肺移植特异性生活质量量表的汉化及信效度检验

doi:10.3761/j.issn.0254-1769.2022.06.007

摘要/Abstract

摘要：

目的对肺移植特异性生活质量量表（The Lung Transplant Quality of Life Survey,LT-QOL）进行汉化,并在肺移植术后患者中检验其信效度。方法通过正译、回译、文化调试和预调查对LT-QOL进行汉化。通过2轮专家咨询进行内容效度评价。2019年11月—2021年3月,选取于无锡市某三级甲等医院肺移植门诊就诊的308例肺移植术后患者进行调查,评价量表的信效度。结果中文版LT-QOL包括3个维度、11个方面、40个条目。量表水平的内容效度指数为0.912,条目水平的内容效度指数为0.781~1.000。探索性因子分析提取11个公因子,累计方差贡献率为71.424%。总量表的Cronbach’s α系数为0.947,各公因子的Cronbach’s α系数为0.710~0.929;总量表的重测信度为0.870,各公因子的重测信度为0.726~0.894。结论中文版LT-QOL具有良好的信效度,适合中国文化背景下肺移植术后患者生活质量的评估。

关键词: 肺移植, 特异, 生活质量, 量表, 汉化, 围手术期护理

Abstract:

Objective To test the reliability and validity of the Chinese version of the Lung Transplant Quality of Life survey（LT-QOL） in patients after lung transplantation.Methods We sinicized the LT-QOL following the forward translation,back translation,cultural adaptation and pre-survey. Evaluation of content effectiveness was conducted through 2 rounds of expert consultations. From November 2019 to March 2021,308 post-lung transplant patients who were admitted to a lung transplant clinic of a tertiary A hospital in Wuxi were selected to investigate for the test of the reliability and validity of the scale.Results The Chinese version of LT-QOL includes 3 dimensions and 11 aspects with a total of 40 items. The content validity index of the total scale is 0.912,and the content validity index of each item is between 0.781 and 1. Exploratory factor analysis resulted in an 11-factor structure,explaining 71.424% of the total variance. The Cronbach’s α coefficient for the total LT-QOL score was 0.947,and 0.710~0.929 for every common factor. The retest reliability for the total LT-QOL score was 0.870,and 0.726~0.894 for every common factor.Conclusion The Chinese version of LT-QOL appears to possess adequate validity,retest reliability and internal consistency. The newly translated Chinese version of LT-QOL can be used to assess the quality of life of lung transplant recipients in China.

Key words: Lung Transplant, Specificity, Quality of Life, Scale, Sinicization, Perioperative Nursing

梁永春, 周海琴, 朱雪芬, 曹晓东, 闵群惠, 黄珂瑶. 肺移植特异性生活质量量表的汉化及信效度检验[J]. 中华护理杂志, 2022, 57(6): 688-694.

LIANG Yongchun, ZHOU Haiqin, ZHU Xuefen, CAO Xiaodong, MIN Qunhui, HUANG Keyao. Validation of Chinese version of the Lung Transplant Quality of Life survey for lung transplant recipients[J]. Chinese Journal of Nursing, 2022, 57(6): 688-694.

