心理痛苦耐受性量表的汉化及在青年HIV感染者/AIDS患者中的信效度检验

doi:10.3761/j.issn.0254-1769.2023.07.019

摘要/Abstract

摘要：

目的对心理痛苦耐受性量表（Tolerance of Mental Pain Scale，TMPS-10）进行汉化和文化调适，并在青年HIV感染者/AIDS患者中检验其信效度。方法基于FACIT翻译模型（the Functional Assessment of Chronic Illness Therapy translation methodology），通过正译、回译、文化调试和预调查对TMPS-10进行汉化和文化调适。通过专家函询进行内容效度评价。2022年5月—8月，采取便利抽样法选取长沙市AIDS定点治疗医院HIV门诊就诊的334例青年HIV感染者/AIDS患者进行调查，评价量表的信效度。结果中文版TMPS-10包括2个维度、10个条目。量表水平的内容效度指数为0.975，条目水平的内容效度指数为0.875~1.000。探索性因子分析提取2个公因子，累计方差贡献率为65.719%；验证性因子分析结果显示，2个因子的量表模型拟合良好。量表总的Cronbach’s α系数为0.832，管理痛苦维度的Cronbach’s α系数为0.894，忍受痛苦维度的Cronbach’s α系数为0.856。结论中文版TMPS-10具有良好的信效度，适合作为中国文化背景下青年HIV感染者/AIDS患者心理痛苦耐受性的评估工具。

关键词: 心理痛苦, 耐受性, 量表汉化, 艾滋病, 心理护理

Abstract:

Objective To translate and cross-culturally adapt the English Tolerance for Mental Pain Scale （TMPS-10） into Chinese and test its reliability and validity in young HIV/AIDS patients. Methods We sinicized the TMPS-10 following the forward translation，back translation，cultural adaptation，and pre-survey according to the Functional Assessment of Chronic Illness Therapy translation methodology（FACIT）. Evaluation of content effective-ness was conducted through 2 rounds of expert consultations. From May to August 2022，334 young HIV/AIDS patients who were admitted to an HIV specialty clinic of a tertiary A hospital in Changsha were selected to test the reliability and validity of the scale. Results The Chinese version of TMPS-10 includes 2 dimensions with a total of 10 items. The content validity index of the total scale is 0.975，and the content validity index of each item is between 0.875-1.000. Exploratory factor analysis resulted in a 2-factor structure，explaining 65.719% of the total variance. Confirmatory factor analysis showed a good model fit. The Cronbach’s α for the total TMPS-10 score was 0.832，and 0.894 for the managing the pain dimension，and 0.856 for the enduring the pain dimension. Conclusion The Chinese version of TMPS-10 has good reliability and validity，which can be used to evaluate the tolerance for mental pain of young HIV/AIDS patients in China.

Key words: Psychological Pain, Tolerance, Scale Sinicization, AIDS, Psychological Nursing

李云霞, 雷先阳, 宁檬, 刘义婷, 谢建平, 曹桂英, 刘齐祥, 李亚敏. 心理痛苦耐受性量表的汉化及在青年HIV感染者/AIDS患者中的信效度检验[J]. 中华护理杂志, 2023, 58(7): 891-897.

LI Yunxia, LEI Xianyang, NING Meng, LIU Yiting, XIE Jianping, CAO Guiying, LIU Qixiang, LI Yamin. Sinicization of the Tolerance for Mental Pain Scale and its reliability and validity in young adults living with HIV/AIDS[J]. Chinese Journal of Nursing, 2023, 58(7): 891-897.

图/表 5

表1 调查对象的一般资料（n=334）

Table 1 General information of survey respondents （n=334）

表2 中文版心理痛苦耐受性量表各条目得分及其与量表总分、各维度得分的相关系数（n=334）

Table 2 The score of Chinese version of TMPS-10 items and its correlation coefficient with total scale and corresponding dimensions（n=334）

表3 中文版心理痛苦耐受性量表各条目因子载荷（n=133）

Table 3 The factor load of Chinese TMPS-10 items（n=133）

表4 中文版心理痛苦耐受性量表验证性因子分析模型拟合情况（n=201）

Table 4 The confirmatory factor analysis model fitting of Chinese version Tolerance for Mental Pain Scale-10（n=201）

表5 中文版心理痛苦耐受性量表验证性因子分析聚合效度（n=201）

Table 5 The convergent validity of the confirmatory factor analysis of Chinese TMPS-10（n=201）

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