口渴痛苦量表在维持性血液透析患者中的应用评价
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摘要
目的将口渴痛苦量表(TDS)翻译成中文版,并在维持性血液透析患者中进行信效度评价。方法严格遵循量表的跨文化调试指南对源量表进行直译、回译和跨文化调试。选取在南京市第一医院血液净化中心进行维持性血液透析治疗的患者177例,使用中文版TDS量表和视觉模拟评分法(VAS)对患者进行调查,并评价中文版TDS量表的信度和效度。结果中文版TDS量表各条目水平的内容效度指数为0.83～1.0,量表水平的平均内容效度指数为0.95;通过探索性因子分析提取出l个公因子,累积方差贡献率为48.909%;中文版TDS量表与VAS量表间的相关系数为0.798;中文版TDS量表的Cronbach′sα系数为0.825,重测组内相关系数为0.86。结论中文版TDS量表具有良好的信度和效度,可以作为维持性血液透析患者口渴痛苦程度的评估工具。
Objective The thirst distress scale(TDS) was translated into Chinese version and evaluated for reliability and validity in maintenance hemodialysis patients. Method The source scale was translated literally, retranslated and interculturally debugged in strict accordance with the cross-cultural debugging guidelines of the scale. 177 patients undergoing maintenance hemodialysis in a blood purification center of a third-level hospital in Nanjing were selected. The reliability and validity of the Chinese version of TDS scale and visual analogue scale(VAS) were evaluated. Result The content validity index of the Chinese version of TDS scale ranged from 0.83 to 1.0. The average content validity index of scale level is 0.95. The cumulative variance contribution rate was 48.909%. The correlation coefficient between Chinese version of TDS and VAS was 0.798. The Cronbach's alpha coefficient of the Chinese version of TDS was 0.825, and the intra-test correlation coefficient was 0.86. Conclusion The Chinese version of TDS scale has good reliability and validity, and can be used as a tool to assess the degree of thirst pain in maintenance hemodialysis patients.
Objective The thirst distress scale(TDS) was translated into Chinese version and evaluated for reliability and validity in maintenance hemodialysis patients. Method The source scale was translated literally, retranslated and interculturally debugged in strict accordance with the cross-cultural debugging guidelines of the scale. 177 patients undergoing maintenance hemodialysis in a blood purification center of a third-level hospital in Nanjing were selected. The reliability and validity of the Chinese version of TDS scale and visual analogue scale(VAS) were evaluated. Result The content validity index of the Chinese version of TDS scale ranged from 0.83 to 1.0. The average content validity index of scale level is 0.95. The cumulative variance contribution rate was 48.909%. The correlation coefficient between Chinese version of TDS and VAS was 0.798. The Cronbach's alpha coefficient of the Chinese version of TDS was 0.825, and the intra-test correlation coefficient was 0.86. Conclusion The Chinese version of TDS scale has good reliability and validity, and can be used as a tool to assess the degree of thirst pain in maintenance hemodialysis patients.
引文
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[21] 龙艳波,刘慧.慢性中耳炎好转评价量表的汉化及其信效度验证[J].护理学杂志,2018,33(13):26-29.
[22] 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,2010:178-181.
[23] 李峥,刘宇.护理学研究方法[M].北京:人民卫生出版社,2012:71-73.
[24] 张聪聪.Hendrich跌倒风险评估量表的汉化及信效度评价[D].北京:北京协和医学院,2010.
[2] 张晓华,李静,王利华.近5年维持性血液透析患者的流行病学调查分析[J].中国血液净化,2015,14(11):698-702.
[3] Kimmel P L,Varela M P,Peterson R A,et al.Interdialytic weight gain and survival in hemodialysis patients:Effects of duration of ESRD and diabetes mellitus[J].Kidney Int,2000,57(3):1141-1151.
[4] Szczech L A,Reddan D N,Klassen P S,et al.Interactions between dialysis-related volume exposures,nutritional surrogates and mortality among ESRD patients[J].Nephrol Dial Transplant,2003,18(8):1585-1591.
[5] 邓娜,孙蕾,刘金凤,郭楚.5E康复护理方案改善尿毒症血液透析患者水钠摄取不合理及睡眠状况的研究[J].护士进修杂志,2018,33(24):2221-2224.
[6] Obika L F,Okpere S O,Ozoene J O,et al.The role of oropharnygeal receptors in thirst perception after dehydration and rehydration[J].Niger J Physiol Sci,2014,29(1):37-42.
[7] Dodd M,Janson S,Facione N,et al.Advancing the science of symptom management[J].J Adv Nurs,2001,33(5):668-676.
[8] 范伟峰.维持性血透患者口渴相关因素及干预的临床意义[D].上海:复旦大学,2009.
[9] 梁晖.乌梅含漱液对维持性血液透析口渴患者的临床观察及唾液流率与相关因子研究[D].广州:广州中医药大学,2016.
[10] Bruzda-Zwiech A,Szczepanska J,Zwiech R.Sodium gradient,xerostomia,thirst and inter-dialytic excessive weight gain:A possible relationship with hyposalivation in patients on maintenance hemodialysis[J].Int Urol Nephrol,2014,46(7):1411-1417.
[11] Welch J L.Development of the thirst distress scale[J].Nephrol Nurs J,2002,29(4):337-341.
[12] Kara B.Validity and reliability of the Turkish version of the thirst distress scale in patients on hemodialysis[J].Asian Nurs Res,2013,7(4):212-218.
[13] Allida S M,Inglis S C,Davidson P M,et al.Measurement of thirst in chronic heart failure - A review[J].Contemp Nurse,2014,48(1):2-9.
[14] Millard-Stafford M,Wendland D M,O'dea N K,et al.Thirst and hydration status in everyday life[J].Nutr Rev,2012,70(S2:)147-151.
[15] Waldreus N,Jaarsma T,Van Der Wal M H,et al.Development and psychometric evaluation of the thirst distress scale for patients with heart failure[J].Eur J Cardiovasc Nurs,2018,17(3):226-234.
[16] Brislin R W.Back-Translation for cross-cultural research[J].Journal of Cross-Cultural Psychology,1970,1(3):185-216.
[17] 郭金玉,李峥.量表引进的过程及评价标准[J].中华护理杂志,2012,47(3):283-285.
[18] 史静琤,莫显昆,孙振球.量表编制中内容效度指数的应用[J].中南大学学报(医学版),2012(2):152-155.
[19] Lynn M R.Determination and quantification of content validity[J].Nurs Res,1986,35(6):382-385.
[20] Davis L L.Instrument review:Getting the most from a panel of experts[J].Applied nursing research,1992,5(4):194-197.
[21] 龙艳波,刘慧.慢性中耳炎好转评价量表的汉化及其信效度验证[J].护理学杂志,2018,33(13):26-29.
[22] 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,2010:178-181.
[23] 李峥,刘宇.护理学研究方法[M].北京:人民卫生出版社,2012:71-73.
[24] 张聪聪.Hendrich跌倒风险评估量表的汉化及信效度评价[D].北京:北京协和医学院,2010.