中文版慢性病资源调查问卷应用于糖尿病患者的信效度分析  

Reliability and Validity of Chronic Illness Resources Survey(Chinese Version) in Patients with Diabetes

作　　者：钟慧琴[1] 范玲[2] 邵亚[3] 王艳[1] 

机构地区：[1]石河子大学医学院护理系,新疆石河子市832000 [2]石河子大学医学院第一附属医院 [3]广东医学院研究生院

出　　处：《中国全科医学》2014年第23期2779-2782,共4页Chinese General Practice

摘　　要：目的：评价中文版慢性病资源调查（ CIRS）问卷在糖尿病患者中的适用性。方法采用便利抽样法，于2013年6-7月选取新疆石河子市7个社区的糖尿病患者160例，将Glasgow的2005年版的CIRS问卷进行翻译、修订，形成中文版CIRS问卷，对患者进行调查，并进行信效度分析。结果中文版CIRS问卷共提取出5个公因子，累计方差贡献率为62.66%，经因素筛选提出6个维度，分别为个体（ P）、媒体和政策（ MP）、邻里或社区（ N）、医护团队（HC）、组织结构（O）、家人和朋友（FF）。6个维度下的条目与所属维度的相关系数均〉0.6，每个条目的集合效度定标成功，且6个维度下的条目与所属维度的相关系数均大于该条目与其他维度的相关系数，每个条目的区分效度定标成功。各维度与中文版CIRS问卷总分均呈中高度相关，相关系数为0.445-0.759。中文版CIRS问卷的Cron-bachˊsα系数为0.845，各维度在0.649-0.788；分半信度为0.754，各维度在0.524-0.807。结论中文版CIRS问卷有较好的效度及较高的内部一致性，可以作为社区糖尿病患者资源利用状况的测评工具。Objective To evaluate the reliability and validity of Chronic Illness Resources Survey（ CIRS） in patients with diabetes. Methods Using convenience sampling method to choose 160 diabetic patients from 7 communities in Shihezi from June to July 2013 to perform a survey using Glasgow CIRS questionnaire（2005 edition,in Chinese version） to analyze its relia-bility and validity. ResUlts From CIRS,a total of 5 common factors were extracted,the cumulative variance contribution rate was 62. 66%. Six dimensionalities were selected through factor screening,including personal（ P）,media and policy（ MP）, neighborhood or community（ N）,health care team（ HC）,organizational structure（ O）,family and friends（ FF）. The cor-relation coefficient between the items below 6 dimensionalities and the dimensionalities they belonged to was〉0. 6. The collecting validity of each item was calibrated successfully,and the correlation coefficient between the items below 6 dimensionalities and the dimensionalities they longed to was greater than that between the items and the other dimensionalities. The discrimination va-lidity of each item calibrated successfully. The dimensionalities were moderately or highly correlated with CIRS questionnaire, correlation coefficient was 0. 445 to 0. 759. The Cronbachˊsαcoefficient of CIRS was 0. 845,those of the dimensionalities 0. 649 to 0. 788;the split-half reliability was 0. 754,those of the dimensionalities 0. 524 to 0. 807. ConclUsion CIRS（in Chinese version） is of good validity and high internal consistency,which can be used as an assessment tool for resource utilization for community diabetic patients.

关 键 词：慢性病 糖尿病 问卷调查 信度 效度 

分 类 号：R587.1[医药卫生—内分泌]