炎症性肠病残疾视觉模拟评估量表的汉化及信效度检验  

Translation of Disability Visual Analogue Scale score of inflammatory bowel diseases and test of its validation and reliability

作　　者：孙晋洁[1,2,3] 何伯圣 王银梅[1] 李炜炜 SUN Jinjie;HE Bosheng;WANG Yinmei;LI Weiwei(Department of Gastrointestinal Surgery,the Second Affiliated Hospital of Nantong University,Nantong,Jiangsu,226000;Department of Gastrointestinal Surgery,the First People's Hospital of Nantong in Jiangsu Province,Nantong,Jiangsu,226000;Department of Gastrointestinal Surgery,Nantong Hospital of Renji Hospital Affiliated to School of Medicine of Shanghai Jiao Tong Hospital,Nantong,Jiangsu,226000;Clinical Medical Research Center,the Second Affiliated Hospital of Nantong University,Nantong,Jiangsu,226000)

机构地区：[1]南通大学第二附属医院胃肠外科,江苏南通226000 [2]江苏省南通市第一人民医院胃肠外科,江苏南通226000 [3]上海交通大学医学院附属仁济医院南通医院胃肠外科,江苏南通226000 [4]南通大学第二附属医院临床医学研究中心,江苏南通226000

出　　处：《实用临床医药杂志》2024年第1期98-102,共5页Journal of Clinical Medicine in Practice

基　　金：江苏省南通市卫生健康委员会科研课题(指导性)立项项目(MSZ2022014);南京医科大学康达学院科研发展基金课题立项重点项目(KD2021KYJJZD008)。

摘　　要：目的对炎症性肠病残疾视觉模拟评估量表(IBD Disk)进行汉化和跨文化调适,并在炎症性肠病(IBD)患者中检验其信效度。方法基于改良版Brislin翻译模型,通过正译、回译、小组讨论和跨文化调适对IBD Disk进行汉化和跨文化调适。2022年1—12月,采用便利抽样法抽取299例IBD患者进行调查,验证量表的信效度。结果中文版IBD Disk共包括10个条目,各条目决断值为4.79~15.68(均>3.00),且P<0.05,说明各条目鉴别度较高;量表总Cronbach′s α系数为0.88,重测信度为0.87,说明该量表可重复性良好;验证性因子分析结果显示,该量表拟合程度理想;Pearson相关分析结果显示,IBD Disk总分与炎症性肠病残疾指数量表(IBD-DI)总分呈显著正相关(r=0.81,P<0.001),提示IBD Disk与IBD-DI存在良好相关性。结论中文版IBD Disk具有良好的信效度,适合用作中国文化背景下的IBD患者残疾评估工具。Objective To translate the Inflammatory Bowel Disease Disability Visual Analogue Scale(IBD Disk)into Chinese and conduct cross-cultural adaptation,and to test its reliability and validity among patients with inflammatory bowel disease(IBD).Methods Based on the modified Brislin translation model,the IBD Disk was translated into Chinese through forward translation,back translation,group discussion,and cross-cultural adaptation.From January to December 2022,a convenience sampling method was used to select 299 IBD patients for investigation to verify the reliability and validity of the Scale.Results The Chinese version of the IBD Disk includes 10 items,with decision values of 4.79 to 15.68(>3.00),and P value was less than 0.05,indicating high discriminatory power for each item;the total Cronbach's α coefficient of the scale was 0.88,and the test-retest reliability was 0.87,indicating a good reproducibility of the scale;confirmatory factor analysis results indicated that the scale had ideal fit;Pearson correlation analysis results indicated that the total score of the IBD Disk was significantly positively correlated with the total score of the Inflammatory Bowel Disease Disability Index Scale(IBD-DI)(r=0.81,P<0.001),suggesting good correlation between the IBD Disk and the IBD-DI.Conclusion The Chinese version of the IBD Disk has good reliability and validity,and is suitable to be used as a disability assessment tool for IBD patients in Chinese culture.

关 键 词：炎症性肠病 残疾 视觉模拟评估 患者报告结局 量表汉化 信度 效度 

分 类 号：R574[医药卫生—消化系统] R319[医药卫生—内科学] R44[医药卫生—临床医学]