中华护理杂志 ›› 2022, Vol. 57 ›› Issue (13): 1585-1590.DOI: 10.3761/j.issn.0254-1769.2022.13.008

• 心血管疾病护理专题 • 上一篇    下一篇

心力衰竭患者照顾者自我护理贡献量表的汉化及信效度检验

王凯选(), 李培宇, 王文远, 王思义, 时萧寒, 刘志梅()   

  1. 266021 青岛市 青岛大学附属青岛市市立医院护理部(王凯选,刘志梅);青岛大学医学院松山医院急诊科(李培宇);青岛大学附属医院急诊重症监护室(王文远);青岛大学护理学院(王思义);山东大学护理学院(时萧寒)
  • 收稿日期:2022-02-10 出版日期:2022-07-10 发布日期:2022-06-29
  • 通讯作者: 刘志梅,E-mail: qdsllzm1968@126.com
  • 作者简介:王凯选:男,硕士,护士,E-mail: w15269247015@163.com
  • 基金资助:
    青岛市2019年度医药科研指导计划(2019-WJZD013)

The sinicization of the European Heart Failure Self-care Behaviour Scale for Caregivers and the test of its reliability and validity

WANG Kaixuan(), LI Peiyu, WANG Wenyuan, WANG Siyi, SHI Xiaohan, LIU Zhimei()   

  • Received:2022-02-10 Online:2022-07-10 Published:2022-06-29

摘要:

目的 汉化欧洲心力衰竭患者照顾者自我护理贡献量表(the European Heart Failure Self-care Behaviour Scale for Caregivers,EHFScBS-C),并检验其信效度。 方法 依照Brislin模型对原量表进行翻译和回译,经文化调适和预测试后,形成中文版EHFScBS-C。采用便利抽样法,2021年8月—11月对山东省3所三级甲等医院心力衰竭门诊就诊的336例慢性心力衰竭患者照顾者进行调查,并随机抽取34名照顾者于调查2周后通过电话或微信随访收集重测问卷资料,以评价该量表的信效度。 结果 中文版EHFScBS-C共9个条目,经探索性因子分析共提取2个公因子,分别命名为对医疗问题相关自我护理的贡献、对生活方式相关自我护理的贡献,累计方差贡献率为67.453%。验证性因子分析支持一阶二因子模型假设,各项拟合指标均在可接受水平。中文版EHFScBS-C条目的内容效度指数为0.83~1.00,量表的内容效度指数为0.97。量表总体的Cronbach’s α系数为0.873,重测信度为0.858。 结论 中文版EHFScBS-C具有良好的信效度,可作为评估照顾者对慢性心力衰竭患者自我护理贡献度的可靠工具。

关键词: 照顾者, 心力衰竭, 自我护理, 贡献, 信度, 效度

Abstract:

Objective To translate the European Heart Failure Self-care Behaviour Scale for Caregivers (EHFScBS-C) into Chinese,and to test its reliability and validity. Methods The English version of EHFScBS-C was translated into Chinese and back translated according to the Brislin model. The Chinese version of the scale was determined after cross-cultural adaptation and pre-experiment. A convenience sample of 336 caregivers of patients with chronic heart failure in outpatient settings of 3 tertiary hospitals in Shandong Province were investigated. The test-retest data of 34 caregivers were collected by the follow-up of telephone or Wechat. The reliability and validity of the scale were evaluated. Results The Chinese version of EHFScBS-C contained 9 items. Exploratory factor analysis showed that a total of 2 factors were extracted explaining 67.453% of the total variance,namely caregiver’s contributions to self-care related to medical issues and caregiver’s contributions to self-care related to lifestyle. Confirmatory factor analysis supported the hypothesis of first-order two-factor model,and all fitting indexes were at acceptable level. The item-level content validity index of the Chinese version of EHFScBS-C was 0.83~1.00,and the scale-level content validity index was 0.97. The Cronbach’s α coefficient of the total scale was 0.873,and the test-retest reliability of the total scale was 0.858. Conclusion The Chinese version of EHFScBS-C has good reliability and validity,and it can be used as a reliable tool to evaluate caregiver contributions to heart failure self-care.

Key words: Caregiver, Heart Failure, Self-Care, Contribution, Reliability, Validity