颈淋巴结清扫损伤指数量表的汉化及信效度检验  

Chinese version of the Neck Dissection Impairment Index scale and its reliability and validity test

作　　者：任晓波[1] 田梓蓉[1] 刘永玲[1] 韦昌韵 金晓婷[1] 许亚红[2] REN Xiaobo;TIAN Zirong;LIU Yongling;WEI Changyun;JIN Xiaoting;XU Yahong(Beijing Tongren Hospital,Capital Medical University,Beijing 100730 China;Capital Medical University)

机构地区：[1]首都医科大学附属北京同仁医院,北京100730 [2]首都医科大学

出　　处：《护理研究》2025年第7期1138-1143,共6页Chinese Nursing Research

基　　金：2019 年首都医科大学附属北京同仁医院青年后备、拔尖、护理、管理人才院内种子基金资助项目,编号:2019-YJJ-ZZL-049。

摘　　要：目的:汉化颈淋巴结清扫损伤指数(NDII)量表,并在头颈肿瘤行颈淋巴结清扫术(ND)病人中检验其信效度。方法:根据自我报告量表跨文化调适指南,经前译、整合、回译、专家委员会评定和预调查对NDII量表进行汉化。采用便利抽样方法,选取2024年3月—2024年5月在首都医科大学附属北京同仁医院复诊的113例头颈肿瘤行颈淋巴结清扫术病人为研究对象,使用汉化后的NDII量表进行调查,检验其信效度。结果:中文版NDII量表各条目水平的内容效度指数为0.857~1.000,全体一致性量表水平的内容效度指数为0.900,平均量表水平的内容效度指数为0.986。以肩关节功能评价量表(CMS)、健康调查简表(SF-36)及颈部功能作为效标,NDII量表与CMS得分高度相关(r=0.817,P<0.01),与SF-36的躯体疼痛(BP)维度及生理机能(PF)维度中度相关(r=0.648,P<0.01;r=0.661,P<0.01),与颈部功能疼痛评分弱相关(r=-0.340,P<0.01),以颈部功能正常与否分组的两组头颈肿瘤行颈淋巴结清扫术病人NDII量表得分差异有统计学意义(P<0.01)。NDII量表的Cronbach's α系数为0.901,重测信度为0.959。结论:中文版NDII量表为单维度量表,具有良好的信效度,且操作性良好,可作为头颈肿瘤行颈淋巴结清扫术病人颈肩功能及相关生活质量测评的特异性评估工具。Objective:To translate the Neck Dissection Impairment Index(NDII) scale into Chinese and to test its reliability and validity in patients undergoing neck dissection(ND) for head and neck tumors.Methods:Following the guidelines for cross-cultural adaptation of the self-report scale,and after the steps of pre-translation,integration,back translation,expert committee evaluation and pre-investigation,the NDII scale was translated into Chinese.A total of 113 patients with neck dissection who were re-examined in Beijing Tongren Hospital Affiliated to Capital Medical University from March 2024 to May 2024 were selected by convenience sampling method.And thereliability and validity of the NDII scale were tested by using the Chinese version NDII scale.Results:The content validity index for eachitem of the Chinese version NDII scale ranged from 0.857 to 1.000.The content validity index at the overall scale level was 0.900.Andthe average content validity index at the scale level was 0.986.The NDII scale was highly correlated with CMS score(r=0.817,P<0.01),moderately correlated with physical pain(BP) dimension(r=0.648,P<0.01) and physiological function(PF) dimension(r=0.661,P<0.01) and neck function(PF) dimension(r=0.661,P<0.01) of SF-36,and weakly correlated with neck function pain score(r=-0.340,P<0.01).There was a statistically significant difference in terms of the NDII scale scores between two groups of patients undergoing neck dissection for head and neck tumors,divided by whether the neck function normal or not(P<0.01).The Cronbach's αcoefficient of the NDII scale was 0.901.And the test-retest reliability was 0.959.Conclusion:The Chinese version of the NDII scale is asingle dimensional scale.It has good validity and reliability,as well as good operability.And it could be used as a specific assessment toolfor neck and shoulder function and related quality of life evaluation in neck dissection patients undergoing neck dissection for head and neck tumors.

关 键 词：颈淋巴结清扫术 颈肩功能 跨文化调适 信度 效度 量表 

分 类 号：R73[医药卫生—肿瘤]