健康教育效应量表的汉化及其在慢性病患者中的信度效度检验  

Translation and validation of health education impact Questionnaire among patients with chronic diseases

作　　者：吴松起 牛淑珍 王莉[2] 李睿 夏文婧 施雁[2] WU Songqi;NIU Shuzhen;WANG Li;LI Rui;XIA Wenjing;SHI Yan(School of Medicine,TongJi University,Shanghai,200092,China)

机构地区：[1]同济大学医学院,上海市200092 [2]同济大学附属第十人民医院护理部

出　　处：《中国护理管理》2024年第1期46-51,共6页Chinese Nursing Management

基　　金：国家自然科学基金面上项目(71774117)。

摘　　要：目的 :对健康教育效应量表进行汉化和文化调适,并在慢性病患者中检验其信度和效度,为评价患者健康教育效果提供工具。方法 :获得源量表作者授权后,严格按照翻译完整性程序形成中文版健康教育效应量表。采用便利抽样法,于2022年9月—12月选取上海市某三级甲等医院的413例慢性病患者为研究对象,并进行信度和效度检验。结果 :中文版健康教育效应量表包含40个条目,8个分量表,量表水平的平均内容效度指数(S-CVI/Ave)为0.956,条目水平的内容效度指数(I-CVI)为0.880~1.000;根据源量表结构对中文版健康教育效应量表进行验证性因子分析,结果显示修正后的八因子模型拟合良好。中文版健康教育效应量表总量表的Cronbach’s α系数为0.840,各分量表的Cronbach’s α系数为0.714~0.900;总量表的组合信度为0.810,各分量表的组合信度为0.750~0.895。结论 :中文版健康教育效应量表在慢性病患者中具有良好的信度、效度,可作为我国慢性病患者健康教育效应的有效测评工具。Objective:To translate and cross-culturally adapt the health education impact Questionnaire(heiQ)into Chinese and test its reliability and validity among patients with chronic diseases.Methods:The Chinese version of heiQ(heiQ-C)was developed in strict accordance with the Translation Integrity Procedure after the author's authorization,and 413 patients with chronic diseases were included from a tertiary grade A hospital in Shanghai to test its reliability and validity by convenience sampling.Results:The heiQ-C consisted of 40 items and 8 subscales.The Content Validity Index of the Scale(S-CVI/Ave)was 0.956,and the Content Validity Index(CVI)of each item ranged from 0.880 to 1.000.According to the structure of the original scale,the confirmatory factor analysis results of the heiQ-C showed that the modified eight-factor model fitted well with good model fitting index.The Cronbach'sαcoefficient of the whole heiQ-C was 0.840,and for each subscale ranged from 0.714 to 0.900.The overall composite reliability of the heiQ-C was 0.810,and for each subscale ranged from 0.750 to 0.895.Conclusion:The heiQ-C has good reliability and validity among patients with chronic diseases,and it can be used to evaluate health education impact for patients with chronic diseases in China.

关 键 词：健康教育 效应评价 量表 信度 效度 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]