儿科患者心理社会风险评估量表的汉化及信效度检验

doi:10.3761/j.issn.0254-1769.2022.10.020

中华护理杂志 ›› 2022, Vol. 57 ›› Issue (10): 1276-1280.DOI: 10.3761/j.issn.0254-1769.2022.10.020

• 他山之石 • 上一篇

儿科患者心理社会风险评估量表的汉化及信效度检验

张燕红(), 张晓波(), 顾莺, 康琼芳, 傅丽丽, 董颖, 朱大倩, 傅唯佳, 冯瑞

201102 上海市复旦大学附属儿科医院急诊科（张燕红）,呼吸科（张晓波）,护理部（顾莺,康琼芳）,社会工作部（傅丽丽,董颖）,心理科（朱大倩）,信息网络管理中心（傅唯佳）;复旦大学计算机科学技术学院（冯瑞）;美国科罗拉多儿童医院（Staab Jennifer）

收稿日期:2021-10-22 出版日期:2022-05-20 发布日期:2022-05-26
通讯作者: 张晓波,E-mail： zhangxiaobo0307@163.com
作者简介:张燕红：女,本科,主管护师,护士长,E-mail： 53703408@qq.com
基金资助:
复旦大学护理学院科研基金教学研究部分(FNEF202013)

Sinicization of Psychosocial Risk Assessment in Pediatrics and the test of its reliability and validity

ZHANG Yanhong(), ZHANG Xiaobo(), GU Ying, KANG Qiongfang, FU Lili, DONG Ying, ZHU Daqian, FU Weijia, FENG Rui, Staab Jennifer

Received:2021-10-22 Online:2022-05-20 Published:2022-05-26

摘要/Abstract

摘要：

目的汉化儿科患者心理社会风险评估（Psychosocial Risk Assessment in Pediatrics,PRAP）量表,并检验其信效度。方法获得原作者授权后进行翻译、文化调适,形成中文版PRAP量表。采用便利抽样法,选取2021年3月—5月于上海市某三级甲等儿童专科医院住院的167例患者进行心理社会风险评估,检验量表的信效度。结果中文版PRAP量表包括性情、诊疗环境中的焦虑和应对、诊疗经历、发育或发展程度对应对能力的影响、特殊需求、沟通、侵入性操作经历、父母或照顾者的压力8个条目,量表的Cronbach’s α系数为0.711,折半信度为0.626。5名调查员评定结果的肯德尔和谐系数为0.963, χ²值为43.325,差异具有统计学意义（P<0.001）。各条目的内容效度指数为0.90~1.00,量表的平均内容效度指数为0.95。探索性因子分析提取3个公因子,累计方差贡献率为62.686%。结论中文版PRAP量表具有较好的信效度,可作为评估儿科患者就医相关心理社会风险的评估工具。

关键词: 心理社会风险, 量表, 信度, 效度, 儿科护理学

Abstract:

Objective To translate the Psychosocial Risk Assessment in Pediatrics （PRAP） into the Chinese version,and to test its reliability and validity. Methods The Chinese version of PRAP was formed after translation and cultural adjustment authorized by the original author. 167 children from Children’s Hospital in Shanghai from March to May 2021 were selected by convenience sampling method to evaluate the reliability and validity of the scale. Results The Chinese version of PRAP included 8 items,namely temperament,anxiety and coping during healthcare context,past health experience,developmental impact,special needs,communication,invasive procedure/experience and parent/caregiver stress. The Cronbach’s α was 0.711 and the half reliability was 0.626;the inter rater reliability of 5 investigators showed that the Kendall coefficient was 0.963 and the chi square value was 43.325;the difference was statistically significant（P<0.001）. The content validity index of each item is 0.90~1.00. The average content validity index of the scale is 0.95. There were 3 common factors being extracted by exploratory factor analysis,and the cumulative variance contribution rate is 62.686%. Conclusion The Chinese version of PRAP has good reliability and validity,and it can be used as an evaluation tool to evaluate the psychosocial risks of pediatric patients regarding to medical procedure in China.

Key words: Psychosocial Risk, Scale, Reliability, Validity, Pediatrics Nursing

张燕红, 张晓波, 顾莺, 康琼芳, 傅丽丽, 董颖, 朱大倩, 傅唯佳, 冯瑞. 儿科患者心理社会风险评估量表的汉化及信效度检验[J]. 中华护理杂志, 2022, 57(10): 1276-1280.

ZHANG Yanhong, ZHANG Xiaobo, GU Ying, KANG Qiongfang, FU Lili, DONG Ying, ZHU Daqian, FU Weijia, FENG Rui, Staab Jennifer. Sinicization of Psychosocial Risk Assessment in Pediatrics and the test of its reliability and validity[J]. Chinese Journal of Nursing, 2022, 57(10): 1276-1280.

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儿科患者心理社会风险评估量表的汉化及信效度检验

Sinicization of Psychosocial Risk Assessment in Pediatrics and the test of its reliability and validity

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