尿失禁患者疾病认知与态度量表的汉化及初步应用

doi:10.3761/j.issn.0254-1769.2025.09.013

摘要/Abstract

摘要：

目的汉化尿失禁患者疾病认知与态度量表，并进行信效度检验。方法采用Brislin翻译模型对原版尿失禁患者疾病认知与态度量表进行翻译、回译、跨文化调适和预调查，形成中文版尿失禁患者疾病认知与态度量表。采用便利抽样法，于2024年6月—10月选取在江西省南昌市某三级甲等医院出院的384例尿失禁患者进行调查，以评价该量表的信效度。结果中文版尿失禁患者疾病认知与态度量表包括5个维度，共26个条目，该量表的Cronbach’s α系数为0.843，折半信度为0.917，重测信度为0.852。条目水平的内容效度为0.846~1.000，量表水平的内容效度为0.979。探索性因子分析共提取5个公因子，累计方差贡献率为74.286%。验证性因子分析结果显示，卡方自由度比值为2.268，近似误差均方根为0.064，标准拟合指数为0.916，塔克·刘易斯指数为0.923，比较拟合指数为0.906，拟合优度指数为0.922。结论中文版尿失禁患者疾病认知与态度量表具有较好的信效度，可较好地反映患者对尿失禁的认知和态度水平，为制订针对性的干预方案提供参考。

关键词: 尿失禁, 认知, 态度, 信度, 效度, 护理

Abstract:

Objective To translate the Urinary Incontinence Awareness and Attitude Scale（URINAS） and test its reliability and validity. Methods The Chinese version of the URINAS was developed by Brislin’s translation model for translation，back translation，cultural adaptation，and pilot investigation. A convenience sampling method was used to select 384 urinary incontinence patients who visited a tertiary hospital in Nanchang，Jiangxi Province from June 2024 to October 2024 for investigation，in order to evaluate the reliability and validity of the scale. Results The Chinese version of the URINAS consisted of 5 dimensions with 26 entries. The Cronbach’s alpha coefficient of this scale was 0.843；the folded half reliability was 0.917；the retest reliability was 0.852. The content validity of the scale at the level of the entries ranged from 0.846 to 1.000，and that at the level of the scale was 0.979. A total of 5 metrics were extracted by exploratory factor analysis，and the cumulative variance contribution rate of 74.286%. The results of the validation factor analysis showed a chi-square/degree of freedom of 2.268，a root mean square error of approximation of 0.064，a standardized fit index of 0.916，a Tucker-Lewis index of 0.923，a comparative fit index of 0.906，and a goodness-of-fit index of 0.922. Conclusion The URINAS has good reliability and validity，and can better reflect the level of patients’ cognition and attitude towards urinary incontinence，thus providing theoretical basis for the development of corresponding intervention programs for such patients.

Key words: Urinary Incontinence, Cognition, Attitude, Reliability, Validity, Nursing Care

程志强, 张宝珍, 汤利萍, 李静, 夏娇云, 魏雪岩, 龚智娴, 张美珍, 黎露思. 尿失禁患者疾病认知与态度量表的汉化及初步应用[J]. 中华护理杂志, 2025, 60(9): 1107-1112.

CHENG Zhiqiang, ZHANG Baozhen, TANG Liping, LI Jing, XIA Jiaoyun, WEI Xueyan, GONG Zhixian, ZHANG Meizhen, LI Lusi. Reliability and validity test of the Chinese version of the Urinary Incontinence Awareness and Attitude Scale[J]. Chinese Journal of Nursing, 2025, 60(9): 1107-1112.

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