Abstract:

Objective To develop a treatment compliance scale for children with autism spectrum disorder（ASD）（parental version）,and to evaluate the reliability and validity. Methods Based on the conceptual model of drug self-management and evaluation theory of rehabilitation prescription compliance,we formed a pretest scale by literature review,interview and expert consultation. To analyze items of the scale and test the reliability and validity,we processed a survey among 290 parents of children with ASD in outpatient department of 2 tertiary hospitals and 3 children’s rehabilitation centres in Guangzhou from August 2020 to January 2021. Participants were selected by convenience sampling. Results The treatment compliance scale for children with ASD includes 2 subscales. Subscale 1 is medication compliance scale（optional）,with 4 items in total. Subscale 2 is a rehabilitation treatment compliance scale,consisting of 18 items in 3 dimensions. The cumulative variance contribution rate of subscale 1 was 72.66%. Regarding Subscale 2,there are 3 common factors being extracted,with cumulative variance contribution rate of 61.71%. Subscale 1 and subscale 2 had the same content validity index（CVI） of 0.930,and CVI of each item ranged from 0.800 to 1.000. The Cronbach’s α coefficients of subscales 1 and subscale 2 were 0.870 and 0.902,and the Cronbach’s α coefficients of each dimension were 0.760~0.909. Conclusion The treatment compliance scale for children with ASD（parental version） has good reliability and validity,and it can be used to evaluate the treatment compliance of children with ASD. This scale provides scientific support for further optimization treatment and nursing of ASD children to improve the prognosis of ASD children and reduce the burden of disease.

Key words: Autism Spectrum Disorder, Compliance, Rehabilitation Treatment, Reliability, Validity, Pedi-atric Nursing

摘要：

目的 研制孤独症谱系障碍患儿治疗依从性量表（家长版）,并进行信效度检验。方法 基于药物自我管理概念模型和康复处方依从性评估理论,通过文献回顾法、访谈法和专家函询法形成预测试量表。便利选取2020年8月—2021年1月在广州市2所三级甲等医院门诊和3所儿童康复中心的290名孤独症谱系障碍患儿家长进行调查,对量表进行项目分析和信效度检验。 结果 孤独症谱系障碍患儿治疗依从性量表（家长版）包括2个分量表,分量表1为药物治疗依从性量表（选填）,共4个条目;分量表2为康复治疗依从性量表,3个维度,共18个条目。分量表1的累计方差贡献率为72.66%;分量表2提取3个公因子,累计方差贡献率为61.71%。分量表1、分量表2的量表平均内容效度指数均为0.930,条目内容效度指数为0.800~1.000;分量表1、分量表2的Cronbach’s α系数分别为0.870、0.902,各维度的Cronbach’s α系数为0.760~0.909。 结论 孤独症谱系障碍患儿治疗依从性量表（家长版）具有良好的信效度,可用于对孤独症谱系障碍患儿治疗依从性进行评估,为今后进一步优化患儿的治疗和护理提供科学依据,以期改善患儿预后,减轻疾病负担。

关键词: 孤独症谱系障碍, 依从性, 康复治疗, 信度, 效度, 儿科护理学