心力衰竭患者照顾者自我护理贡献量表的汉化及信效度检验  

The sinicization of the European Heart Failure Self-care Behaviour Scale for Caregivers and the test of its reliability and validity

作　　者：王凯选 李培宇 王文远 王思义 时萧寒 刘志梅[1] WANG Kaixuan;LI Peiyu;WANG Wenyuan;WANG Siyi;SHI Xiaohan;LIU Zhimei

机构地区：[1]青岛大学附属青岛市市立医院护理部,青岛市266021 [2]青岛大学医学院松山医院急诊科 [3]青岛大学附属医院急诊重症监护室 [4]青岛大学护理学院 [5]山东大学护理学院

出　　处：《中华护理杂志》2022年第13期1585-1590,共6页Chinese Journal of Nursing

基　　金：青岛市2019年度医药科研指导计划(2019-WJZD013)。

摘　　要：目的汉化欧洲心力衰竭患者照顾者自我护理贡献量表(the European Heart Failure Self-care Behaviour Scale for Caregivers,EHFScBS-C),并检验其信效度。方法依照Brislin模型对原量表进行翻译和回译,经文化调适和预测试后,形成中文版EHFScBS-C。采用便利抽样法,2021年8月—11月对山东省3所三级甲等医院心力衰竭门诊就诊的336例慢性心力衰竭患者照顾者进行调查,并随机抽取34名照顾者于调查2周后通过电话或微信随访收集重测问卷资料,以评价该量表的信效度。结果中文版EHFScBS-C共9个条目,经探索性因子分析共提取2个公因子,分别命名为对医疗问题相关自我护理的贡献、对生活方式相关自我护理的贡献,累计方差贡献率为67.453%。验证性因子分析支持一阶二因子模型假设,各项拟合指标均在可接受水平。中文版EHFScBS-C条目的内容效度指数为0.83~1.00,量表的内容效度指数为0.97。量表总体的Cronbach’sα系数为0.873,重测信度为0.858。结论中文版EHFScBS-C具有良好的信效度,可作为评估照顾者对慢性心力衰竭患者自我护理贡献度的可靠工具。Objective To translate the European Heart Failure Self-care Behaviour Scale for Caregivers(EHFScBS-C)into Chinese,and to test its reliability and validity.Methods The English version of EHFScBS-C was translated into Chinese and back translated according to the Brislin model.The Chinese version of the scale was determined after cross-cultural adaptation and pre-experiment.A convenience sample of 336 caregivers of patients with chronic heart failure in outpatient settings of 3 tertiary hospitals in Shandong Province were investigated.The test-retest data of 34 caregivers were collected by the follow-up of telephone or Wechat.The reliability and validity of the scale were evaluated.Results The Chinese version of EHFScBS-C contained 9 items.Exploratory factor analysis showed that a total of 2 factors were extracted explaining 67.453%of the total variance,namely caregiver’s contributions to self-care related to medical issues and caregiver’s contributions to self-care related to lifestyle.Confirmatory factor analysis supported the hypothesis of first-order two-factor model,and all fitting indexes were at acceptable level.The item-level content validity index of the Chinese version of EHFScBS-C was 0.83~1.00,and the scale-level content validity index was 0.97.The Cronbach’sαcoefficient of the total scale was 0.873,and the test-retest reliability of the total scale was 0.858.Conclusion The Chinese version of EHFScBS-C has good reliability and validity,and it can be used as a reliable tool to evaluate caregiver contributions to heart failure self-care.

关 键 词：照顾者 心力衰竭 自我护理 贡献 信度 效度 

分 类 号：R473.5[医药卫生—护理学]