痴呆知识评估量表的汉化及信效度研究
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摘要
[目的]翻译并修订痴呆知识评估量表(DKAS),并对其进行信度和效度评价。[方法]采用Beaton翻译模式对英文版DKAS进行翻译和回译;通过专家小组讨论和预调查对翻译量表进行文化调适;采用便利抽样方法,对郑州市9所养老院内的232名老年痴呆病人照顾者进行调查。采用Cronbach′sα系数及两次测量结果的相关性评价量表的信度;采用专家评定法评价量表的内容效度,运用探索性因子分析评价量表的结构效度。[结果]中文版DKAS共有25个条目,探索性因子分析提取4个公因子,累计方差贡献率为65.021%;条目水平内容效度指数为0.83～1.00,总条目平均内容效度指数为0.90;总量表的Cronbach′sα系数为0.840,各分量表的Cronbach′sα系数为0.826～0.957;总量表的重测信度为0.835,各分量表的重测信度为0.724～0.932。[结论]中文版DKAS具有较好的信效度,可用于评估中国文化背景下痴呆病人照顾者的痴呆知识水平评估。
Objective:To translate and revise the Dementia Knowledge Assessment Scale(DKAS)into Chinese and evaluate its reliability and validity.Methods:The English version of DKAS was translated and translated back using the Beaton translation model;the translated scale was culturally adjusted through expert panel discussions and pre-surveys;a total of 232 caregivers of patients with Alzheimer′s disease in 8 nursing homes in Zhengzhou City were investigated with the translated scale,who was adopted by convenient sampling method.The reliability of the scale was evaluated by Cronbach′sαcoefficient and the correlation between the two measurements.The content validity of the scale was evaluated by expert evaluation method,and the structural validity of the scale was evaluated by exploratory factor analysis.Results:There were 25 entries in the Chinese version of DKAS,and 4 common factors were extracted by exploratory factor analysis.The cumulative variance contribution rate was 65.021%;the entry-level content validity index was0.83～1.00,and the total item average content validity index was 0.90.The Cronbach′sαcoefficient of the total scale was 0.840,the Cronbach′sαcoefficient of each subscale was 0.826～0.957,the test-retest reliability of the total scale was 0.835,and the test-retest reliability of each subscale was 0.724～0.932.Conclusions:The Chinese version of DKAS had good reliability and validity,which could be used to evaluate the level of dementia knowledge of caregivers of dementia patients in Chinese culture.
Objective:To translate and revise the Dementia Knowledge Assessment Scale(DKAS)into Chinese and evaluate its reliability and validity.Methods:The English version of DKAS was translated and translated back using the Beaton translation model;the translated scale was culturally adjusted through expert panel discussions and pre-surveys;a total of 232 caregivers of patients with Alzheimer′s disease in 8 nursing homes in Zhengzhou City were investigated with the translated scale,who was adopted by convenient sampling method.The reliability of the scale was evaluated by Cronbach′sαcoefficient and the correlation between the two measurements.The content validity of the scale was evaluated by expert evaluation method,and the structural validity of the scale was evaluated by exploratory factor analysis.Results:There were 25 entries in the Chinese version of DKAS,and 4 common factors were extracted by exploratory factor analysis.The cumulative variance contribution rate was 65.021%;the entry-level content validity index was0.83～1.00,and the total item average content validity index was 0.90.The Cronbach′sαcoefficient of the total scale was 0.840,the Cronbach′sαcoefficient of each subscale was 0.826～0.957,the test-retest reliability of the total scale was 0.835,and the test-retest reliability of each subscale was 0.724～0.932.Conclusions:The Chinese version of DKAS had good reliability and validity,which could be used to evaluate the level of dementia knowledge of caregivers of dementia patients in Chinese culture.
引文
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[15]VALMI DS,WILAIPORN R.Translation,adaptation and validation of instruments or scales for use in cross-cultural health care research:a clear and user-friendly guideline[J].J Eval Clin Pract,2011,17(2):268-274.
