间歇性导尿插管困难调查问卷的汉化和信效度检验  

Reliability and validity of the Chinese version of Intermittent Catheterization Difficulty Questionnaire

作　　者：秦素芳[1] 崔甜恬 高凯霞[1] 张彬[1] 田卓伦 高俊平[1] 翟晓梅[1] 赵华[1] 田海燕[1] 王洁[1] Qin Sufang;Cui Tiantian;Gao Kaixia;Zhang Bin;Tian Zhuolun;Gao Junping;Zhai Xiaomei;Zhao Hua;Tian Haiyan;Wang Jie(Department of Urology,First Hospital of Shanxi Medical University,Taiyuan 030000,China;School of Nursing,Shanxi Medical University,Taiyuan 030000,China;Kangda College,Nanjing Medical University,Lianyungang 222000,China)

机构地区：[1]山西医科大学第一医院泌尿外科,太原030000 [2]山西医科大学护理学院,太原030000 [3]南京医科大学康达学院,连云港222000

出　　处：《中华现代护理杂志》2023年第30期4108-4115,共8页Chinese Journal of Modern Nursing

基　　金：山西医科大学第一医院院基金项目(YY2209)。

摘　　要：目的引进和翻译间歇性导尿插管困难调查问卷(ICDQ),并检验其在神经源性膀胱患者中应用的信度和效度。方法对英文版ICDQ进行翻译、回译、跨文化调试、专家咨询、预实验,形成中文版ICDQ。采用便利抽样法,于2022年10月选取山西医科大学第一医院收治并随访的248例神经源性膀胱清洁间歇性自我导尿患者为研究对象,采用中文版ICDQ进行调查。采用临界比值法进行项目分析;采用内容效度和结构效度分析检验问卷的效度;采用Cronbach'sα系数、折半信度系数、重测信度系数检验问卷的信度。本研究共发放问卷248份,回收有效问卷238份,问卷回收率为95.97%(238/248)。结果中文版ICDQ的Cronbach'sα系数为0.857,折半系数为0.711,重测信度系数为0.954;中文版ICDQ条目水平的内容效度指数为0.860~1.000,量表水平的内容效度指数为0.930。经探索性因子分析提取7个公因子,累计方差贡献率为77.38%,验证性因子分析结果RMSEA<0.080,GFI、AGFI、TLI、CFI均>0.800。结论中文版ICDQ通过验证性因子分析,问卷的模型拟合指标均达到了相应要求,表明该问卷的结构效度较高,整体模型拟合好,可作为神经源性膀胱患者清洁间歇性自我导尿困难的评估工具。Objective To translate the Intermittent Catheterization Difficulty Questionnaire(ICDQ)into Chinese,and to test its reliability and validity in neurogenic bladder patients.Methods After translation,back-translation,cross-cultural debugging,expert consultation and pre-investigation,a Chinese version of ICDQ was formed.A total of 248 patients with neurogenic bladder clean intermittent self-catheterization who were treated and followed up in the First Hospital of Shanxi Medical University in October 2022 were selected as research objects by the convenient sampling method,and the Chinese version of ICDQ was used for investigation.The critical ratio method was used for project analysis.Content validity and structure validity were used to test the validity of the questionnaire.Cronbach'sαcoefficient,split half reliability coefficient and retest reliability coefficient were used to test the reliability of the questionnaire.A total of 248 questionnaires were sent out in this study,and 238 were effectively collected,with a recovery rate of 95.97%(238/248).Results The Cronbach'sαcoefficient of the Chinese version of ICDQ was 0.857,the split half coefficient was 0.711,and the retest reliability coefficient was 0.954.The content validity index of the Chinese version of ICDQ item level was 0.860 to 1.000,and the content validity index of the scale level was 0.930.Seven common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 77.38%.The results of confirmatory factor analysis showed RMSEA<0.080,GFI,AGFI,TLI,CFI>0.800.Conclusions Through confirmatory factor analysis,the Chinese version of ICDQ shows that the model fitting indicators of the scale meet the corresponding requirements,indicating that the scale has high structural validity and overall model fitting.It can be used as an evaluation tool for intermittent self catheterization difficulties in patients with neurogenic bladder.

关 键 词：神经源性膀胱 清洁导尿 间歇性导尿 导尿困难 中文版 信度 效度 

分 类 号：R472[医药卫生—护理学]