动画活动问卷用于膝骨关节炎患者的信效度检验  

Reliability and validity of Chinese version of Animated Activity Questionnaire in patients with knee osteoarthritis

作　　者：李楠雁 董广元 方睿 谭萍娟 卢芸 梁清钊 史蕾[1] Li Nanyan;Dong Guangyuan;Fang Rui;Tan Pingjuan;Lu Yun;Liang Qingzhao;Shi Lei(School of Nursing,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学护理学院,广东广州510515

出　　处：《护理学杂志》2024年第16期30-33,共4页Journal of Nursing Science

基　　金：广东省中医药局科研项目(20241198);深圳市“医疗卫生三名工程”项目(SZZYSM202108013)。

摘　　要：目的引进动画活动问卷,并检验其在膝骨关节炎患者中的信效度。方法通过直译、回译、文化调适和预调查对动画活动问卷进行汉化,形成中文版动画活动问卷。选取326例膝骨关节炎患者进行调查,以评价问卷信效度。结果中文版动画活动问卷包括步态与行走能力、日常动作行为能力2个维度17个条目。探索性因子分析提取2个公因子,累计方差贡献率为71.145%;验证性因子指标显示,χ2/df=2.976,RMSEA=0.095,NFI=0.917,IFI=0.943,TLI=0.931,CFI=0.943,GFI=0.856;条目水平的内容效度指数为0.833~1.000,问卷水平的内容效度指数为0.971。中文版动画活动问卷的总Cronbach′sα系数为0.954,Guttman折半信度为0.865。结论中文版动画活动问卷具有良好的信效度,适应于膝骨关节炎患者活动受限的评估工具。Objective To introduce the Animated Activity Questionnaire(AAQ)and test its reliability and validity in patients with knee osteoarthritis.Methods AAQ was translated into Chinese through forward translation,back translation,cultural adaptation and pre-survey to form the Chinese version of the Animated Activity Questionnaire.A total of 326 patients with knee osteoarthritis were selected for questionnaire survey to evaluate the reliability and validity of the questionnaire.Results The Chinese version AAQ consisted of 17 items which were factored into two dimensions:gait and walking ability,daily movement behavior capacity.Exploratory factor analysis extracted two common factors with a cumulative variance contribution rate of 71.145%.Confirmatory factor analysis showed the following results:χ^(2)/df=2.976,RMSEA=0.095,NFI=0.917,IFI=0.943,TLI=0.931,CFI=0.943,GFI=0.856,indicating acceptable overall model fit.The content validity index at the item level ranged from 0.833 to 1.000,and stood at 0.971 at the scale level.The Cronbach′sαcoefficient for the questionnaire was 0.954,and the Guttman split-half reliability coefficient was 0.865.Conclusion The Chinese version AAQ demonstrates good reliability and validity,making it a suitable assessment tool for evaluating activity limitations in patients with knee osteoarthritis in Chinese cultural context.

关 键 词：膝骨关节炎 活动受限 动画活动问卷 步态 行走能力 日常动作行为 信度 效度 

分 类 号：R473.6[医药卫生—护理学]