The translation and validation of Bariatric Surgery Self-management Questionnaire

doi:10.3761/j.issn.0254-1769.2023.10.019

Abstract

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

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

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.

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.

Figures/Tables 2

References 19

[1]	国家卫生健康委员会. 《中国居民营养与慢性病状况报告(2020)》有关情况[EB/OL].(2020-12-23)[2022-09-06]. http://www.nhc.gov.cn/xwzb/webcontroller.do?titleSeq=11362&gecstype=1.
	National Health Commission. Report on nutrition and chronic diseases in Chinese population(2020)[EB/OL].(2020-12-23)[2022-09-06]. http://www.nhc.gov.cn/xwzb/webcontroller.do?titleSeq=11362&gecstype=1.
[2]	De Luca M, Angrisani L, Himpens J, et al. Indications for sur-gery for obesity and weight-related diseases:position statements from the International Federation for the Surgery of Obesity and Metabolic Disorders(IFSO)[J]. Obes Surg, 2016, 26(8):1659-1696. DOI URL
[3]	王勇, 王存川, 朱晒红, 等. 中国肥胖及2型糖尿病外科治疗指南(2019版)[J]. 中国实用外科杂志, 2019, 39(4):301-306.
	Wang Y, Wang CC, Zhu SH, et al. Guidelines for the surgical treatment of obesity and type 2 diabetes in China(2019 edition)[J]. Chin J Pract Surg, 2019, 39(4):301-306.
[4]	Carbajo MA, Jimenez JM, Castro MJ, et al. Outcomes in weight loss,fasting blood glucose and glycosylated hemoglobin in a sample of 415 obese patients,included in the database of the European accreditation council for excellence centers for bariatric surgery with laparoscopic one anastomosis gastric bypass[J]. Nutr Hosp, 2014, 30(5):1032-1038. DOI PMID
[5]	Spaggiari G, Santi D, Budriesi G, et al. Eating Behavior after Bariatric Surgery(EBBS) Questionnaire:a new validated tool to quantify the patients’ compliance to post-bariatric dietary and lifestyle suggestions[J]. Obes Surg, 2020, 30(10):3831-3838. DOI PMID
[6]	张天资, 杨宁琍, 梁辉, 等. 体重效能生活方式问卷在减重代谢术前患者中应用的信效度研究[J]. 中华现代护理杂志, 2018, 24(20):2418-2422.
	Zhang TZ, Yang NL, Liang H, et al. Reliability and validity of the Weight Efficacy Lifestyle Questionnaire Short Form(WEL-SF) in preoperative patients with bariatric and metabolic surgery[J]. Chin J Mod Nurs, 2018, 24(20):2418-2422.
[7]	徐梦瑜, 白晓温, 梁晓宇, 等. 减重术后患者饮食行为依从性量表的汉化及信效度检验[J]. 护理学杂志, 2021, 36(16):81-83.
	Xu MY, Bai XW, Liang XY, et al. Translation and validation of the Eating Behavior after Bariatric Surgery Questionnaire[J]. J Nurs Sci, 2021, 36(16):81-83.
[8]	Welch G, Wesolowski C, Piepul B, et al. Physical activity predicts weight loss following gastric bypass surgery:findings from a support group survey[J]. Obes Surg, 2008, 18(5):517-524. DOI URL
[9]	李铮, 刘宇. 护理学研究方法[M]. 2版. 北京: 人民卫生出版社, 2018.
	Li Z, Liu Y. Nursing research methods[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2018
[10]	吴明隆. 问卷统计分析实务:SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010.
	Wu ML. Questionnaire statistical analysis practice:SPSS operation and application[M]. Chongqing: Chongqing University Press, 2010.
[11]	张晨, 周云仙. 我国护理测量工具文献中内容效度指数应用误区分析[J]. 护理学杂志, 2020, 35(4):86-88.
	Zhang C, Zhou YX. Analysis on errors regarding content validity index used in evaluation of measurement tools in Chinese nursing literature[J]. J Nurs Sci, 2020, 35(4):86-88.
[12]	朱涵菲, 杨宁琍, 任子淇, 等. 减重代谢术后患者饮食依从性影响因素的质性研究[J]. 中华护理杂志, 2021, 56(1):56-61. DOI URL
	Zhu HF, Yang NL, Ren ZQ, et al. Influencing factors of dietary adherence among patients following bariatric surgery:a qualitative study[J]. Chin J Nurs, 2021, 56(1):56-61. DOI URL
[13]	Feig EH, Golden J, Huffman JC. Emotional impact on health behavior adherence after bariatric surgery:what about positive psychological constructs?[J]. Obes Surg, 2019, 29(7):2238-2246. DOI
[14]	王才康, 胡中锋, 刘勇. 一般自我效能感量表的信度和效度研究[J]. 应用心理学, 2001, 7(1):37-40.
	Wang CK, Hu ZF, Liu Y. Evidences for reliability and validity of the Chinese version of General Self-Efficacy Scale[J]. J App Psy, 2001, 7(1):37-40.
[15]	陈曼曼, 胜利, 曲姗. 病人健康问卷在综合医院精神科门诊中筛查抑郁障碍的诊断试验[J]. 中国心理卫生杂志, 2015, 29(4):241-245.
	Chen MM, Sheng L, Qu S. Diagnostic test of screening depressive disorders in general hospital with the Patient Health Questionnaire[J]. Chin Ment Health J, 2015, 29(4):241-245.
[16]	陶娟, 陈慧颖, 蓝莹, 等. 手卫生行为量表的汉化及信效度检验[J]. 中华护理杂志, 2022, 57(9):1147-1152. DOI URL
	Tao J, Chen HY, Lan Y, et al. The cross-cultural adaptation and reliability and validity evaluation of Hand Hygiene Behaviour Questionnaire[J]. Chin J Nurs, 2022, 57(9):1147-1152. DOI URL
[17]	Bannigan K, Watson R. Reliability and validity in a nutshell[J]. J Clin Nurs, 2009, 18(23):3237-3243. DOI PMID
[18]	梁永春, 周海琴, 朱雪芬, 等. 肺移植特异性生活质量量表的汉化及信效度检验[J]. 中华护理杂志, 2022, 57(6):688-695. DOI URL
	Liang YC, Zhou HQ, Zhu XF, et al. Validation of Chinese version of the Lung Transplant Quality of Life Survey for lung transplant recipients[J]. Chin J Nurs, 2022, 57(6):688-695. DOI URL
[19]	Sobhani Z, Ahadi H, Khosravi S, et al. Psychometric indices of Post Bbariatric Surgery Self-management Behaviors Questionnaire[J]. I Arak Eni Med Sci, 2017, 1(20):84-95.