儿童环境健康知识和技能问卷的汉化及信效度分析  

Translation and psychometric validation of Children’s Environmental Health Questionnaires

作　　者：苗康康 陈勤[1] MIAO Kang-kang;CEHN Qin(School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,China)

机构地区：[1]郑州大学护理与健康学院,河南郑州450001

出　　处：《护理学报》2023年第2期17-22,共6页Journal of Nursing（China）

摘　　要：目的汉化儿童环境健康知识问卷和儿童环境健康技能问卷,并依据项目反应理论验证其信度效度。方法便利选取河南省某高校的316名本科护生为研究对象。运用经翻译、文化调试形成的中文版儿童环境健康知识与技能问卷进行问卷调查。基于项目反应理论的Rasch模型及评定量表模型对问卷进行评价。结果残差主成分分析与验证性因子分析残差相关分析结果显示,2个问卷均满足单维性与局部独立性假设。知识问卷的条目信度为0.970,个体信度为0.810。技能问卷的条目信度为0.930,个体信度为0.910。知识问卷的重测信度值为0.917,技能问卷的重测信度值为0.952。儿童环境健康知识内容效度为0.960,儿童环境健康技能内容效度为1.000。2个问卷的难度设置合理,数据与模型拟合程度较为理想。结论2个问卷具有良好的心理测量特征,可以准确测量护生的儿童环境健康知识及技能水平,并对不同水平的护生及进行适当区分。Objective To translate Children’s Environmental Health Knowledge Questionnaire(ChEHK-Q)and Children’s Environmental Health Skills Questionnaire(ChEHS-Q)for nursing students in China,and to psychometrically validate them based on item response theory.Methods ChEHK-Q and ChEHS-Q were translated and culturally adapted.A total of 316 nursing undergraduates from a university in Henan province were conveniently selected and surveyed by using the two questionnaires.The Rasch model and rating scale model based on item response theory were used to evaluate the questionnaire.Results Principal component analysis of residuals and confirmatory factor analysis showed that the two questionnaire satisfied unidimensionality assumption and local Independence assumption.The item reliability of the knowledge questionnaire was 0.970,and the individual reliability was 0.810.The item reliability of the skill questionnaire was 0.930,and the individual reliability was 0.910.The retest reliability of the knowledge questionnaire was 0.917,and the skill questionnaire was 0.952.CVI of ChEHK-Q was 0.960,and that of ChEHS-Q was 1.000.The difficulty of the two questionnaires is reasonable,and the data and model fit well.Conclusion ChEHK-Q and ChEHS-Q are reliable and valid instrument with satisfactory psychometric properties for nursing students in China.It helps to distinguish different level of knowledge or skills of children’s environmental health in nursing students.

关 键 词：护生 RASCH模型 儿童 环境健康 信效度 

分 类 号：R473.72[医药卫生—护理学]