简易应对方式量表在女性尿失禁患者中的信效度检验  

Reliability and validity of simplified copying style questionnaire in female patients with urinary incontinence

作　　者：刘盼盼[1] 胡敏[1] 邢文龙 张桂青[1] LIU Panpan;HU Min;XINC Wenlong;ZHANG Guiqing(Department of Clinical Psychology,the First Affiliated Hospital of Shihezi University,Shihezi,Xinjiang,832008,China;Department of Rehabilitation Medicine,the First Affiliated Hospital of Shihezi University,Shihezi,Xinjiang,832008,China)

机构地区：[1]石河子大学第一附属医临床心理科,新疆石河子832008 [2]石河子大学第一附属医院康复医学中心,新疆石河子832008

出　　处：《新疆医学》2024年第4期415-419,426,共6页Xinjiang Medical Journal

基　　金：石河子大学第一附属医院青年基金(项目编号:QN202124);石河子大学科研项目(项目编号:ZZZC2022079)。

摘　　要：目的探讨简易应对方式量表(SCSQ)在女性尿失禁(UI)患者人群中的信效度。方法招募社区女性UI居民316人,进行SCSQ等量表的评估,用题总相关系数分析量表的项目,采用Cronbach'sα系数进行信度分析,相关分析检验校标效度,因子分析检验结构效度、聚敛效度、区分效度。结果SCSQ在女性UI患者中应用时,需要做适当修订,修订版SCSQ总量表Cronbach'sα为0.89,积极应对分量表Cronbach'sα为090,消极应对分量表Cronbach's α为0.75。积极应对维度分量表得分与SSRS得分成正相关(r=0.16,P<0.01);消极应对维度分量表得分与HAMD-24得分成正相关(r=0.18,P<0.01)、与HAMA-14得分成正相关(r=0.23,P<0.01)、与SSRS成负相关(r=-0.18,P<0.01)。模型适配良好(2/df=1.71,RMSEA=0.07,GFI=0.87,CFI=0.91,IFI=0.91,TLI=0.90)、聚敛效度达标(AVE=0.43/0.38,CR=0.90/0.78)、区分效度理想(两维度间具有显著的相关性,但相关性系数小于0.5,且小于AVE的平方根)。结论适当修订后的SCSQ在女性UI患者中信效度良好,可以用于女性UI患者应对方式的评估。Objective To investigate the reliability and validity of the Simplified Coping Style Questionnaire(SCSQ)in female patients with urinary incontinence(UI),and to provide a reference for the evaluation of coping style in female UI patients.Methods A total of 316 female UI residents in the community were recruited and evaluated through SCSQ and other scales.The total correlation coefficient of the questionnaire was used to analyze the items of the scale.Cronbach'sαcoefficient was used for reliability analysis,correlation analysis tested calibration validity,and factor analysis tested structural validity,convergence validity and discriminative validity.Results When SCSQ is applied in female UI patients,it needed to be revised appropriately.The revised Cronbach'sαof SCSQ total scale was 0.89,the positive coping scale Cronbach'sαwas 090,and the negative coping scale Cronbach'sαwas 0.75.Positive coping dimension subscale score was positively correlated with SSRS score(r=0.16,P<0.01).Negative coping dimension subscale score was positively correlated with HAMD-24 score(r=0.18,P<0.01),was positively correlated with the score of HAMA-14(r=0.23,P<0.01),was negatively correlated with SSRS(r=-0.18,P<0.01).The model fit well(C2/df=1.71,RMSEA=0.07,GFI=0.87,CFI=0.91,IFI=0.91,TLI=0.90),the convergent validity met criteria(AVE=0.43/0.38,CR=0.90/0.78),and the discriminative validity was ideal there was a significant correlation between the two dimensions,but the correlation coefficient was less than 0.5 and less than the square root of AVE.Conclusions Appropriately revised SCSQ has good reliability and validity in female UI patients,and it can be used to evaluate coping style of female UI patients.

关 键 词：简易应对方式量表 尿失禁 信度 效度 

分 类 号：R749.92[医药卫生—神经病学与精神病学]