心脏影响否认量表在急性心肌梗死人群中的信度效度检验  

Reliability and validity of a Chinese Version of Cardiac Denial of Impact Scale among patients with acute myocardial infarction

作　　者：李宇航 丁洁 潘江其 王真 屠荣祥 吴珩[4] 马文林[5] LI Yu-hang;DING Jie;PAN Jiang-qi;WANG Zhen;TU Rong-xiang;WU Heng;MA Wen-lin(Tongji University School of Medicine,Shanghai 200092,China;Dept.of Cardiology,Shanghai Pudong New Area District Gongli Hospital,Shanghai 200135,China;Dept.of General Medicine,Nanjing Jiangning Hospital,Nanjing 211100,China;Dept.of Psychosomatic,Tongji Hospital,Tongji University School of Medicine,Shanghai 200065,China;Dept.of Geriatrics,Tongji Hospital,Tongji University School of Medicine,Shanghai 200065,China)

机构地区：[1]同济大学医学院,上海200092 [2]上海市浦东新区公利医院心血管内科,上海200135 [3]南京市江宁医院全科医学科,南京211100 [4]同济大学附属同济医院心身科,上海200065 [5]同济大学附属同济医院老年科,上海200065

出　　处：《同济大学学报（医学版）》2020年第5期592-597,共6页Journal of Tongji University(Medical Science)

基　　金：上海市科学技术委员会科研计划项目(16411965500)。

摘　　要：目的在急性心肌梗死(acute myocardial infarction,AMI)患者中,对中文版的心脏影响否认量表(CDIS)进行信度和效度检验。方法在上海市4家医院连续收集AMI患者296例,采用中文版CDIS、多维度健康控制诊断量表(MHLC)、广泛性焦虑量表(GAD-7)和世界卫生组织幸福指数量表(WHO-5)等进行评估。对中文版CDIS的各条目进行项目分析,信度检验包括Cronbach'sα系数和分半信度,效度检验包括探索性因子分析、内部相关性分析和效标效度。结果有效回收问卷260份,CDIS平均得分为24.97分。否认与非否认组患者各条目间差异均有统计学意义(P<0.05)。各条目得分与总分间的相关系数为0.35~0.71(P<0.01)。量表包含3个主要因子,累计方差贡献率为62.22%,各因子与总分间的相关系数为0.62~0.87(P<0.01)。量表的Cronbach'sα系数为0.69,分半信度为0.62。CDIS总分与WHO-5幸福指数(r=0.179,P=0.04)、MHLC中的内控量表(r=0.22,P<0.001)和机遇控量表(r=0.146,P=0.19)得分正相关,与GAD-7得分(r=-0.243,P<0.001)负相关。结论CDIS在AMI患者中具有一定的信度和效度,可用于AMI患者心脏影响否认相关的研究。Objective To assess the reliability and validity of a Chinese version of Cardiac Denial of Impact Scale(CDIS)among acute myocardial infarction(AMI)patients.Methods A total of 296 AMI patients were enrolled from 4 hospitals in Shanghai.The patients were assessed with a Chinese version of CDIS.The psychological control of health,anxiety symptoms and well-being index of patients were assessed with the multidimensional health locus of control scale(MHLC)(including internal health locus of control,IHLC;powerful others health locus of control,PHLC and chance health locus of control,CHLC),generalized anxiety disorder-7(GAD-7)and world health organization well-being index(WHO-5),respectively.Reliability and validity of the Chinese version of CDIS were analyzed;the Cronbach'sαcoefficient and split-half reliability were used for reliability test;exploratory factor analysis,internal correlation analysis and criterion-related validity were used for validity tests.Results A total of 260 valid questionnaires were recovered.The average score of CDIS was 24.97;there were significant differences in the scores of eight items in CDIS between denying and non-denying patients(P<0.05).The correlation coefficient between the scores of each item and the total score was 0.350.71,indicating a positive correlation(P<0.01).Cronbach'sαcoefficient and split-half reliability of the scale were 0.69 and 0.62 respectively.The Chinese version of CDIS included 3 factors and the load factors was 0.620.87 and accumulated variance contribution rate was 62.22%.The total score of CDIS was positively correlated with the WHO-5(r=0.179,P=0.04),IHLC(r=0.22,P<0.001),and CHLC(r=0.146,P=0.19),while was negatively correlated with GAD-7(r=-0.243,P<0.001).Conclusion The Chinese version of CDIS has acceptable reliability and validity,and is capable for research on population with cardiac denial in China.

关 键 词：心脏影响否认量表 急性心肌梗死 信度 效度 

分 类 号：R542.22[医药卫生—心血管疾病]