2型糖尿病心理痛苦量表的汉化及信效度检验  

Localization of type 2 diabetes distress assessment system and its reliability and validity

作　　者：罗铎麟 杨春清 高萍 胡清文 徐小群[3] LUO Duo-lin;YANG Chun-qing;GAO Ping;HU Qing-wen;XU Xiao-qun(Cixi Biomedical Research Institute,Wenzhou Medical University,Ningbo 315300,China;The First Clinical Medical College of Wenzhou Medical University,Wenzhou 325035,China;The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325005,China)

机构地区：[1]温州医科大学慈溪生物医药研究院,浙江宁波315300 [2]温州医科大学第一临床医学院,浙江温州325035 [3]温州医科大学附属第一医院,浙江温州325005

出　　处：《护理学报》2024年第19期24-30,共7页Journal of Nursing（China）

摘　　要：目的汉化英文版2型糖尿病心理痛苦量表(Type 2 Diabetes Distress Assesment System,T2-DDAS)并检验其信效度。方法基于Brislin翻译模式对T2-DDAS量表进行翻译及跨文化调试。采用便利抽样法,2023年10月—2024年1月,调查410例2型糖尿病患者的心理痛苦程度,以检验中文版T2-DDAS量表的信效度。结果中文版T2-DDAS量表的内容效度指数为0.98;探索性因子分析提取7个公因子,累计方差贡献率86.63%,验证性因子分析结果显示,χ^(2)/df=2.29,RMSEA=0.08,CFI=0.94,TLI=0.92,IFI=0.94,GFI=0.86,NFI=0.89;核心量表Cronbachα系数为0.91,源量表各维度的Cronbachα系数为0.81~0.89。核心量表重测信度系数为0.90,源量表各维度重测信度为0.88~0.94。结论中文版T2-DDAS具有良好的信效度,可作为测量国内2型糖尿病患者心理痛苦水平的评估工具。Objective To translate the English version of the type 2 diabetes distress assessment system(T2-DDAS)into Chinese and to test its reliability and validity.Methods Translation and cross-cultural adaptation of the T2-DDAS was performed based on the Brislin model.Convenience sampling was used to select 410 patients with type 2 diabetes from October 2023 to January 2024 and they were investigated to test the reliability and validity of the Chinese version of T2-DDAS.Results The content validity index of the Chinese version of T2-DDAS was 0.98.The exploratory factor analysis extracted seven common factors with a cumulative variance contribution of 86.63%.Validation factor analysis showed thatχ^(2)/df=2.29,RMSEA=0.08,CFI=0.94,TLI=0.92,IFI=0.94,GFI=0.86,NFI=0.89.The Cronbach’s alpha coefficient of the core scale was 0.91,and the Cronbach’s alpha coefficient of the dimensions of the source scale ranged from 0.81 to 0.89.The re-test reliability coefficient of the core scale was 0.90,and the re-test reliability of the dimensions of the source scale ranged from 0.88 to 0.94.Conclusion The Chinese version of T2-DDAS has good reliability and validity,and it can be used as an assessment tool to measure the level of psychological distress of patients with type 2 diabetes mellitus in China.

关 键 词：2型糖尿病 心理痛苦 量表 信度 效度 德尔菲法 

分 类 号：R473.58[医药卫生—护理学] R471[医药卫生—临床医学]