器官移植患者免疫抑制剂服药障碍量表的汉化及信度效度检验
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摘要
目的 :汉化免疫抑制剂服药障碍量表(Immunosuppressant Therapy Barrier Scale,ITBS)并检验其信度和效度。方法 :对ITBS进行翻译、回译和跨文化调试,形成中文版ITBS;采用便利抽样法,抽取长沙市某综合性三级甲等医院器官移植随访门诊患者181例为研究对象,使用中文版ITBS对肾移植术后患者进行调查,评价量表的信度和效度。结果 :中文版ITBS量表包括13个条目,共提取3个公因子,累积方差贡献率为61.6%,每个条目在其公因子上的载荷值均大于0.4;重测信度为0.870;总量表的Cronbach’sα系数为0.849。结论 :中文版ITBS条目较少,具有良好的信度、效度,可作为器官移植患者免疫抑制剂服药障碍的测量工具。
Objective: To translate the Immunosuppressant Therapy Barrier Scale(ITBS) into Chinese and test the reliability and validity of the Chinese version. Methods: The ITBS was translated into Chinese following the translationretranslation procedure and culturally adapted according to Chinese settings. The reliability and validity were tested in 181 kidney transplant recipients by convenience sampling from the outpatient department in a tertiary hospital in Changsha. Results: The Chinese version of ITBS consisted of 13 items. Three factors were extracted by factor analysis, which could explain 61.6% of the total variance. The loading of each item on the corresponding factors was higher than 0.4. The retest reliability and the Cronbach's α coefficient for the total scale were 0.870 and 0.849, respectively. Conclusion: The Chinese version of ITBS is with simple items and with good reliability and validity, which can be used as a tool for assessment of the immunosuppressant therapy barrier in patients with organ transplantation.
Objective: To translate the Immunosuppressant Therapy Barrier Scale(ITBS) into Chinese and test the reliability and validity of the Chinese version. Methods: The ITBS was translated into Chinese following the translationretranslation procedure and culturally adapted according to Chinese settings. The reliability and validity were tested in 181 kidney transplant recipients by convenience sampling from the outpatient department in a tertiary hospital in Changsha. Results: The Chinese version of ITBS consisted of 13 items. Three factors were extracted by factor analysis, which could explain 61.6% of the total variance. The loading of each item on the corresponding factors was higher than 0.4. The retest reliability and the Cronbach's α coefficient for the total scale were 0.870 and 0.849, respectively. Conclusion: The Chinese version of ITBS is with simple items and with good reliability and validity, which can be used as a tool for assessment of the immunosuppressant therapy barrier in patients with organ transplantation.
引文
[1]Drick N,Seeliger B,Fuge J,et al.Self reported non-adherence to immunosuppressive medication in adult lung transplant recipients:a single center cross-sectional study.Clin Transplant,2018,32(4):e13214.
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[6]林燕平,邱金花,林宁,等.护士交接班评估量表的汉化及信效度检测.中华护理杂志,2014,49(1):404-407.Lin YP,Qiu JH,Lin N,et al.Reliability and validity of the Chinese version of Nursing Assessment of Shift Report.Chinese Journal of Nursing,2014,49(1):404-407.
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[8]Constantiner M,Cuko D.Bar riers to immunosuppressive medication adherence in high-risk adult renal transplant recipients.Dial Transpl,2011,40(2):60-66.
[9]Brislin RW.Back-translation for cross-cultural research.J Cross Cult Psychol,1970,1(3):185-216.
[10]刘可.如何进行内容效度的检验.护士进修杂志,2010,25(1):37-39.Liu K.How to test the content validity.Journal of Nurses Training,2010,25(1):37-39.
[11]史静,莫显昆,孙振球.量表编制中内容效度指数的应用.中南大学学报:医学版,2012,37(2):152-155.Shi J,Mo XK,Sun ZQ.Content validity index in scale development.Journal of Central South University(Medical Science),2012,37(2):152-155.
[12]赵新爽,张银萍.癌症患者照顾着综合需求量表的本土化研究.中华护理杂志,2014,49(8):1005-1010.Zhao XS,Zhang YP.Development of the Chinese version of Comprehensive Needs Assessment Tool in Cancer for Caregivers.Chinese Journal of Nursing,2014,49(8):1005-1010.
[13]吴明隆.SPSS统计应用实务.北京:北京科学出版社,2003:112-119.Wu ML.Application of SPSS statistics.Beijing:Beijing Science Press,2003:112-119.
[14]Osterberg L,Blaschke T.Adherence to medication.New England Journal of Medicine,2005,353(5):487-497.
[2]Burra P,Germani G,Gnoato F,et al.Adherence in liver transplant recipients.Liver Transplant,2011,17(7):760-770.
[3]Schmid-Mohler G,Thut MP,Wüthrich RP,et al.Non-adherence to immunosuppressive medication in renal transplant recipients within the scope of the integrative model of behavioral prediction:a cross-sectional study.Clin Transplant,2010,24(2):213-222.
[4]王春燕.肾移植患者免疫抑制剂不良反应、服药信念与服药依从性的相关研究.长沙:中南大学,2017.Wang CY.A study on adverse reactions,medication beliefs and compliance of immunosuppressive agents in renal transplant recipients.Changsha:Central South University,2017.
[5]Marie AC,Charles EL,Gail MW,et al.Development and validation of an immunosuppressant therapy adherence barrier instrument.Nephrol Dial Transpl,2005,20(1):181-188.
[6]林燕平,邱金花,林宁,等.护士交接班评估量表的汉化及信效度检测.中华护理杂志,2014,49(1):404-407.Lin YP,Qiu JH,Lin N,et al.Reliability and validity of the Chinese version of Nursing Assessment of Shift Report.Chinese Journal of Nursing,2014,49(1):404-407.
[7]Morales JM,Varo E,Lazaro P,et al.Immunosuppressant treatment adherence,barriers to adherence and quality of life in renal and liver transplant recipients in Spain.Clin Transplant,2012,26(2):369-376.
[8]Constantiner M,Cuko D.Bar riers to immunosuppressive medication adherence in high-risk adult renal transplant recipients.Dial Transpl,2011,40(2):60-66.
[9]Brislin RW.Back-translation for cross-cultural research.J Cross Cult Psychol,1970,1(3):185-216.
[10]刘可.如何进行内容效度的检验.护士进修杂志,2010,25(1):37-39.Liu K.How to test the content validity.Journal of Nurses Training,2010,25(1):37-39.
[11]史静,莫显昆,孙振球.量表编制中内容效度指数的应用.中南大学学报:医学版,2012,37(2):152-155.Shi J,Mo XK,Sun ZQ.Content validity index in scale development.Journal of Central South University(Medical Science),2012,37(2):152-155.
[12]赵新爽,张银萍.癌症患者照顾着综合需求量表的本土化研究.中华护理杂志,2014,49(8):1005-1010.Zhao XS,Zhang YP.Development of the Chinese version of Comprehensive Needs Assessment Tool in Cancer for Caregivers.Chinese Journal of Nursing,2014,49(8):1005-1010.
[13]吴明隆.SPSS统计应用实务.北京:北京科学出版社,2003:112-119.Wu ML.Application of SPSS statistics.Beijing:Beijing Science Press,2003:112-119.
[14]Osterberg L,Blaschke T.Adherence to medication.New England Journal of Medicine,2005,353(5):487-497.