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参考文献 23

[1]	国家卫生健康委员会. 2017年国家医疗服务与质量安全报告[M]. 北京: 科学技术文献出版社, 2018.
	National Health Commission of the People’s Republic of China. 2017 national medical service and quality safety report[M]. Beijing: Scientific and Technical Documents Publishing House, 2018.
[2]	Chambers DC, Perch M, Zuckermann A, et al. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation:thirty-eighth adult lung transplantation report-2021;focus on recipient characteristics[J]. J Heart Lung Transplant, 2020, 39(10):1016-1027. DOI URL
[3]	黄洁夫. 中国器官移植发展报告[M]. 北京: 清华大学出版社, 2020.
	Huang JF. Report on organ transplantation development in China[M]. Beijing: Qinghua University Press, 2019.
[4]	Gilmore DM, Grogan EL, Feurer ID, et al. Long-term physical HRQOL decreases after single lung as compared with double lung transplantation[J]. Ann Thorac Surg, 2018, 106(6):1633-1639. DOI PMID
[5]	Pehlivan E, Balcı A, Kılıç L, et al. Preoperative pulmonary rehabilitation for lung transplant:effects on pulmonary function,exercise capacity,and quality of life;first results in Turkey[J]. Exp Clin Transplant, 2018, 16(4):455-460. DOI PMID
[6]	Loxe SC, de Mello LS, Camara L, et al. Chronic pain after lung transplantation and its impact on quality of life:a 4-year follow-up[J]. Transplant Proc, 2020, 52(5):1388-1393. DOI URL
[7]	Tarabeih M, Bokek-Cohen Y, Azuri P. Health-related quality of life of transplant recipients:a comparison between lung,kidney,heart,and liver recipients[J]. Qual Life Res, 2020, 29(6):1631-1639. DOI PMID
[8]	Zhu X, Liang Y, Zhou H, et al. Changes in health-related quality of life during the first year in lung transplant recipients[J]. Transplant Proc, 2021, 53(1):276-287. DOI URL
[9]	Singer JP, Katz PP, Soong A, et al. Effect of lung transplantation on health-related quality of life in the era of the lung allocation score:a US prospective cohort study[J]. Am J Transplant, 2017, 17(5):1334-1345. DOI PMID
[10]	闵群惠, 周海琴, 吴春华, 等. 肺移植患者生活质量现状及影响因素研究[J]. 护理学杂志, 2019, 34(6):27-30.
	Min QH, Zhou HQ, Wu CH, et al. The level and factors associated with quality of life in lung transplant recipients[J]. J Nurs Sci, 2019, 34(6):27-30.
[11]	Singer JP, Soong A, Chen J, et al. Development and preliminary validation of the lung transplant quality of life(LT-QOL) survey[J]. Am J Respir Crit Care Med, 2019, 199(8):1008-1019. DOI URL
[12]	Brislin RW. Back-translation for cross-cultural research[J]. J Cross-Cult Psychol, 1970, 1(3):185-216. DOI URL
[13]	郭金玉, 李峥. 量表引进的过程及评价标准[J]. 中华护理杂志, 2012, 47(3):283-285.
	Guo JY, Li Z. The introduction process of scale and its evaluation standards[J]. Chin J Nurs, 2012, 47(3):283-285.
[14]	颜霞, 杨子樱, 王婷, 等. 癌症治疗功能评价-骨髓移植分量表的汉化及信效度检验[J]. 中华护理杂志, 2019, 54(1):151-154.
	Yan X, Yang ZY, Wang T, et al. Functional assessment of Cancer Treatment-Bone Marrow Transplant(FACT-BMT):translation and reliability and validity testing[J]. Chin J Nurs, 2019, 54(1):151-154.
[15]	吴明隆. 问卷统计分析实务:SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010.
	Wu ML. Questionnaire statistical analysis practice:SPSS operation and application[M]. Chongqing: Chongqing University Press, 2010.
[16]	沈子晨, 周漾, 朱冬梅, 等. 城市分娩创伤量表的汉化及信效度检验[J]. 中华护理杂志, 2020, 55(11):1757-1761.
	Shen ZC, Zhou Y, Zhu DM, et al. Translation of the Chinese version of the City Birth Trauma Scale and the test of its reliability and validity[J]. Chin J Nurs, 2020, 55(11):1757-1761.
[17]	罗月. 整合照料理念体现度指标体系的构建及其实证研究[D]. 重庆:陆军军医大学, 2019.
	Luo Y. The construction and empirical study of the integrated indicator system[D]. Chongqing:Army Medical University, 2019.
[18]	史静琤, 莫显昆, 孙振球. 量表编制中内容效度指数的应用[J]. 中南大学学报(医学版), 2012, 37(2):49-52.
	Shi JC, Mo XK, Sun ZQ. Content validity index in scale development[J]. J Central South Univ Med Sci, 2012, 37(2):49-52.
[19]	孙宇莹. 基于中医临床指南的小儿过敏性紫癜证素辨证量表的初步编制与考评[D]. 郑州:河南中医药大学, 2017.
	Sun YY. Preliminary formulation and evaluation of an Anaphylactoid Purpura Scale based on the principle of differenti-ation syndrome elements[D]. Zhengzhou:Henan University of Chinese Medicine, 2017.
[20]	陈代娣. 护理研究[M]. 4版. 北京: 人民卫生出版社, 2013:116-117.
	Chen DD. Nursing studies[M]. 4th ed. Beijing: People’s Medical Publishing House, 2013:116-117.
[21]	丁茱萸, 庄一渝, 陈香萍, 等. AACN健康工作环境评估量表的汉化及信度效度检验[J]. 中国护理管理, 2019, 19(1):70-75.
	Ding ZY, Zhuang YY, Chen XP, et al. Reliability and validity of the Chinese version of AACN Healthy Work Environment Assessment Tool[J]. Chin Nurs Manag, 2019, 19(1):70-75.
[22]	李雯, 魏丽丽, 张艳, 等. 产妇出院指导质量量表的汉化及信效度检验[J]. 中华护理杂志, 2021, 56(2):315-320.
	Li W, Wei LL, Zhang Y, et al. The Chinese version translation of the Quality Scale of Maternal Discharge Guidance and its reliability and validity test[J]. Chin J Nurs, 2021, 56(2):315-320.
[23]	周漾, 薛程, 金华怡, 等. 父亲支持母乳喂养自我效能简式量表的汉化与信效度检验[J]. 中华护理杂志, 2020, 55(7):1116-1120.
	Zhou Y, Xue C, Jin HY, et al. The reliability and validity of the translated Chinese version of the Father Support Breastfeeding Self-Efficacy Scale-Short Form[J]. Chin J Nurs, 2020, 55(7):1116-1120.