炎症性肠病患者疾病负担程度量表的汉化及信效度检验

doi:10.3761/j.issn.0254-1769.2022.05.019

摘要/Abstract

摘要：

目的汉化炎症性肠病患者疾病负担程度（Inflammatory Bowel Diseases Disk,IBD-disk）量表,并检验其信效度。方法研究者对英文版量表进行正译、回译和文化调试,最终形成中文版IBD-disk量表。便利选取2021年6月—8月在合肥市某三级甲等综合医院门诊随访的315例炎症性肠病患者作为调查对象,使用IBD-disk量表进行调查,4周后采用随机数字表法从中选取48例患者进行再次调查。结果中文版IBD-disk量表共10个条目,各条目得分与量表总分的相关系数为0.630~0.816（P<0.001）,10个条目的决断值为4.79~30.93,差异均具有统计学意义（P<0.001）,探索性与验证性因子分析均支持了量表的单维度性,量表拟合良好。量表的Cronbach’s α系数为0.895,重测信度为0.861,与炎症性肠病患者生活质量问卷得分呈负相关（r=-0.513,P<0.001）。结论中文版IBD-disk量表具有良好的信效度,可作为炎症性肠病患者疾病负担程度的评价工具。

关键词: 炎症性肠病, 疾病负担, 量表, 信度, 效度, 护理

Abstract:

Objective To sinicize the Inflammatory Bowel Diseases Disk （IBD-disk） Scale into Chinese,and to test the reliability and validity of the scale. Methods Through literal translation,back translation,expert discussion and evaluation and cross-cultural debugging of the scale in English,2 researchers finally formed the IBD-disk Scale in Chinese. 315 patients with inflammatory bowel disease who were followed up in the outpatient department of a tertiary A general hospital in Anhui province from June 2021 to August 2021 were selected as the research subjects. 4 weeks later,48 patients were selected by a random number table method for retesting. Results The Chinese scale contains 10 items,and the correlation coefficients between the scores of each item and the total score of the scale were 0.630~0.816（P<0.001）. The CR values of 10 items were 4.79~30.93 with statistically significant differences（P<0.001）;exploratory and confirmatory factor analysis supported the one-dimensional nature of the scale,and the fit was good. The internal consistency coefficient was 0.895,and the retest reliability was 0.861,which indicated that the data reliability and quality was good. There was a positive correlation between IBD-Disk Scale and IBD Burden of Disease Scale（r=-0.513,P<0.001）. Conclusion The Chinese version of IBD-Disk Scale has good reliability and validity,and it can be used as a tool to evaluate the degree of disability in patients with inflammatory bowel disease.

Key words: Inflammatory Bowel Disease, Burden of Disease, Scale, Reliability, Validity, Nursing Care

刘金凤, 江秋霞, 刘阿兰, 刘娟, 班春景. 炎症性肠病患者疾病负担程度量表的汉化及信效度检验[J]. 中华护理杂志, 2022, 57(5): 635-640.

LIU Jinfeng, JIANG Qiuxia, LIU Alan, LIU Juan, BAN Chunjing. Translation and test of validation and reliability of Inflammatory Bowel Diseases Disk Scale[J]. Chinese Journal of Nursing, 2022, 57(5): 635-640.

图/表 2

表1 中文版炎症性肠病患者疾病负担程度量表内部一致性信度结果及各条目因子载荷情况

Table 1 Internal consistency results and factor loads of each item in the Chinese version of the Inflammatory Bowel Disease Disk Scale

表2 不同疾病特征患者的中文版炎症性肠病患者疾病负担程度量表得分比较（n=315）

Table 2 Comparison of different disease characteristics in Chinese version of the Inflammatory Bowel Disease Disk Scale（n=315）

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