功能沟通和评判性健康素养量表的汉化与信效度分析  

Reliability and validity of the Chinese version of the Functional, Communicative and Critical Health Literacy Scale

作　　者：张晓飞[1] 底会娟[1] 励秀武[1] 于虹[2] 刘聪 刘晓杰 Zhang Xiaofei;Di Huijuan;Li Xiuwu;Yu Hong;Liu Cong;Liu Xiaofie(Operation Room, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, Chin;Teaching and Research Section of Nursing, Hebei Medical University, Shijiazhuang 050000, Chin;Teaching and Research Section of Nursing, Hengshui Health School, Hengshui 053000, China)

机构地区：[1]河北医科大学第二医院手术室,石家庄050000 [2]河北医科大学护理学教研室,石家庄050000 [3]衡水卫生学校护理学教研室,053000

出　　处：《中华现代护理杂志》2018年第18期2136-2140,共5页Chinese Journal of Modern Nursing

基　　金：河北省2017年度医学科学研究指令性课题（20170113）

摘　　要：目的翻译中文版功能沟通和评判性健康素养量表，并检验其信效度。方法2015年11月-2016年1月，按照量表翻译程序翻译英文版功能沟通和评判性健康素养量表，并进行文化调试。然后在长沙市5个社区中选择300例慢性病患者进行量表信效度检验。结果共发放300份调查问卷，回收281份。中文版功能沟通和评判性健康素养量表的平均内容效度指数（S-CVI／Ave）为0．965。三因子验证性因子分析结果为X^2=138．797，df=70，X^2／af=1．983，SRMR=O．038，NFI=O．953，CFI=O．976，RMSEA=O．059，AIC、酗，C值均小于饱和模型和独立模型，模型可接受。文化程度和健康素养及3个维度间的相关系数分别为0．418、0．338、0．269和0．303；自我效能和健康素养及3个维度间的相关系数分别为0．444、O．271、0．350和0．400；健康素养和健康伙伴量表及3个维度问的相关系数分别为0．496、0．199、0．305和0．329。重测信度为0．715。3个维度和整个量表的Cronbach＇s α系数分别为0．910、0．901、0．900和0．891。结论中文版功能沟通和评判性健康素养量表有良好的信效度，可以作为中国慢性病患者的健康素养的评估工具。Objective To translate the Chinese version of the Functional, Communicative and Critical Health Literacy Scale （FCCHL） and to test its reliability and validity. Methods From November 2015 to January 2016, the English version of the FCCHL was translated and adapted to Chinese culture based on the translator program for scale. We selected 300 chronic disease patients from five communities in Changsha City to evaluate the reliability and validity. Results The survey released 300 questionnaires with 281 ones returning. The sale-content validity index/average （S-CVI/Ave） of the Chinese version of FCCHL was 0.965. Confirmatory factor analysis for three factors results showed X 2=138-797, df=70, X ^2/df=1.983, SRMR=0.038, NFI=0.953, CFI=0.976, RMSEA=O.059, and the mean of AIC as well as CA1C was less than saturated model and independent model. The results indicated the model was acceptable. The correlation coefficients between education levels and health literacy as well as three dimensions were 0.418, 0.338, 0.269, 0.303 respectively; the correlation coefficients between self efficacy and health literacy as well as three dimensions were 0.444, 0.271, 0.350, 0.400 respectively; the correlation coefficients between health literacy and partners in health scale as well as three dimensions were 0.496, O. 199, 0.305, 0.329 respectively. The retest reliability was 0.715. The Cronbach＇s α coefficients of three dimensions and the scale were 0.910, 0.901, 0.900, 0.891 respectively. Conclusions The Chinese version of FCCHL has good reliability and validity. It can be used as an assessment instrument for health literacy among chronic disease patients in China.

关 键 词：慢性病 健康素养 评估 心理学检验 量表 

分 类 号：R473.2[医药卫生—护理学]