中文版儿科症状筛查工具的信度与效度研究  

Reliability and validity of Symptom Screening in Pediatrics Tool in Chinese

作　　者：黄佳颖 张静 梁丽婵[2] 孟江南[3] 叶红雨 王为杰 朱文婷 史蕾[1] HUANG Jiaying;ZHANG Jing;LIANG Lichan;MENG Jiangnan;YE Hongyu;WANG Weijie;ZHU Wenting;SHI Lei(School of Nursing,Southern Medical University,Guangzhou 510515,China;Department of Pediatric Hematology,Zhujiang Hospital Southern Medical University,Guangzhou 510260,China;Department of Pediatrics,Nanfang Hospital Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学护理学院,广州510515 [2]南方医科大学珠江医院小儿血液科,广州510260 [3]南方医科大学南方医院儿科,广州510515

出　　处：《中国循证儿科杂志》2023年第6期442-446,共5页Chinese Journal of Evidence Based Pediatrics

基　　金：广州市科技计划项目:202201011758;深圳市“医疗卫生三名工程”项目:SZZYSM202108013。

摘　　要：背景癌症患儿治疗过程中面临不同程度的症状困扰,科学、快速、准确地评估患儿真实症状对于临床干预尤为重要。目的引进英文版儿科症状筛查工具(SSPedi),并在癌症患儿及其父母中检验量表信效度。设计横断面研究。方法采用Brislin翻译模型对SSPedi汉化翻译,行跨文化调适和预调查后形成中文版SSPedi患儿自评版(SSPedi-C)和SSPedi父母代评版(SSPedi-P)。正式调查选取2022年12月1日至2023年5月26日在南方医科大学南方医院儿科和南方医科大学珠江医院小儿血液科住院治疗的8~18岁癌症患儿及其父或母。在患儿入院当天或第2天,由1名经统一培训的调查人员进入病房,向患儿及其父母分别发放和回收纸质版中文版SSPedi-C和SSPedi-P。问卷数据由调查人员当天录入、核对后行项目分析和信、效度分析。主要结局指标中文版SSPedi-C和SSPedi-P的信度和效度指标。结果220例(95.6%)有效问卷进入本文分析,220例癌症患儿年龄8~17(11.3±2.3)岁,男130例(59.1%),女90例。患儿父或母年龄28~59(40.2±5.2)岁;量表填写人为父亲50名(22.7),母亲170名。项目分析:中文版SSPedi-C和SSPedi-P的15个条目临界比值分别为3.987~8.824和4.817~13.829,P均<0.001;条目与量表总分的相关系数分别为0.431~0.701(P均<0.001)和0.482~0.787(P均<0.001)。信度分析:中文版SSPedi-C和SSPedi-P总Cronbach’sα系数分别为0.877和0.893,折半信度分别为0.843和0.806。内容效度分析:两个量表条目内容效度指数及量表内容效度指数均为1.000。验证性因子分析:2个量表卡方自由度比均<3.000,近似误差均方根均<0.080,各项拟合指标均>0.900。结论中文版SSPedi在癌症患儿及其父母中具有良好的信效度,简便易行,可作为评估8~18岁癌症患儿症状困扰程度的工具。Background Children undergoing cancer treatment experience varying levels of symptom distress.It is crucial for clinical intervention that a scientific,rapid and accurate assessment is conducted to accurately identify the true symptoms in these children.Objective To introduce the Symptom Screening in Pediatrics Tool(SSPedi)and to test the reliability and validity of its Chinese version in children with cancer and their parents.Design Cross⁃sectional study.Methods The Brislin translation model was employed to covert the scale into Chinese.Six experts were enlisted to conduct cultural adjustments,and a pre⁃survey was executed to formulate the Chinese versions of SSPedi for children and parents(SSPedi⁃C and SSPedi⁃P).The formal survey targeted children aged 8⁃18 undergoing cancer treatment and their parents,who were hospitalized in the Department of Pediatrics at Nanfang Hospital of Southern Medical University and the Department of Pediatric Hematology at Zhujiang Hospital of Southern Medical University from December 1,2022,to May 26,2023.After obtaining consent from the hospital and relevant departments,a uniformly trained investigator from each hospital entered the ward on the day of admission or the following day to distribute SSPedi⁃C and SSPedi⁃P in Chinese to the children and their parents.After the questionnaire data were entered and verified by the investigators on the same day,item analysis,reliability analysis,and validity analysis were conducted.Main outcome measures The reliability and validity of the Chinese versions of SSPedi⁃C and SSPedi⁃P.Results A total of 220(95.65%)valid questionnaires were included in the analysis.The age of the 220 children with cancer ranged from 8 to 17 years old(11.26±2.28),with 130 males(59.1%)and 90 females.The parents'ages ranged from 28 to 59 years(40.15±5.23),comprising 50 fathers(22.7%)and 170 mothers.Item analysis revealed that the critical ratio for all 15 items in the Chinese versions of SSPedi⁃C and SSPedi⁃P were between 3.987⁃8.824(all P<0

关 键 词：癌症 自我报告 症状困扰 儿科症状筛查工具 量表汉化 

分 类 号：R72[医药卫生—儿科]