牙科焦虑与恐惧指数量表的汉化及信效度检验  

Sinicization of the Index of Dental Anxiety and Fear Scale and the test of reliability and validity

作　　者：周萍 谭艳玲 龙彦汝 占莉琳[1] Zhou Ping;Tan Yanling;Long Yanru;Zhan Lilin(Department of Nursing,the Affiliated Stomatological Hospital of Nanchang University,the Key Laboratory of Oral Biomedicine,Jiangxi Province,Jiangxi Province Clinical Research Center for Oral Diseases,Nanchang 330006,China)

机构地区：[1]南昌大学附属口腔医院护理部、江西省口腔生物医学重点实验室、江西省口腔疾病临床医学研究中心,南昌330006

出　　处：《中国实用护理杂志》2023年第28期2161-2166,共6页Chinese Journal of Practical Nursing

基　　金：江西省卫生健康委科技计划项目(202210668)。

摘　　要：目的对英文版牙科焦虑与恐惧指数(IDAF-4C^(+))量表进行汉化,并检验其信效度。方法按照Brislin翻译模式对量表进行直译、回译,以及文化调适和预调查,形成中文版IDAF-4C^(+)量表;采用便利抽样法,选取2021年10月至2022年1月南昌大学附属口腔医院门诊患者进行调查,验证量表的信效度。结果中文版IDAF-4C^(+)包含3个模块(核心焦虑模块、恐惧模块、应激模块),共23个条目,其中核心焦虑模块包含认知、生理、行为和情感4个维度。各条目内容效度指数为0.8~1.0,总量表内容效度指数为0.913;结构效度为0.903,焦虑模块探索性因子分析共提取1个公因子,累计方差贡献率为72.037%;验证性因子分析结果显示模型拟合良好,各适配指标均达标;以改良牙科焦虑量表(MDAS)为效标,IDAF-4C模块与MDAS的相关系数为0.66;该量表的Cronbachα系数为0.913,重测信度为0.923。结论中文版IDAF-4C^(+)具有良好的信效度,可作为口腔患者牙科焦虑与恐惧水平的测量和评估工具。Objective To sinicize the Index of Dental Anxiety and Fear(IDAF-4C^(+)),and to test its reliability and validity.Methods According to the Brislin translation model,the literal translation,back translation,cultural adjustment and pre-investigation of the scale were carried out to form the Chinese version of the IDAF-4C^(+)Scale,and the convenience sampling method was used to investigate the outpatients of the Affiliated Stomatological Hospital of Nanchang University from October 2021 to January 2022 to verify the reliability and validity of the scale.Results The Chinese version of the IDAF-4C^(+)Scale consisted of three modules(core anxiety module,fear module and stress module),with a total of 23 items,of which the core anxiety module included cognitive,physiological,behavioral and emotional dimensions.The content validity index of each item was 0.8-1.0,and the content validity index of the total scale was 0.913;the construct validity was 0.903,and a common factor was extracted by exploratory factor analysis of anxiety module.The contribution rate of cumulative variance was 72.037%.The results of confirmatory factor analysis showed that the model fitted well and all the adaptation indexes were up to the standard.Using the Modified Dental Anxiety Scale(MDAS)as the criterion,the correlation coefficient between IDAF-4C module and MDAS was 0.66,the Cronbachαcoefficient of the scale was 0.913,and the test-retest reliability was 0.923.Conclusions The Chinese version of the IDAF-4C^(+)Scale has good reliability and validity and can be used as a tool to measure and evaluate the level of dental anxiety and fear in oral patients.

关 键 词：牙科治疗焦虑 牙科恐惧症 量表 信度 效度 

分 类 号：R473.78[医药卫生—护理学]