中文版制动舒适度问卷在膝关节置换术后患者中应用的信效度分析  

Analysis of the reliability and validity of the Chinese version of Immobilization Comfort Questionnaire among hospitalized total knee arthroplasty post-operative patients

作　　者：张莉 何利 孟珊珊 王亚利 Zhang Li;He Li;Meng Shanshan;Wang Yali(Orthopedics Department, Armed Police Corps Hospital of He＇nan, Zhengzhou 450052, Chin;Nursing Department, Armed Police Corps Hospital of He＇nan, Zhengzhou 450052, China;Soldier Outpatient Department, Armed Police Corps Hospital of He＇nan, Zhengzhou 450052, Chin;General Surgery Department, Armed Police Corps Hospital of He＇nan, Zhengzhou 450052, China)

机构地区：[1]武警河南省总队医院骨科,郑州450052 [2]武警河南省总队医院护理部,郑州450052 [3]武警河南省总队医院军人门诊,郑州450052 [4]武警河南省总队医院普外科,郑州450052

出　　处：《中华现代护理杂志》2018年第6期647-651,共5页Chinese Journal of Modern Nursing

摘　　要：目的 汉化制动舒适度问卷（Immobilization Comfort Questionnaire,ICQ）,并在住院膝关节置换术后患者中应用,验证其信效度.方法 对英文版ICQ进行翻译汉化,2016年3—11月,通过便利抽样的方法选取在武警河南省总队医院骨科住院治疗的126例膝关节置换术后患者,使用普适性舒适度问卷（General Comfort Questionnaire,GCQ）和中文版ICQ对患者进行调查,评价中文版ICQ问卷的信效度.结果 中文版ICQ各条目均具有较好的区分度;通过探索性因子分析可知,问卷共可提取4个特征值大于1的公因子,各条目的因子载荷均大于0.4,共可解释71.3%的方差变异量;进一步行验证性因子分析可知,问卷的卡方自由度比为1.476,比较拟合优度指数为0.982,适配度指数为0.983,增值拟合指数为0.972,非标准拟合指数为0.981,残差均方和平方根为0.015,渐进残差均方和平方根为0.036,模型结构拟合度较好;问卷的内容效度为0.889,中文版ICQ各维度得分及问卷总分均与GCQ得分呈正相关（P〈0.01）;问卷的内部一致性Cronbach＇s α 系数为0.894,重测总相关系数为0.842.结论 汉化后形成的中文版ICQ具有良好的信效度,适用于中国地区膝关节置换术后患者的舒适度调查.Objective To Chinesize Immobilization Comfort Questionnaire （ICQ）, and to verify the reliability and validity of the Chinesized ICQ among total knee arthroplasty （TKA） post-operative patients. Methods The English version of ICQ was translated into Chinese. From March to November 2016, a total of 126 patients who had undergone TKA in the orthopedics department of Armed Police Corps Hospital of He＇nan were selected by convenience sampling method and investigated with General Comfort Questionnaire （QCG） and the Chinesized ICQ, so as to evaluate the reliability and validity of the Chinesized ICQ. Results All entries of Chinese ICQ are of benign discrimination. As indicated by the exploratory factor analysis, there were 4 common factors with characteristic values exceeding 1, which could be extracted from the questionnaire. The factor loading of all the entries was greater than 0.4 and could explain 71.3% of the variance variation amount. As indicated by the further confirmatory factor analysis, the fit indexes including chi square freedom degree ratio was 1.476; the comparative goodness of fit was 0.982; the fit measure was 0.983; incremental fit was 0.972; the non-standard fit was 0.981; the residual mean square was 0.015; and the progressive residual mean square was 0.036. Thus, the degree of fitting of model structure was good. The content validity of ICQ was 0.889, and the score of each entry in ICQ was positively correlated with GCQ scores （P〈0.01）. The Cronbach＇s α coefficient of the questionnaire was 0.894, and the correlation coefficient was 0.842. Conclusions The Chinese version of ICQ has good reliability and validity, and is applicable to comfort survey on regional total knee arthroplasty post-operative patients in China.

关 键 词：关节成形术 置换 膝 制动舒适度问卷 普适性舒适度问卷 汉化 信度 效度 

分 类 号：R473.6[医药卫生—护理学]