临终关怀志愿服务动机量表汉化及信效度检验  

The Chinese Version of Inventory of Motivations for Hospice Palliative Care Volunteerism(IMHPCV):Reliability and Validity Assessment

作　　者：王健男 孙金明[2] WANG Jiannan;SUN Jinming(Schoolof Public Health/Institute of Medical Humanities,Nanjing Medical University,Nanjing 211166,China;School of Social Development,Langfang Normal University,Langfang 065000,China)

机构地区：[1]南京医科大学公共卫生学院医学人文研究院,江苏省南京市211166 [2]廊坊师范学院社会发展学院,河北省廊坊市065000

出　　处：《中国全科医学》2023年第36期4595-4601,共7页Chinese General Practice

基　　金：南京医科大学2022年度公共卫生学院第二批“双一流”建设科研创新项目(JX103SYL202200325)。

摘　　要：背景志愿者是临终关怀服务的重要人力资源,探索临终关怀志愿者的服务动机对处于发展初期的中国临终关怀事业具有重要意义。目的翻译并修订临终关怀志愿服务动机量表(IMHPCV),评价中文版IMHPCV的信效度及其在中国文化背景下的适用性,为将来的临终关怀志愿服务动机研究提供更准确、有效的工具和参考。方法邀请相关专家对IMHPCV进行直译、回译和调适,形成中文版IMHPCV的最终版本,于2019年6—7月,采用方便抽样法,通过手机微信将线上问卷发送至北京地区安宁疗护试点单位的负责人,并将线上问卷在其领域内扩散,将填写问卷的临床关怀志愿者作为研究对象,采用个人基本信息调查表、中文版IMHPCV和预调查阶段临终关怀志愿者、研究者考量后的新增动机条目调查表对其进行调查。通过探索性结构方程模型(ESEM)、计算因子载荷和Cronbach’sα系数等方法进行量表的结构效度和信度检验;并采用Pearson相关分析法分析中文版IMHPCV各维度的相关性。结果共回收有效问卷220份。因子结构结果显示,ESEM的拟合情况一般(χ^(2)=735.357,P<0.001);中文版IMHPCV中多数条目的因子负载>0.3,新增条目的因子负载均>0.5。各维度间的相关性分析结果显示,“利他”与“公民责任”“个人收获”呈负相关,与“自我发展”“休闲”呈正相关;“公民责任”与“自我发展”呈负相关,与“休闲”“个人收获”呈正相关;“自我发展”与“休闲”“个人收获”呈负相关;“休闲”与“个人收获”呈正相关(P<0.05)。内部一致性信度方面,中文版IMHPCV的Cronbach’sα系数为0.829;各个维度的得分相比,差异有统计学意义(F=49.842,P<0.001)。结论中文版IMHPCV具有较好的信效度,且在中国文化背景下有一定的适用性,但仍有较大的改进空间。新增条目虽不能替代原有量表的内容,却也显示了可能存在具有本土特色�Background Volunteers are essential human resources for hospice care.Exploring the service motivation of hospice care volunteers is of great significance to the early development of hospice care in China.Objective To translate and revise the Inventory of Motivations for Hospice Palliative Care Volunteerism(IMHPCV)and assess the the reliability and validity of the Chinese version of IMHPCV and its applicability in the Chinese cultural context,so as to provide a more accurate and valid tool and reference for future research on motivation to volunteer in hospice care.Methods The final version of Chinese version of IMHPCV was formed through literal translation,retroversion and adaptation by relevant experts.From June to July in 2019,the online questionnaire was sent to the directors of the pilot hospice careinstitutions by We Chat on cellphone and disseminated within their areas.The palliative care volunteers who completed the questionnaire were selected as the research subjects and investigated by the basic personal information questionnaire,the Chinese version of IMHPCV,new motivation questionnaire proposed by the hospice volunteers and considered by the researchers.The exploratory structural equation modeling(ESEM)and Cronbach'sαwere used to assess the reliability and validity of IMHPCV.Pearson correlation analysis was used to analyze the correlation of all dimensions of the Chinese version of IMHPCV.Results A total of 220 valid questionnaires were returned.The result of the exploratory structural equation modeling showed general fitting of the Chinese version of IMHPCV(χ^(2)=735.357,P<0.001).The factor loadings of most items were>0.3,and new items were>0.5.There sult of the correlation analysis among dimensions showed that altruism was negatively related to civic responsibility and personal gain,and positively related to self-promotion and leisure;Civic responsibility was negatively related to self-promotion,and positively related to leisure and personal gain;Self-promotion was negatively correlated with leisur

关 键 词：安宁缓和医疗 志愿者 动机 临终关怀 志愿服务 量表 信度 效度 

分 类 号：R473[医药卫生—护理学] R-05[医药卫生—临床医学] R395[哲学宗教—心理学]