简版自我分化量表的汉化及其在主动脉夹层患者中应用的信效度检验  

Localization of Brief Differentiation of Self Inventory-Revised Scale in patients with aortic dissection and its reliability and validity

作　　者：梅凌寒 周雁荣[1] 张舵 王萧萧 王兰 赵娅 赵睿怡 MEI Ling-han;ZHOU Yan-rong;ZHANG Duo;WANG Xiao-xiao;WANG Lan;ZHAO Ya;ZHAO Rui-yi(Dept.of Nursing Administration,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430000,China;School of Nursing,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430000,China)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,湖北武汉430000 [2]华中科技大学同济医学院护理学院,湖北武汉430000

出　　处：《护理学报》2024年第11期1-5,共5页Journal of Nursing（China）

基　　金：湖北省卫生健康委员会2023-2024年度科研项目(WJ2023M007);中华医学会杂志社2022-2023年护理学科研究课题(CMAPH-NRI2022063);2023年同济医院科研基金护理专项(HL202309)。

摘　　要：目的对简版自我分化量表进行汉化,并在主动脉夹层患者中进行信效度检验,为临床患者测量自我分化提供有效工具。方法基于Brislin翻译模式,对简版自我分化量表进行汉化、跨文化调适和预调查,形成中文版简版自我分化量表。方便抽样选取417例主动脉夹层患者进行问卷调查,分析中文版量表的信效度。结果中文版简版自我分化量表共5个维度,19个条目,Cronbachα系数为0.879,重测信度为0.949,折半信度为0.833。KMO值为0.825,Bartlett’s球形检验χ^(2)值为961.691。总量表的内容效度指数为0.960,探索性因子分析提取5个公因子,总方差累积贡献率为52.807%;验证性因子分析结果显示一阶模型各拟合指标均达标;二阶模型卡方自由度值(χ^(2)/df)为1.506,近似误差均方根值为0.050,比较拟合指数为0.905,增值拟合指数为0.908,简约规范拟合指数为0.656,简约适配度指数为0.773,表明二阶模型拟合度良好。结论中文版简版自我分化量较为简便且实用性强,信效度指标均在可接受的范围内,可较好地评估我国主动脉夹层患者的自我分化情况。Objective To localize the Brief Differentiation of Self Inventory-Revised Scale and to test its reliability and validity among patients with aortic dissection and their family members,so as to provide an effective tool for measuring self-differentiation of clinical patients.Methods Based on Brislin’s translation model,the Chinese version of the Brief Differentiation of Self Inventory-Revised Scale was formed through translation,cultural adaptation and pre-experimentation.Convenient sampling was used to select 417 patients with aortic dissection and their family members for the survey,and the reliability and validity of the Chinese version of the scale was analyzed.Results The Chinese version of the scale had 5 dimensions and 19 items,with a Cronbach’sαcoefficient of 0.879,a retest reliability of 0.949,and a split-half reliability of 0.833.The KMO value was 0.825;theχ^(2)value of Bartlett’s spherical test 961.691,and the average of All I-CVIs on the scale 0.960.The exploratory factor numerator extracted 5 common factors,and the cumulative contribution rate of total variance was 52.807%.Confirmatory factor analysis showed that the first-order model met the criteria for fit indicators;the second-order model had aχ^(2)/df of 1.506,an RMSEA of 0.050,a CFI of 0.905,an IFI of 0.908,a PNFI of 0.656,and a PCFI of 0.773,which showed the second-order model fit indicators being good.Conclusion The Chinese version of the Brief Differentiation of Self Inventory-Revised Scale is simple and practical,and the reliability indicators are all within an acceptable range,which could better assess the self-differentiation of patients and their family members in China.

关 键 词：自我分化 鲍温家庭系统理论 主动脉夹层 信度 效度 

分 类 号：R473.54[医药卫生—护理学]