中文版就医障碍评估量表信效度分析  

Analysis of Reliability and Validity of Chinese Version of the Barriers to Access to Care Evaluation Scale

作　　者：高萍 王成强[2] 王成刚 

机构地区：[1]华北理工大学心理学院,河北省唐山市063000 [2]华北理工大学冀唐学院

出　　处：《中国全科医学》2016年第24期2957-2961,共5页Chinese General Practice

摘　　要：目的对国外就医障碍评估量表（BACE）进行汉化，并对中文版BACE进行信效度分析，为今后的精神疾病患者就医行为相关研究及临床工作提供标准化的评估工具。方法采用便利抽样法选取2014年11月-2015年5月唐山市第五医院接受住院治疗且符合纳入标准的精神分裂症患者182例为调查对象。采用中文版BACE、精神疾病患者病耻感评估量表、专业心理求助自我污名量表对其进行调查。2周后行复本检测，除去脱落与无效问卷，共有62例患者进行复本检测。结果共发放问卷182份，回收有效问卷157份，有效回收率为86．3％。中文版BACE得分（31．6±13．4）分，污名分量表得分（13．8±9．2）分，非污名分量表得分（17．9±8．4）分；精神疾病患者病耻感评估量表得分（44．1±14．3）分，专业心理求助自我污名量表得分（30．6±6．4）分。将患者按中文版BACE得分从高到低排序，得分最高的27．4％患者组成高分组（43例），得分最低的28．7％患者组成低分组（45例）。两组患者条目3、5、8、9、14、15、17、19、24、26、28得分比较，差异有统计学意义（P〈0．05）；两组患者条目21得分比较，差异无统计学意义（P〉0．05）。经过条目筛选，污名分量表删除1个条目，保留了11个条目。邀请l位心理测量学专家、2位职称为副主任以上的精神科专家及2位心理学专家评价中文版BACE内容效度，各条目内容效度指数（CVI）为0．80～1．00，所有条目平均CVI为0．96。污名分量表的KMO值为0．892，Bardett球形检验x。=1016．076，P〈0．05，表明适合做探索性因子分析。采用主成分分析法抽取因子，污名分量表的11个条目得到1个因子（命名为污名），特征值为6．015，累计贡献率为54．678％。污名分量表得分与精神疾病患者病耻感量表得分及专业心理求助自我污名量表得分均呈正相关（r=0�Objective To Chinesize the Barriers to Access to Care Evaluation Scale（BACE）,and to investigate the reliability and validity of the Chinese version of BACE,so as to provide a standardized future behavior associated with mental illness medical research and clinical work for the assessment tools. Methods Using convenience sampling method,182 cases of schizophrenia patients who were admitted to the Fifth Hospital of Tangshan from November 2014 to May 2015 and were in accordance with the inclusion criteria were selected as respondents. The Chinese version of BACE,stigma scale of patients with mental illness,and professional stigma scale of psychological self help seeking were used to carry on the investigation. After 2 weeks replications were detected. Besides dropping and invalid questionnaires,a total of 62 patients were detected. Results A total of 182 questionnaires were issued,including 157 valid questionnaires being recovered,and the effective recovery rate was 86. 3%. The score of Chinese version of the BACE was（31. 6 ± 13. 4）,score of stigma subscale was（13. 8 ± 9. 2）,and score of non stigma subscale were（17. 9 ± 8. 4）. The score of stigma scale of patients with mental illness was（44. 1 ± 14. 3）,and score of professional stigma scale of psychological self help seeking was（30. 6 ± 6. 4）. Patients were ranked from high to low according to the Chinese version of BACE scores,27. 4% of the patients with highest scores made up high score group（43 cases）,and 28. 7% of the patients with lowest scores made up low score group（45 cases）. There was statistically significant difference in the scores of item 3,5,8,9,14,15,17,19,24,26,28 between the two groups（P ﹤ 0. 05）;there was no statistically significant difference in the scores of item 21 between the two groups（P ﹥ 0. 05）. After item selection,1 item of stigma subscale was deleted,retaining 11 items. An expert in psychometrics,two psychiatric experts with titles above deputy director and two psychologists were invited t

关 键 词：精神疾病 就医障碍 信度 效度 

分 类 号：R749[医药卫生—神经病学与精神病学]