中文版血糖监测系统满意度调查量表信效度研究  

Reliability and Validity of the Chinese Version of the Glucose Monitoring Satisfaction Survey

作　　者：芦慧雅 路晓琳 高宏凯[3] 高艳红[4] LU Huiya;LU Xiaolin;GAO Hongkai;GAO Yanhong(The Third Medical Center of Chinese PLA General Hospital Postgraduate Training Base,Jinzhou Medical University,Beijing 100039,China;School of Nursing,Jinzhou Medical University,Jinzhou 121001,China;Department of General Surgery,the Third Medical Center of Chinese PLA General Hospital,Beijing 100039,China;Department of Nursing,the Third Medical Center of Chinese PLA General Hospital,Beijing 100039,China)

机构地区：[1]锦州医科大学武警总医院研究生培养基地,北京市100039 [2]锦州医科大学护理学院,辽宁省锦州市121001 [3]武警总医院普外科,北京市100039 [4]武警总医院护理部,北京市100039

出　　处：《中国全科医学》2020年第14期1812-1818,共7页Chinese General Practice

基　　金：中国研究型医院学会护理分会2018年临床护理研究课题立项及创新发明孵化基金项目(2018-20-10)。

摘　　要：背景随着糖尿病人群的增加,血糖监测设备越来越多种多样,采用量化的方式来精准地评估患者对血糖监测设备的满意度对患者的血糖管理积极性具有重要意义。血糖监测系统满意度调查(GMSS)量表在美国、丹麦等国家均具有良好的信效度,但是否适用于中国,还未经检验。目的本研究旨在检验中文版GMSS量表在糖尿病人群中应用的信度与效度。方法本研究采用便利抽样法于2018年6-10月选取北京市一街坊社区、二街坊东社区、田村路街道社区符合要求的糖尿病患者475例为调查对象。采用一般资料调查问卷、中文版GMSS量表、幸福感指数量表(WHO-5)、血糖监测系统评分问卷(BGMSRQ)、糖尿病痛苦量表(DDS)进行问卷调查。在征得GMSS量表原作者同意后,由作者及两名双语学者分别对中文版及英文版量表进行翻译和回译,形成初步的中文版GMSS-1型糖尿病(T1DM)量表和GMSS-2型糖尿病(T2DM)量表。将初步汉化的量表及评分表发给8名糖尿病相关领域的专家,专家对量表的内容效度和跨文化调适做出评价并给予修改意见,并且对量表的每个问题与“血糖监测系统满意度”之间的相关性进行评分,将修改后的量表返回专家再次进行评分,计算内容效度后形成最终的中文版GMSS量表。分析患者的一般资料;对患者的中文版GMSS-T1DM量表、GMSS-T2DM量表总分和各维度得分分别与WHO-5、BGMSRQ、DDS得分进行Pearson相关分析,计算相关系数,反映中文版GMSS量表的校标效度;采用探索性因子分析评价中文版GMSS量表的结构效度;采用Cronbach'sα系数评价中文版GMSS量表的内部一致性信度;2周后按照各社区样本量所占比例随机选取30例糖尿病患者重新发放中文版GMSS量表,以计算量表的重测信度。结果共发放问卷475份,回收有效问卷463份,问卷有效回收率为97.47%,其中T1DM患者256例,T2DM患者207例。经专家评定,中文版GMSSBackground To satisfy the needs of increased diabetic population,blood glucose monitoring equipments are becoming increasingly diverse.Accurately quantifying the level of diabetic patients'satisfaction with such equipments is of great significance in motivating their enthusiasm in glycemic management.The Glucose Monitoring Satisfaction Survey(GMSS),a scale has been proved to have good reliability and validity in countries such as the United States,Denmark and so on,but its applicability to China has not been tested.Objective To test the reliability and validity of the Chinese version of GMSS in China's diabetic population.Methods After obtaining the consent of the authors of the GMSS,we developed the initial Chinese version of the GMSS(consisting of GMSS-T1DM and GMSS-T2DM)on the basis of forward translation and back-translation with the help of two bilingual scholars,then developed the final version after two times of revision based on two rounds of 8 diabetes expertsd consultation(the first revision was performed according to the experts'evaluation of the content validity and crosscultural adaptation of the initial version and corresponding suggestions,and their evaluation scores for the association of each item with the satisfaction with the monitoring system,and then this revised version was evaluated again by the experts,and the second revision was based on the experts'second evaluation scores)and calculating the content validity of the revised version.By use of convenience sampling,475 eligible patients with type 1 or type 2 diabetes were recruited from 3 communities in Beijing(Yijiefang Community,Erjiefangdong Community and Tiancunlu Subdistrict Community)from June to October 2018,and were surveyed with the General Data Questionnaire,Chinese version of GMSS,5-item World Health Organization Well-Being Index(WHO-5),Blood Glucose Monitoring System Rating Questionnaire(BGMSRQ),and Diabetes Distress Scale(DDS).The general data of the patients were analyzed.Pearson correlation coefficients of the scale and subsc

关 键 词：糖尿病 满意度 效度 信度 血糖监测系统满意度调查量表 

分 类 号：R446.112[医药卫生—诊断学]