维持性血液透析患者口服磷结合剂依从性问卷的汉化及信效度研究  

Reliability and validity research of Chinese version of simplified medication adherence questionnaire in hemodialysis patients with oral phosphate binder

作　　者：黄洁[1] 郝桂华[1] 陈章 阮洪[2] 陆伟[1] Huang Jie Hao Guihua Chen Zhang Ruan Hong Lu Wei(Hemodialysis Center, the Ninth People＇s Hospital Affiliated to Medicine School of Shanghai Jiaotong University, Shanghai 200011, China Nursing Department, the Ninth People＇s Hospital Affiliated to Medicine School of Shanghai Jiaotong University, Shanghai 200011, China)

机构地区：[1]上海交通大学医学院附属第九人民医院血透室,上海200011 [2]上海交通大学医学院附属第九人民医院护理部,上海200011

出　　处：《中华现代护理杂志》2017年第24期3098-3102,共5页Chinese Journal of Modern Nursing

基　　金：上海交通大学医学院附属第九人民医院护理院级基金

摘　　要：目的 对英文版简化服药依从性问卷（SMAQ）进行汉化,检验其中文版的信效度.方法 采用Brislin翻译模型对SMAQ进行汉化,经专家委员会及预试验对问卷各条目内容进行调试,最后将其应用于76例口服磷结合剂的维持性血液透析患者,对测定结果 进行信度和效度分析.结果汉化后的SMAQ总的内容效度为0.916,内部一致性信度Cronbach＇sα系数为0.908,重测信度较好（r=0.816,P〈0.01）;以患者血磷浓度为校标,其校标关联效度较好（r=0.765,P〈0.01）;通过检验患者SMAQ得分和Morisky服药依从性量表-8条目（MMAS-8）得分之间的相关性,显示问卷的聚合效度较好（r=0.742,P〈0.01）.结论 汉化后的SMAQ是一份具有较好信效度的评估工具,可用于临床维持性血液透析患者服用磷结合剂的依从性评价.Objective To test the reliability and validity of the Chinese version of simplified medication adherence questionnaire（SMAQ） which was translated from English version.Methods The English version of SMAQ was translated into Chinese according to Brislin trans-tested in 76 maintenance hemodialysis patients with oral phosphate binder after preliminary experiment for each content items by experts committee. Results The total reliability and validity of the Chinese version of SMAQ and the Cronbach＇s α coefficient of the Chinese version of SMAQ were 0.916 and 0.908 respectively. And test-retest reliability was good （r=0.816, P〈0.01）. The criterion-related validity as blood phosphate was well （r=0.765,P〈0.01）. The Convergent validity was well measured by comparing with the Morisky Medication Adherence Scale-8 （r=0.742,P〈0.01）. Conclusions The Chinese version of SMAQ has been proved to be reliable and valid. It can be used to measure the maintenance hemodialysis patients receiving phosphate binder.

关 键 词：血液透析 磷结合剂 口服 信度 效度 

分 类 号：R473.5[医药卫生—护理学]