中文版成人1型糖尿病自我管理量表的修订及检验  

The validity and reliability of the revised Chinese version of diabetes self-management scales for adult type 1 diabetes patients

作　　者：林琼艳 严晋华[1] 郑雪瑛[1] 骆斯慧[1] 张瑶[1] 姜利利 杨黛稚[1] 许雯[1] 姚斌[1] 翁建平 Lin Qiongyan;Yan Jinhua;Zheng Xueying;Luo Sihui;Zhang Yao;Jiang Lili;Yang Daizhi;Xu Wen;Yao Bin;Weng Jianping(Department of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China;Department of Endocrinology, The First Affiliated Hospital of University of Science and Technology of China, Hefei 230001, China)

机构地区：[1]中山大学附属第三医院内分泌与代谢病学科,广州510630 [2]中国科学技术大学附属第一医院内分泌科,合肥230001

出　　处：《中华内分泌代谢杂志》2019年第5期378-382,共5页Chinese Journal of Endocrinology and Metabolism

基　　金：国家重点研发计划(2016YFC1305002、2017YFC1309602);广州市科技计划项目(201508020027);世界糖尿病基金会(WDF14-921)。

摘　　要：目的本研究对糖尿病自我管理行为量表(Summary of Diabetes Self-Care Activities,SDSCA)和糖尿病自我管理信心量表(Confidence In Diabetes Self-care,CIDS)进行翻译、修订,并检验其信度和效度,为评估中国成人1型糖尿病患者自我管理水平提供有效应用工具。方法对SDSCA量表及CIDS量表进行翻译及修订,最终得到中文版量表C-SDSCA及C-CIDS。于2015年1月至2015年12月,从广东省1型糖尿病转化医学研究数据库中选取100名成人1型糖尿病患者用C-SDSCA及C-CIDS进行问卷调查,并从中随机抽取15例患者在4周后进行第2次问卷调查。用克隆巴赫α系数(Cronbach′sα)评估量表的信度,因子分析法评估其效度。分别计算两个量表的得分,并用Spearman相关系数分析两个量表得分之间的相关性。结果C-SDSCA信度检测结果:整体的Cronbach′sα为0.72,量表的重测信度是0.95(分量表0.67~1.00);效度检测:采用因子分析法,共提取4个公因子,累计贡献率是87.39%。同样地,C-CIDS信度检测:整体的Cronbach′sα为0.84,重测信度是0.70(分量表0.49~0.86);效度检测:共提取6个公因子,累计贡献率为75.41%。C-CIDS得分为70.50±14.75,C-SDSCA得分为33.50±19.75,两个量表得分之间成正相关(r=0.61,P<0.01)。结论修订后的C-SDSCA和C-CIDS量表均有良好的信度和效度,可作为评价中国成人1型糖尿病患者自我管理效能和自我管理行为的工具。Objective In this study, we aimed to translate and revise the Summary of Diabetes Self-Care Activities(SDSCA) and the Confidence In Diabetes Self-care(CIDS) scales, to test the reliability and validity of the two scales in Chinese adult type 1 diabetes(T1D) patients. Methods In the first step, Chinese versions(C-SDSCA and C-CIDS) were developed conceptually equivalent to the English versions. And the investigation was conducted in 100 patients from Guangdong T1D Translational Medicine Study. 15 of them were randomly chosen to be retested 4 weeks later. Cronbach′s α were used to assess reliability, and factor analysis to its validity. The relationship between scores of C-SDSCA and C-CIDS were analyzed using Spearman correlation analysis. Results The overall Cronbach′s α of C-SDSCA was 0.72 and the retest reliability was 0.95(sub-scale: 0.67-1.00). 4 common factors were extracted by factor analysis, and the cumulative contribution was 87.39%. As for C-CIDS, the general Cronbach′s α was 0.84 and the retest reliability was 0.70(sub-scale: 0.49-0.86). 6 common factors were extracted and the cumulative contribution was 75.41%. The score of the two scales was positively related(r=0.61, P<0.01). Conclusion The revised C-CIDS and C-SDSCA scales turn out to have good reliability and validity, and can be used as instruments to assess diabetes self-management efficacy and self-care activities of Chinese adult T1D patients.

关 键 词：糖尿病 1型 自我管理 自我效能 成人 

分 类 号：R587.1[医药卫生—内分泌]