胰岛素治疗自我管理量表的汉化及信效度检验  

Translation and validation of the Insulin Treatment Self-Management Scale

作　　者：杨艳惠 杨艳霞 朱洁 蒋明倩 姚蕊 杨冉 林翠霞 苗燕 Yang Yanhui;Yang Yanxia;Zhu Jie;Jiang Mingqian;Yao Rui;Yang Ran;Lin Cuixia;Miao Yan(School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250300,China)

机构地区：[1]山东中医药大学护理学院,山东济南250300 [2]山东中医药大学健康学院,山东济南250300 [3]山东省艾宗医健康科技有限公司

出　　处：《护理学杂志》2025年第7期16-19,共4页Journal of Nursing Science

基　　金：基于全民健康促进的中医养生产品研发与推广项目(JKCY2024024)。

摘　　要：目的汉化胰岛素治疗自我管理量表,并在糖尿病患者中进行信效度检验,为此类患者自我管理水平提供测评工具。方法按照Brislin翻译模型进行翻译与回译、文化调适及预调查,初步形成中文版量表。2024年4-7月,通过便利抽样法选取365例糖尿病患者展开调查,检验量表的信效度。结果中文版胰岛素治疗自我管理量表包含3个维度共27个条目,量表Cronbach′sα系数为0.916,行为、认知及情感维度Cronbach′sα系数分别为0.926、0.918、0.905;折半信度为0.943,重测信度为0.851;量表水平的内容效度为0.930;探索性因子分析提取3个公因子,累计方差贡献率为62.835%;验证性因子分析中,χ^(2)/df=1.158、RMSEA=0.028、CFI=0.983、GFI=0.886、TLI=0.981、IFI=0.983,模型适配度较好;效标关联效度为0.439(P<0.05)。结论中文版胰岛素治疗自我管理量表具备较好信效度,可作为评估胰岛素治疗患者自我管理能力的有效工具。Objective To translate the Insulin Treatment Self-Management Scale into Chinese and to test its reliability and validity among diabetic patients,and to provide a measurement tool for assessing self-management levels in this population.Methods Translation and back-translation,cultural adaptation,and preliminary survey were conducted following the Brislin translation model to develop the Chinese version ITSMS.From April to July 2024,a convenience sampling method was used to select 365 diabetic patients for the survey.Results The Chinese version ITSMS consists of 27 items across three dimensions.The overall Cronbach′sαcoefficient of the scale was 0.916,with Cronbach′sαcoefficients for the behavioral,cognitive,and emotional dimensions being 0.926,0.918,and 0.905,respectively.The split-half reliability coefficient was 0.943,and the test-retest reliability coefficient was 0.851.The scale-level content validity index was 0.930.Exploratory factor analysis extracted three common factors,with a cumulative variance contribution rate of 62.835%.Confirmatory factor analysis indicated good model fit(χ^(2)/df=1.158,RMSEA=0.028,CFI=0.983,GFI=0.886,TLI=0.981,IFI=0.983),with criterion-related validity at 0.439(P<0.05).Conclusion The Chinese version ITSMS demonstrates good reliability and validity,making it an effective tool for assessing self-management abilities in patients undergoing insulin treatment.

关 键 词：糖尿病 胰岛素 自我管理 胰岛素治疗自我管理量表 治疗依从性 评估 护理 

分 类 号：R473.5[医药卫生—护理学]