脑卒中患者吞咽障碍指数-照顾者量表的汉化及信效度检验

doi:10.3761/j.issn.0254-1769.2026.15.003

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (15): 2035-2040.DOI: 10.3761/j.issn.0254-1769.2026.15.003

• 中枢神经系统疾病护理研究 • 上一篇下一篇

脑卒中患者吞咽障碍指数-照顾者量表的汉化及信效度检验

徐大才¹(), 丁瑶¹, 王璐², 王跃琴³^,^*()

¹ 南京大学医学院附属盐城市第一人民医院神经外科江苏省盐城市 224001
² 南京大学医学院附属盐城市第一人民医院血液净化中心江苏省盐城市 224001
³ 南京大学医学院附属盐城市第一人民医院护理部江苏省盐城市 224001

收稿日期:2026-03-24 出版日期:2026-08-10 发布日期:2026-08-04
*通讯作者: 王跃琴，E-mail：wyq221156@163.com
作者简介:徐大才：男，硕士，副主任护师，E-mail：916090297@qq.com
第一联系人：作者贡献声明
徐大才：研究设计、问卷发放与回收、数据整理、统计分析、论文撰写；丁瑶、王璐：问卷发放与回收、数据整理；王跃琴：研究指导、论文修改

Chinese version of the Dysphagia Handicap Index-Companion for stroke patients and its reliability and validity test

XU Dacai¹(), DING Yao¹, WANG Lu², WANG Yueqin³^,^*()

¹ Department of Neurosurgery， Yancheng First People’s Hospital Affiliated to Medical School of Nanjing University，Yancheng， Jiangsu Province 224001， China
² Blood Purification Center， Yancheng First People’s Hospital Affiliated to Medical School of Nanjing University，Yancheng， Jiangsu Province 224001， China
³ Nursing Department， Yancheng First People’s Hospital Affiliated to Medical School of Nanjing University，Yancheng， Jiangsu Province 224001， China

Received:2026-03-24 Online:2026-08-10 Published:2026-08-04
* Corresponding author: WANG Yueqin，E-mail：wyq221156@163.com

摘要/Abstract

摘要：

目的对脑卒中患者吞咽障碍指数-照顾者（Dysphagia Handicap Index-Companion，DHI-C）量表进行汉化并对其进行信效度检验，为我国脑卒中吞咽障碍患者照顾者的照护负担及身心状态评估提供测评工具。方法通过翻译、回译、文化调适及预试验流程形成中文版DHI-C量表。2025年10月至2026年2月，采用该量表对江苏省某三级甲等医院就诊的350例脑卒中吞咽障碍患者的照顾者进行问卷调查，以中文版吞咽障碍指数问卷（Dysphagia Handicap Index，DHI）为会聚效度参照工具，运用SPSS 24.0和R 4.4.2软件进行信效度检验。结果回收有效问卷338份，有效问卷回收率为96.57%。中文版DHI-C量表的Cronbach’s α系数为0.942，生理、情感、功能3个维度Cronbach’s α系数分别为0.861、0.908、0.843；总量表重测信度为0.883，生理、情感、功能3个维度重测信度分别为0.833、0.881、0.812。该量表条目水平的内容效度指数为0.800~1.000，量表平均水平的内容效度指数为0.936。探索性因子分析提取3个特征值>1的公因子，累计方差贡献率为70.58%；验证性因子分析显示模型拟合良好。中文版DHI-C量表总分与中文版DHI总分呈正相关（r=0.772，P<0.001）。结论中文版DHI-C量表具有良好的信效度，可用于我国脑卒中吞咽障碍患者照顾者的照护负担及身心状态的相关评估。

关键词: 脑卒中, 吞咽障碍指数, 照顾者, 跨文化调适, 信效度, 护理

Abstract:

Objective To translate the Dysphagia Handicap Index-Companion（DHI-C） into Chinese and to test its reliability and validity，thereby providing a reliable and scientific assessment tool for evaluating the care burden and physical and mental status of companions of stroke patients with dysphagia in China. Methods The Chinese version of the DHI-C was developed through translation，back-translation，cultural adaptation，and pilot testing. A survey was conducted among 350 caregivers of stroke patients with dysphagia who visited a tertiary Grade A hospital in Jiangsu Province using the Chinese version of the DHI-C from October 2025 to February 2026. The Chinese version of the Dysphagia Handicap Index（DHI） was used as the reference tool for convergent validity. Reliability and validity were analyzed using SPSS 24.0 and R 4.4.2. Results A total of 338 valid questionnaires were collected, yielding a validity rate of 96.57%. The Cronbach’s α coefficient of the Chinese version of the DHI-C was 0.942，and the Cronbach’s α coefficients for the physical，emotional，and functional subscales were 0.861，0.908，and 0.843，respectively. The test-retest reliability of the total scale was 0.883，and the test-retest reliabilities for the 3 subscales were 0.833，0.881，and 0.812，respectively. The item-level content validity index（I-CVI） ranged from 0.800 to 1.000，and the scale-level content validity index average（S-CVI/Ave） was 0.936. Exploratory factor analysis extracted 3 common factors with eigenvalues greater than 1，which together accounted for 70.58% of the total variance. Confirmatory factor analysis indicated a good model fit. The total score of the Chinese version of the DHI-C was positively correlated with that of the Chinese version of the DHI（r=0.772，P<0.05）. Conclusion The Chinese version of the DHI-C has good reliability and validity and can be used to assess caregivers of stroke patients with dysphagia in China.

Key words: Stroke, Dysphagia Handicap Index, Caregiver, Cross-Cultural Adaptation, Reliability and Validity, Nursing Care

徐大才, 丁瑶, 王璐, 王跃琴. 脑卒中患者吞咽障碍指数-照顾者量表的汉化及信效度检验[J]. 中华护理杂志, 2026, 61(15): 2035-2040.

XU Dacai, DING Yao, WANG Lu, WANG Yueqin. Chinese version of the Dysphagia Handicap Index-Companion for stroke patients and its reliability and validity test[J]. Chinese Journal of Nursing, 2026, 61(15): 2035-2040.

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脑卒中患者吞咽障碍指数-照顾者量表的汉化及信效度检验

Chinese version of the Dysphagia Handicap Index-Companion for stroke patients and its reliability and validity test

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