简版患者治疗体验和自我管理量表的汉化及其在2型糖尿病患者中的信效度检验  

Cross-cultural adaptation and validation of a simplified Chinese version of the patient experience with treatment and self-management scale

作　　者：林洁锐 林恺[1] 徐志杰 郭丽红 邹川[4] Lin Jierui;Lin Kai;Xu Zhijie;Guo Lihong;Zou Chuan(Department of General Practice,Family Medicine Center,the First Affiliated Hospital of Shantou University Medical College,Shantou 515041,China;Department of General Practice,the Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou 310009,China;Department of General Practice,Shantou Central Hospital,Shantou 515041,China;Department of General Practice,Chengdu Fifth People′s Hospital,Chengdu 611130,China)

机构地区：[1]汕头大学医学院第一附属医院全科医学分院全科医学科,汕头515041 [2]浙江大学医学院附属第二医院全科医学科,杭州310009 [3]汕头市中心医院全科医学科,汕头515041 [4]成都市第五人民医院全科医学科,成都611130

出　　处：《中华全科医师杂志》2025年第2期162-168,共7页Chinese Journal of General Practitioners

基　　金：广东省医学科学技术研究基金(A2023422);广东省科技专项资金(“大专项+任务清单”)(210713116871875);广东省教育科学规划课题(高等教育专项)(2022GXJK195);浙江省医药卫生科技计划项目(2024KY1026)。

摘　　要：目的汉化简版患者治疗体验和自我管理量表(Brief PETS)并检验其在2型糖尿病患者中的信效度。方法遵循Mapi指南对Brief PETS进行翻译及跨文化调适, 形成中文简版PETS。采用整群抽样法, 于2022年6—8月在我国4个不同类型区域的社区卫生服务中心招募2型糖尿病患者进行中文简版PETS和简体中文版治疗负担问卷(TBQ)调查, 以内部一致性信度和分半信度检验量表的信度, 以内容效度、关系效度、区分效度、结构效度检验量表的效度。结果中文简版PETS包括11个维度、32个条目, 各分别为医疗信息、药物、医疗预约、健康管理、药物副作用、饮食、运动、医疗费用、卫生健康系统、社会角色和身心疲惫。共回收答卷311份, 合格问卷289份被纳入分析。中文简版 PETS量表的Cronbach′s α系数为0.914, 折半信度系数为0.818。效度方面, 量表各个条目的内容效度指数为0.60~1.00, 整体水平的内容效度指数为0.84;关系效度显示中文简版 PETS总分与TBQ总分呈正相关(r=0.804, P<0.01);区分效度良好(P<0.01);探索性因子分析法提取了9个公因子, 共解释了总方差的 75.28%, 9个因子分别契合现有2型糖尿病治疗负担概念框架中的各个不同主题, 具有良好的结构效度。结论中文简版PETS具有良好的信效度, 可较全面解释2型糖尿病患者的治疗负担。ObjectiveThis study aims to simplify the Brief Patient Experience with Treatment and Self-Management(Brief PETS)by creating a Chinese version of the Brief PETS and evaluating its reliability and validity in a population of individuals with type 2 diabetes mellitus(T2DM).MethodsFollowing Mapi guidelines,the simplified Chinese version of the PETS scale was translated and culturally adapted.Simplified Chinese version of PETS and the Chinese version of the Treatment Burden Questionnaire(TBQ)were administered to T2DM patients recruited from community health centers in four regions of China between June and August 2022 by cluster sampling.Validity was assessed using content,construct,criterion-related,and discriminant validity,while reliability was evaluated using internal consistency and split-half reliability.ResultsThe Chinese short version of the PETS consists of 11 dimensions and 32 items,namely,medical information,medication,medical appointments,health management,medication side effects,diet,exercise,medical expenses,health care system,social roles,and physical and mental exhaustion.A total of 311 questionnaires were initially collected,with 289 valid responses finally analyzed after excluding ineligible surveys.The Cronbach′sαcoefficient and the split-half reliability coefficient were 0.914 and 0.818 respectively.The content validity index(CVI)was 0.60-1.00,and S-CVI/Ave=0.84.Criterion validity showed that the total score of the Chinese simplified version of PETS was significantly correlated with the total score of TBQ(r=0.804,P<0.01);discriminant validity was good(P<0.01);nine male factors were extracted by exploratory factor analysis,which explained a total of 75.28%of the total variance,and each of the nine factors fitted different themes in the existing conceptual framework of the burden of care for T2DM with good construct validity.ConclusionThe Chinese version of the PETS scale demonstrates good reliability and validity,and can comprehensively explain the treatment burden of T2DM patients in primary hea

关 键 词：糖尿病 2型 量表 治疗负担 社区卫生中心 信度 效度 

分 类 号：H31[语言文字—英语]