中文版输尿管支架相关症状调查问卷的汉化及信效度分析  

Chinesization,reliability and validity of Chinese version of Ureteral Stent-Related Symptom Questionnaire

作　　者：田孟真 周萍[2] 陈鹏[3] 赖巧蓉[4] 张翠萍[5] Tian Mengzhen;Zhou Ping;Chen Peng;Lai Qiaorong;Zhang Cuiping(College of Nursing,Xinjiang Medical University,Urumqi 830000,China;Department of Urology,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830000,China;Department of Urology,Tumor Hospital Affiliated to Xinjiang Medical University,Urumqi 830000,China;Day Ward,Tumor Hospital Affiliated to Xinjiang Medical University,Urumqi 830000,China;Department of Nursing,Tumor Hospital Affiliated to Xinjiang Medical University,Urumqi 830000,China)

机构地区：[1]新疆医科大学护理学院,乌鲁木齐830000 [2]新疆维吾尔自治区人民医院泌尿科,乌鲁木齐830000 [3]新疆医科大学附属肿瘤医院泌尿科,乌鲁木齐830000 [4]新疆医科大学附属肿瘤医院日间病房,乌鲁木齐830000 [5]新疆医科大学附属肿瘤医院护理部,乌鲁木齐830000

出　　处：《中华现代护理杂志》2020年第16期2130-2137,共8页Chinese Journal of Modern Nursing

基　　金：新疆医科大学科研创新基金项目(XYDCX201664)。

摘　　要：目的测评中文版输尿管支架相关症状调查问卷(USSQ)的信度和效度,为国内留置输尿管支架患者的症状评估提供科学的工具。方法采用Brislin翻译原则,按照量表直译、回译、专家委员会讨论及预实验完成问卷的文化调适,形成中文版USSQ。采用便利抽样法,选取2018年4月—2019年2月乌鲁木齐市3所三级甲等医院泌尿外科留置输尿管支架的485例住院患者作为研究对象,运用中文版USSQ进行问卷调查,分析、检验问卷的条目内容及信效度。结果共收回有效问卷462份。项目分析结果提示中文版USSQ中性生活领域的条目S1和S2应删除(P>0.05),但从问卷结构的合理性考虑,条目S1给予保留。中文版问卷的Cronbach's α系数为0.923,泌尿系统症状、身体疼痛、总健康状况、工作表现、性生活及附加问题6个维度的Cronbach's α系数为0.703-0.918,重测信度为0.885,6个维度的重测相关系数为0.338-0.849(P<0.05),分半信度为0.628;问卷的总内容效度为0.887。通过探索性因子分析,9个主因子累积方差贡献率为68.995%;相关性分析除性生活维度与其他维度的相关系数为0.014-0.101(P>0.05),其他各维度相关系数为0.406-0.629(P<0.01);校标效度的检测结果显示,问卷各维度与国际前列腺症状评分、尿失禁生活质量问卷及健康调查简表的校标关联系数为0.35-0.49(P<0.01)。结论中文版USSQ除了性生活维度外,其他各维度的症状评估具有良好的信效度,可为国内留置输尿管支架患者相关症状的调查和改善提供依据。Objective To evaluate the reliability and validity of Chinese version of Ureteral Stent-Related Symptom Questionnaire(USSQ)so as to provide a scientific tool for the symptom assessment of patients with indwelling ureteral stents.Methods Following the translation principle of Brislin,the cultural adjustment of the questionnaire was completed according to the process of literal translation of the scale,back translation,expert committee discussion and pre-experiment,and the Chinese version of USSQ was formed.Inpatients with ureteral stents in the Urology Departments of 3 ClassⅢGrade A hospitals in Urumqi from April 2018 to February 2019 were selected as research objects,and 485 questionnaires were collected by analyzing and testing the items and reliability and validity of the questionnaire.Results Finally,462 valid questionnaires were collected.The analysis results of the project suggested that the two items of S1 and S2 in the Chinese version of USSQ in the field of sexual life could be deleted(P>0.05),however,considering the rationality of the structure of the questionnaire,S1 should be retained.Cronbach's αcoefficient of the questionnaire was 0.923,Cronbach's αcoefficient of the six dimensions of urinary symptoms,physical pain,total health status,work performance,sexual life and additional problems was 0.703 to 0.918,retest reliability was 0.885,retest correlation coefficient of the six dimensions was 0.338 to 0.849(P<0.05),and half reliability was 0.628.The content validity of the questionnaire was 0.887.Through exploratory factor analysis,the cumulative variance contribution rate of the nine principal factors was 68.995%.In the correlation analysis,except for the correlation coefficients in the field of sexual life and other fields were from 0.014 to 0.101(P>0.05),the correlation coefficients in other dimensions were from 0.406 to 0.629(P<0.01).The test results of criterion validity showed that the correlation coefficients of each dimension of the questionnaire with International Prostate Symptom Score(IPS

关 键 词：泌尿科 医院 输尿管支架 相关症状 问卷汉化 信度 效度 

分 类 号：R473.6[医药卫生—护理学]