 100 IBD outpatients. Results The Cronbach’s coefficient of Chinese version IBD-F Patient Self-assessment scale was 0.966. Test-retest reliability was 0.850. Content validity index of the instrument was 0.986. The correlation coefficient between Chinese version IBD-F Patient Self-assessment Scale score and Chinese version MFI-20 Scale score was 0.793（P<0.001）. Exploratory factor analysis showed that the first and second part of the scale were single-dimensional structure, and the load values of each factor were 0.383~0.955. The final Chinese version scale was composed of 3 parts with 5 items in the first part,30 items in the second part,and 5 open questions in the third part. Conclusion The Chinese version of IBD-F Patient Self-assessment Scale has good reliability and validity which could be used as a screening tool for fatigue in patients with inflammatory bowel disease.

Key words: Enteritis, Regional, Reliability and Validity, Questionnaires, Fatigue

王千, 万巧琴. 炎症性肠病患者疲乏自我评估量表的汉化与信效度检验[J]. 中华护理教育, 2022, 19(2): 166-171.

WANG Qian, WAN Qiao-qin. Reliability and validity of the Inflammatory Bowel Disease Fatigue （IBD-F） Patient Self-assessment Scale[J]. Chinese Journal of Nursing Education, 2022, 19(2): 166-171.

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