中华护理杂志 ›› 2022, Vol. 57 ›› Issue (3): 343-347.DOI: 10.3761/j.issn.0254-1769.2022.03.015

• 学术争鸣 • 上一篇    下一篇

认知性访谈在创伤知情照护相关态度量表文化调适中的应用

支婷婷(), 王艳波()   

  1. 200124 上海市 同济大学医学院
  • 收稿日期:2021-10-19 出版日期:2022-02-10 发布日期:2022-01-24
  • 通讯作者: 王艳波,E-mail: Wang_yb@tongji.edu.cn
  • 作者简介:支婷婷:女,本科(硕士在读),主管护师,E-mail: 772937523@qq.com
  • 基金资助:
    上海市教育科学研究一般项目(C2021333)

Application of cognitive interview in cultural adjustment of Attitudes Related to Trauma-Informed Care Scale

ZHI Tingting(), WANG Yanbo()   

  • Received:2021-10-19 Online:2022-02-10 Published:2022-01-24

摘要:

目的 运用认知性访谈探查目标人群对创伤知情照护相关态度量表(Attitudes Related to Trauma-Informed Care Scale,ARTICS)在汉语语境中的认知和理解,验证中文版ARTICS与原量表语言表达的一致性。 方法 采用目的抽样法,2021年7月—8月从上海市某区二级精神卫生中心选取符合纳入标准的26名精神科护士作为访谈对象,共经历2轮认知性访谈,了解受访者对汉化后ARTICS各条目的理解,根据访谈结果,修订存在歧义的条目,形成中文版ARTICS。 结果 ARTICS包括5个维度共35个条目。第1轮访谈结果显示,部分受访者对其中6个条目的语义表达和理解存在歧义,经讨论后对其进行了修改;第2轮访谈结果显示,经过受访者建议和专家咨询讨论,修订后的条目内容与原量表语义一致。 结论 运用认知性访谈有助于量表适应不同文化背景,提高目标人群对量表条目的理解和接受度,降低因对某些条目的误解所致测量误差,提高量表的答复率。

关键词: 认知性访谈, 创伤知情照护, 精神健康护理, 量表, 文化调适

Abstract:

Objective Cognitive interviews were used to explore the Chinese target population’s cognition and understanding of Attitudes Related to Trauma-Informed Care Scale(ARTICS) in the Chinese context. The purpose was to verify the consistency of the language expression of the revised ARTICS and the original scale. Methods Using the purpose sampling method,26 psychiatric nurses who met the inclusion criteria were selected as interviewees from a secondary mental health centre in a district of Shanghai. 2 rounds of cognitive interviews were conducted to explore the respondents’ understanding of the items of the Chinese version of ARTICS. The items with ambiguities were revised according to the interview results to form the Chinese version of ARTICS. Results ARTICS consists of 35 items across 5 dimensions. The results of the first round of interviews showed that some respondents had ambiguities in the semantic expression and understanding of the 6 items in the scale,and these items were modified after discussion. The results of the second round of interviews showed that the content of the revised items was semantically consistent with the original scale. Conclusion The use of cognitive interview can help the scale adapt to different cultural background,improve the target population’s understanding and acceptance of scale items,reduce measurement errors caused by misunderstanding of certain items,and improve the response rate of the scale.

Key words: Cognitive Interview, Trauma-Informed Care, Mental Healthcare, Scale, Cultural Adjustment