儿童青少年糖尿病特异性生活质量量表的汉化及信效度分析  

Reliability and validity of Chinese version of Pediatric Quality of Life Inventory^TM 3.2 Diabetes Module for children and adolescents

作　　者：徐瑜 迟俊涛[1,2] 顾桂芹[3] 宋振兰[1,2] 张振宇[4] Xu Yu;Chi Juntao;Gu Guiqin;Song Zhenlan;Zhang Zhenyu(Shool of Nursing,Qingdao University,Qingdao 266000,China;Department of Nursing,Yantai Yuhuangding Hospital,Yantai 264000,China;Department of Endocrinology,Yantai Yuhuangding Hospital,Yantai 264000,China;Department of Critical Care Medicine,Yantai Yuhuangding Hospital,Yantai 264000,China)

机构地区：[1]青岛大学护理学院,266000 [2]烟台毓璜顶医院护理部,264000 [3]烟台毓璜顶医院内分泌科,264000 [4]烟台毓璜顶医院重症医学科,264000

出　　处：《中华现代护理杂志》2020年第14期1834-1838,共5页Chinese Journal of Modern Nursing

摘　　要：目的翻译汉化儿童青少年糖尿病特异性生活质量量表(Pediatric Quality of Life Inventory^TM 3.2 Diabetes Module,PedsQL^TM 3.2-DM),并对其信、效度进行分析。方法遵循Brislin翻译原则,由2名硕士毕业的主管护师分别对源量表进行翻译,由2名研究生毕业且有海外留学经历的护理专家对量表进行回译,通过预调查对量表进行语义调适。采用便利抽样法,选取2019年3-8月在烟台及青岛市三甲医院内分泌及儿科就诊的175例儿童青少年糖尿病患者进行调查,最终纳入175份有效量表,分析修订量表在儿童青少年糖尿病患者中的信、效度。结果中文PedsQL^TM 3.2-DM共有33个条目,包括疾病相关症状、治疗依从性、疾病担忧感、沟通与交流4个维度。中文PedsQL^TM 3.2-DM的Cronbach'sα系数为0.927,4个维度的Cronbach'sα分别为0.885、0.910、0.828、0.798。经专家小组评定,中文PedsQL^TM 3.2-DM的内容效度指数为0.97,各条目的内容效度指数为0.80~1.00。探索性因子分析共提取出4个因子,累计方差贡献率为59.539%,且各条目在其公因子上的因子载荷均>0.4。结论中文PedsQL^TM 3.2-DM信、效度良好,可作为8~19岁儿童青少年糖尿病患者自我评估其生活质量状况的简易工具。Objective To translate Pediatric Quality of Life Inventory^TM 3.2 Diabetes Module(PedsQL^TM 3.2-DM)for children and adolescents into Chinese and analyze the reliability and validity of it.Methods Following the principle of Brislin translation,the source scale was translated by 2 supervisor nurses with master's degrees and the scale was back translated by 2 nursing experts with overseas study experience.The semantic adjus^TMent of the scale was carried out by pre-surveys.By the convenient sampling method,a total of 175 children and adolescents with diabetes who were treated in Depar^TMent of Endocrinology and Depar^TMent of Pediatrics in ClassⅢGrade A hospitals in Yantai and Qingdao from March to August 2019 were investigated and 175 effective scales were finally included to analyze the reliability and validity of the revised scale in children and adolescents with diabetes.Results The Chinese version of PedsQL^TM 3.2-DM had 33 items in total,including 4 dimensions such as disease-related symptoms,trea^TMent compliance,disease-caused worry and communication.The Cronbach'sαcoefficient of Chinese version of PedsQL^TM 3.2-DM was 0.927 and that of 4 dimensions were respectively 0.885,0.910,0.828 and 0.798.After assessment by panel of experts,the content validity index of Chinese version of PedsQL^TM 3.2-DM was 0.97 and the content validity index of every item was from 0.80 to 1.00.A total of 4 common factors were extracted by exploratory factor analysis and the cumulative variance contribution rate was 59.539%.In addition,the factor loading of each item on its common factor was over 0.4.Conclusions The Chinese version of PedsQL^TM 3.2-DM has good reliability and validity,which can be used as a simple tool for self-assessment of quality of life in children aged from 8 to 19 years with diabetes.

关 键 词：糖尿病 儿童 青少年 生活质量 信度 效度 

分 类 号：R473.72[医药卫生—护理学]