糖尿病饮食决策平衡量表的汉化和信效度检验  

Chinese version of Decisional Balance Scale for Diabetes Diet and its reliability and validity test

作　　者：吴燕 黄晴茵[2] 李春[1] 孙宏玉[3] 陈文专[4] 向家艮[1] Wu Yan;Huang Qingyin;Li Chun;Sun Hongyu;Chen Wenzhuan;Xiang Jiagen(School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou 510006,China;Department of Endocrinology,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;School of Nursing,Peking University,Beijing 100191,China;Department of Endocrinology,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515041,China)

机构地区：[1]广州中医药大学护理学院,广州510006 [2]广州中医药大学第一附属医院内分泌科,广州510405 [3]北京大学护理学院,北京100191 [4]汕头大学医学院第二附属医院内分泌科,汕头515041

出　　处：《中华现代护理杂志》2022年第23期3096-3101,共6页Chinese Journal of Modern Nursing

基　　金：广东省哲学社会科学"十三五"规划2020年度学科共建项目(GD20XGL01);广东省中医药局科研项目(20202055);广州中医药大学2020年度人文社会科学项目专项扶持项目(2020SKXK03)。

摘　　要：目的汉化糖尿病饮食决策平衡量表(DB-DD)并进行跨文化调适和信效度检验。方法获得原量表作者的授权同意后,采用翻译-回译法对量表进行汉化,经专家咨询,认知访谈和预调查进行文化调适后,形成中文版DB-DD量表。采用便利抽样法,于2020年9月—2021年1月对广东省4所三甲医院内分泌科496例2型糖尿病患者进行问卷调查,评价量表信效度。本研究共发放496份问卷,回收有效问卷440份,有效回收率为88.7%。结果中文版DB-DD量表共12个条目,包含受益(6个条目)和受损(6个条目)2个维度。总量表的内容效度指数为0.98,条目水平的内容效度指数为0.86~1.00。中文版DB-DD总量表、受益分量表和受损分量表与糖尿病自我管理行为量表的相关系数分别为0.413、0.222和-0.221(P<0.001)。总量表和各分量表的Cronbach'sα系数为0.730~0.899,分半信度系数为0.725~0.856。总量表的重测信度系数为0.916,受益、受损分量表的重测信度系数为0.933和0.902。结论中文版糖尿病饮食决策平衡量表具有较好的信效度,可用于中国文化背景下糖尿病患者饮食决策平衡的评估。Objective To translate the Decisional Balance Scale for Diabetes Diet(DB-DD)into Chinese,and test its reliability and validity.Methods After obtaining the authorization of the author of the source scale,the scale was sinicized by translation and back translation method.After expert consultation,cognitive interview and pre-survey for cultural adjustment,the Chinese version of DB-DD scale was formed.From September 2020 to January 2021,a total of 496 patients with type 2 diabetes mellitus in endocrinology department of 4 ClassⅢGrade A hospitals in Guangdong province were surveyed by the convenient sampling method to evaluate the reliability and validity of the scale.A total of 496 questionnaires were sent out and 440 were effectively received,with the effective recovery of 88.7%.Results There were 12 items in the Chinese DB-DD,including 2 dimensions of benefit(6 items)and damage(6 items).The content validity index of the total scale was 0.98,and the content validity index of the item level was 0.86 to 1.00.The correlation coefficients of the Chinese version of DB-DD total scale,benefit subscale and impairment subscale and diabetes self-management behavior scale were 0.413,0.222 and-0.221,respectively(P<0.001).The Cronbach'sαcoefficients of the total scale and each subscale were 0.730-0.899 and the split-half reliability coefficients were 0.725-0.856.The test-retest reliability coefficient of the total scale was 0.916 and the test-retest reliability coefficients of the benefit and damage subscales were respectively 0.933 and 0.902.Conclusions The Chinese version of Decisional Balance Scale for Diabetes Diet has good reliability and validity,which can be used to evaluate the dietary decision balance of diabetic patients in the Chinese cultural context.

关 键 词：糖尿病 饮食 决策平衡 慢性病管理 信度 效度 

分 类 号：R587.1[医药卫生—内分泌]