减重代谢术后患者自我管理量表的汉化及信效度检验

doi:10.3761/j.issn.0254-1769.2023.10.019

摘要/Abstract

摘要：

目的汉化减重代谢术后患者自我管理量表（Bariatric Surgery Self-management Questionnaire，BSSQ），并检验其信效度。方法获取原量表作者授权后对原量表进行正译、综合、回译，经文化调适后形成中文版BSSQ。采用便利抽样法，选取2022年5月—8月于沈阳市某三级甲等综合医院减重代谢外科门诊随访的227例减重代谢术后患者作为调查对象，进行问卷调查，并便利选取30例调查对象于2周后重测，以评价量表的信效度。结果中文版BSSQ包括9个维度、32个条目。条目水平的内容效度指数为0.833~1.000，量表水平的内容效度指数为0.970。探索性因子分析提取9个因子，累计方差贡献率为60.314%。中文版BSSQ得分与一般自我效能感量表得分呈正相关（r=0.329，P<0.001）与病人健康问卷抑郁量表得分呈负相关（r=-0.141，P=0.034）。中文版BSSQ量表总的Cronbach’s α系数为0.867，各维度的Cronbach’s α系数为0.420~0.813；中文版BSSQ量表总的重测信度为0.885，各维度的重测信度为0.766~0.982。结论中文版BSSQ具有良好的信效度，可作为减重代谢术后患者自我管理能力的评价工具。

关键词: 减重代谢手术, 自我管理, 量表, 信度, 效度

Abstract:

Objective To translate Bariatric Surgery Self-management Questionnaire（BSSQ） into Chinese，and to test its reliability and validity. Methods After obtaining the authorization of the author of the original questionnaire，the original questionnaire was first forward translated，synthesized and translated back，and then the Chinese version of the BSSQ was formed after the cultural adjustment（2 rounds of expert consultations and the pre-test）. From May to August 2022，a convenience sample of 227 patients undergoing metabolic bariatric surgery who were followed up in the outpatient department of metabolic bariatric surgery of a tertiary A general hospital in Shenyang as the study subjects were investigated，and 30 patients were conveniently selected for retest after 14 days to evaluate the reliability and validity of the questionnaire. Results The Chinese version of BSSQ includes 9 dimensions with a total of 32 items. The content validity index of each item is between 0.833 and 1，and the content validity index of the total scale is 0.970. Exploratory factor analysis resulted in a 9-factor structure，explaining 60.314% of the total variance. The score of Chinese version of BSSQ was positively correlated with GSES score（r=0.329，P<0.001） and negatively correlated with PHQ-9 score（r=-0.141，P=0.034）. The Cronbach’s α coefficient for the total BSSQ score was 0.867，and 0.420~0.813 for each factor. The retest reliability for the total BSSQ score was 0.885，and 0.766~0.982 for each factor. Conclusion The Chinese version of BSSQ has good reliability and validity，and it can be used as a tool to evaluate self-management ability of patients undergoing metabolic bariatric surgery in China.

Key words: Metabolic Bariatric Surgery, Self-Management, Scale, Reliability, Validity

秦敬敬, 肖日姣, 李雪婷, 马爽, 潘颖丽. 减重代谢术后患者自我管理量表的汉化及信效度检验[J]. 中华护理杂志, 2023, 58(10): 1275-1281.

QIN Jingjing, XIAO Rijiao, LI Xueting, MA Shuang, PAN Yingli. The translation and validation of Bariatric Surgery Self-management Questionnaire[J]. Chinese Journal of Nursing, 2023, 58(10): 1275-1281.

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