妊娠期糖尿病女性生活质量问卷的汉化和信效度检验  

Reliability and validity of the Chinese version of Quality of Life Questionnaire for Women with Gestational Diabetes Mellitus

作　　者：荆伟丽[1] 赵振寰[2] 傅蓉[3] 孙雪梅[4] 樊筱瑜 Jing Weili;Zhao Zhenhuan;Fu Rong;Sun Xuemei;Fan Xiaoyu(Intensive Care Unit,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Pharmacy,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Anesthesiology,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Emergency Department,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Medical office,the Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院重症医学科,青岛266000 [2]青岛大学附属医院药学部,青岛266000 [3]青岛大学附属医院麻醉科,青岛266000 [4]青岛大学附属医院急诊科,青岛266000 [5]青岛大学附属医院医务处,青岛266000

出　　处：《中华现代护理杂志》2021年第5期636-640,共5页Chinese Journal of Modern Nursing

摘　　要：目的翻译并修订妊娠期糖尿病女性生活质量问卷(GDMQ-36),并对其信效度进行检验。方法采用Brislin翻译模式对GDMQ-36进行正译和回译;通过德尔菲法和预调查法对翻译的问卷进行文化调适和修订形成GDMQ-34;2020年1—5月,使用该问卷对在青岛市某4所三甲医院产科就诊的220例妊娠期糖尿病(GDM)患者进行生活质量调查,评价问卷的信效度。结果共发放问卷220份,有效回收203份,有效回收率为92.3%。中文版GDMQ-34共34个条目,包括妊娠担忧、行为约束、躯体症状、心理症状、药物治疗、社会支持6个维度。中文版GDMQ-34总的Cronbach'sα系数为0.772,重测信度为0.820,各维度的Cronbach'sα系数依次为0.855、0.902、0.868、0.880、0.896、0.880。问卷平均量表水平的内容效度指数为0.982,条目水平的内容效度指数为0.867~1.000。探索性因子分析共提取出7个公因子,累计方差贡献率为68.591%。结论中文版GDMQ-34信度、效度良好,具有科学性和实用性,可作为妊娠期糖尿病患者评估生活质量的简易工具。Objective To translate and revise the Quality of Life Questionnaire for Women with Gestational Diabetes Mellitus(GDMQ-36),and test its reliability and validity.Methods Brislin translation mode was used to translate the GDMQ-36 forward and back.Cultural adjustment and revision of the translated questionnaire were conducted through Delphi method and pre-survey method to form GDMQ-34.From January to May 2020,the questionnaire was used to conduct quality of life survey on 220 patients with gestational diabetes mellitus(GDM)in the Obstetrics Department of four ClassⅢGrade A hospitals in Qingdao to evaluate its reliability and validity.Results A total of 220 questionnaires were issued and 203 were effectively returned,with an effective recovery rate of 92.3%.The Chinese version of GDMQ-34 had 34 items,including 6 dimensions of pregnancy worry,behavioral restraint,physical symptoms,psychological symptoms,medications and social support.The total Cronbach'sαcoefficient of the Chinese version of GDMQ-34 was 0.772,and the test-retest reliability was 0.820,and the Cronbach'sαcoefficients of each dimension were 0.855,0.902,0.868,0.880,0.896 and 0.880 respectively.The content validity index at the average scale level of the questionnaire was 0.982,and the content validity index at the item level was from 0.867 to 1.000.The exploratory factor analysis extracted 7 common factors,and the cumulative variance contribution rate was 68.591%.Conclusions The Chinese version of GDMQ-34 has good reliability and validity,and it is scientific and practical,and can be used as a simple tool for evaluating the quality of life of patients with GDM.

关 键 词：糖尿病 妊娠期 生活质量 信度 效度 

分 类 号：R473.71[医药卫生—护理学]