The Chinese version of the revised Diabetes Distress Scale for adults with type 2 diabetes:Translation and validation study  

修订版糖尿病痛苦量表的汉化及验证研究

作　　者：Yu-Yun Zhang Wei Li Yu Sheng 张玉筠;李伟;绳宇(School of Nursing,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing,China;Department of Endocrinology,Peking Union Medical College Hospital,Beijing,China)

机构地区：[1]School of Nursing,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing,China [2]Department of Endocrinology,Peking Union Medical College Hospital,Beijing,China

出　　处：《International Journal of Nursing Sciences》2022年第2期243-251,I0009,共10页国际护理科学（英文）

摘　　要：Objectives:This study aimed to translate the revised 17-item Diabetes Distress Scale(DDS17,2017)into mandarin(simplified)Chinese and validate the Chinese version of DDS17(C-DDS17,2021)among adult patients with type 2 diabetes in China.Methods:A scale translation and cross-sectional validation study was conducted.The DDS17 was translated into mandarin(simplified)Chinese through a five-step process:authorization,forward translation,synthesis,back translation,and amendment.During this session,59 patients assessed the understandability and readability of the translated scale.From June 7 to September 4,2021,a cross-sectional study that adhered to the COSMIN checklist was conducted with 400 individuals with type 2 diabetes from three Class A tertiary comprehensive hospitals in Beijing,China.The content,construct,convergent,discriminant validity,and reliability(Cronbach’s a coefficient and item-total correlation coefficients)of the C-DDS17 were evaluated.This study was a part of a project registered in the Chinese Clinical Trial Registry(no.ChiCTR2100047071).Results:Among the participants,33.3%(133/400)of them experienced moderate to high diabetes distress.The content validity indices of the C-DDS17 equaled 1.00.The scale yielded a four-factor structure.The average variances extracted were 0.42e0.57,which was lower than squared correla-tions.Cronbach’s a coefficient was 0.88 for the overall scale and ranged from 0.76 to 0.81 for sub-scales.Corrected item-total correlation coefficients ranged from 0.42 to 0.61.The eighth item(“Feeling that I am often failing with my diabetes routine”)was better fit to physician distress than regimen distress but had little influence on the validation results.Conclusions:The C-DDS17 is a reliable and valid instrument for assessing diabetes distress in patients with type 2 diabetes.It is a promising instrument for early identification and management of diabetes distress in clinical practice and trials.目的本研究旨在汉化修订版糖尿病痛苦量表[17-item Diabetes Distress Scale,DDS17,English(US)2017],并在中国2型糖尿病成人患者中验证中文版糖尿病痛苦量表(C-DDS17,2021)。方法对DDS17量表进行翻译,并通过横断面研究验证C-DDS17。通过授权、正译、整合、回译和修订5个步骤汉化修订版DDS-17。在修订过程中,对59例患者进行调查以评估中文版量表的可理解性和可读性。2021年6月至9月,选取北京3所三级甲等综合医院的400例2型糖尿病成人患者作为研究对象。效度包括内容效度、结构效度、收敛效度和判别效度;信度包括Cronbach'sα系数和条目-总量表相关系数。量表翻译和验证过程符合COSMIN清单的要求,研究项目已在中国临床试验注册中心注册(ChiCTR2100047071)。结果33.3%(133/400)的研究对象存在中重度糖尿病痛苦。C-DDS17的内容效度为1.00。因子分析显示该量表包括4个分量表。量表的平均提取方差值(0.42~0.57)低于相关系数平方。总量表的Cronbach'sα系数为0.88,分量表的Cronbach'sα系数为0.76~0.81。校正后的条目-总量表相关系数0.42~0.61。因子分析显示,第8个条目“感觉我的糖尿病常规工作经常失败”更应归于医生相关痛苦这一因子,而不应归于治疗方案相关痛苦这一因子,但该条目的因子分组对量表信效度结果几乎无影响。结论C-DDS17是评估中国2型糖尿病患者糖尿病痛苦的可靠且有效的工具,可用于在临床实践和试验中早期识别和管理糖尿病痛苦。

关 键 词：China Diabetes distress Patents PSYCHOMETRICS Type 2 diabetes 

分 类 号：R473.5[医药卫生—护理学]