患者自主意愿量表中文版评估住院患者的效度和信度  

Validity and reliability of the Chinese version of the Autonomy Preference Index among inpatients

作　　者：罗碧华[1,2,3] 周薇[4] 贾姣姣[5] 陈勇 龙开炳 余小强[8] 肖水源[3] LUO Bihua;ZHOU Wei;JIA Jiaojiao;CHEN Yong;LONG Kaibing;YU Xiaoqiang;XIAO Shuiyuan(National Clinical Research Center for Metabolic Diseases,Department of Metabolism and Endocrinology,The Second Xiangya Hospital,Central South University,Changsha 41011,China;Clinical Nursing Teaching and Research Section,The Second Xiangya Hospital,Central South University,Changsha 410011,China;Xiangya School of Public Health,Central South University Changsha 410078,China;Health Management Center Xiangya Hospital Central South University,Changsha 410008,China;Hunan Matermal and Child Health Hospital,Reproduction Medicine Center,Changsha 410008,China;Hunan Cancer Hospital,Changsha 410007,China;Hunan Aerospace Hospital,Changsha 410205,China;School of Foreign Languages,Hunan University,Changsha,410082,China)

机构地区：[1]国家代谢性疾病临床医学研究中心,中南大学湘雅二医院代谢内分泌科,长沙410011 [2]中南大学湘雅二医院临床护理学教研室,长沙410011 [3]中南大学湘雅公共卫生学院,长沙410078 [4]中南大学湘雅医院健康管理中心,长沙410008 [5]湖南省妇幼保健院生殖医学中心,长沙410008 [6]湖南省肿瘤医院,长沙410007 [7]湖南航天医院,长沙410205 [8]湖南大学外国语学院,长沙410082

出　　处：《中国心理卫生杂志》2023年第10期899-905,共7页Chinese Mental Health Journal

基　　金：湖南省公职人员常见慢性非传染性疾病前瞻性队列研究(2016YFC0900802);湖南省卫生健康委科研计划项目(202214013311)。

摘　　要：目的:引进患者自主意愿量表(API)并检验其效度和信度。方法:选取住院患者720人(样本1)进行条目分析、探索性因子分析和内部一致性检验;另外选取住院患者600人(样本2)进行验证性因子分析;在样本1中,随机选取60名患者进行间隔1周的重测。结果:API中文版共16个条目,探索性因子分析提取一般决策意愿、情境决策意愿、信息寻求意愿3个公因子,各条目因子负荷为0.47~0.83,累积解释总方差的54.78%;验证性因子分析结果显示三因子结构拟合可以接受(GFI=0.84,AGFI=0.78,CFI=0.86,NFI=0.85,RMSEA=0.08)。总量表的Cronbachα系数为0.80,3个因子的Cronbachα系数为0.65,0.91,0.89;总量表的重测信度(ICC)为0.67,3个因子的分别为0.55,0.78,0.54。结论:患者自主意愿量表中文版(API-C-16)符合心理测量学标准,可用于评估患者参与临床决策自主意愿程度。Objective:To translate the English version of the Autonomy Preference Index(API)into Chinese,and to test the validity and reliability of Chinese version of API.Methods:A total of 720 inpatients(sample 1)were recruited from six hospitals in Changsha,China.The sample 1 data was used for item analysis,exploratory factor analysis,and internal consistency reliability test.A total of 600 inpatients were recruited randomly from a general hospital(sample 2).The sample 2 data was used for confirmatory factor analysis scale structure validity.Sixty inpatients of sample 1 were randomly selected and retested 1 week later.Results:There were 16 items in the revised API scale,and three factors including general decision making preferences(GDMP),vignettes decision making preferences(VDMP)and information seeking preferences(ISP)were extracted by exploratory factor analysis,factor loadings of each item ranged from 0.47 to 0.83,and 54.78%of the total variances were explained.The confirmatory factor analysis revealed a good model fit(GFI=0.84,AGFI=0.78,CFI=0.86,NFI=0.85,RMSEA=0.08).An analysis of internal consistency yielded Cronbach'sacoefficients were 0.80 for the whole scale,and 0.65,0.91,0.89 for the three factors of GDMP,VDMP and ISP,respectively.And the retest reliabilities were 0.67 for the whole instrument,and 0.55,0.78,and 0.54 for the three factors respectively.Conclusion:The Chinese version of the Autonomy Preference Index(API-C-16)is proved to be reliable and eligible.It could be used to assess the degree of the patient's decision making and information-seeking preference in clinical situation.

关 键 词：患者自主 临床决策 信息寻求 效度 信度 

分 类 号：B841.7[哲学宗教—基础心理学]