[16]吴明隆.问卷统计分析实务[M].重庆:重庆大学出版社,2010:240.
[17]李峥,刘宇.护理学研究方法[M].北京:人民卫生出版社,2012:1.
[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,2012,37(2):49-52.
[19]HERHAAG J,TEAM T C D.TMVA-Toolkit for multivariate data analysis[J].Physics,2013,27(2):316-346.
[20]吴迪,张燕,梁会,等.牙周炎病人口腔保健自我效能量表的汉化及信效度评价[J].中华护理杂志,2015,50(6):758-762.
[21]孙晓岚.老年痴呆病人照料者健康教育需求调查与分析[J].中国老年保健医学,2016,14(3):82-84.
[22]钟碧橙,邹淑珍.老年痴呆患者照顾者负担与需求的相关性分析[J].护理学杂志,2010,25(1):16-18.
[23]YAN E,KWOK T.Abuse of older Chinese with dementia by family caregivers:an inquiry into the role of caregiver burden[J].Int J Geriatr Psychiatry,2011,26(5):527-535.
[24]张红,邹莉,宋丽君.汉化版关节炎患者自我效能量表信度效度的测试研究[J].中国实用护理杂志,2012,28(31):50-52.
[2]PEI J J,GIRON M S T,IA J,et al.Dementia studies in Chinese populations[J].Neuroscience Bulletin,2014,30(2):207-216.
[3]World Alzheimer′s Report 2015:Global Impact of Dementia.Medscape[EB/OL].[2018-01-09].http://www.Medscape.com-August27-2015.
[4]冯晓敏,王曙红,刘风兰,等.痴呆照顾者负担的影响因素及其干预研究进展[J].护理学杂志,2011,26(2):88-91.
[5]黄雷,邹文华,向健涛,等.长沙地区55岁及以上人群老年痴呆相关知识知晓率调查[J].精神医学杂志,2014,27(6):446-448.
[6]张雪梅.老年体检人群285例对阿尔茨海默病知晓度的调查分析[J].现代医药卫生,2015,31(S2):25-27.
[7]ANNEAR M J,TOYE C M,ECCLESTON E,et al.Dementia Knowledge Assessment Scale:development and preliminary psychometric properties[J].Journal of the American Geriatrics Society,2015,63(1):2375-2381.
[8]ANNEAR M J,OTANI J,LI J.Japanese-language Dementia Knowledge Assesment Scale:pycnometric performance,and health student and professional understanding[J].Geriatrics&Gerontology International,2017,17(10):1746-1751.
[9]方积乾.生存质量测定方法及应用[M].北京:北京医科大学出版社,2000:75.
[10]董景五.疾病和有关健康问题的国际统计分类ICD-10第1卷[M].2版:北京.人民卫生出版社,2008:1.
[11]BEATON DE,BOMBARDIER C,GUILLEMIN F,et al.Guidelines for the process of cross-cultural adaptation of self-report measures[J].Spine,2000,25(24):3186-3191.
[12]刘砚燕,袁长蓉.量表测量等价性及其在护理研究中的应用[J].中华护理杂志,2015,50(1):110-115.
[13]邱皓政.量化研究与统计分析[M].5版.重庆:重庆大学出版社,2013:312.
[14]贾东风,任长安.SPSS统计软件中的因子分析法在医学科研中的应用[J].办公自动化:综合月刊,2009(2):53-55.
[15]VALMI DS,WILAIPORN R.Translation,adaptation and validation of instruments or scales for use in cross-cultural health care research:a clear and user-friendly guideline[J].J Eval Clin Pract,2011,17(2):268-274.
[16]吴明隆.问卷统计分析实务[M].重庆:重庆大学出版社,2010:240.
[17]李峥,刘宇.护理学研究方法[M].北京:人民卫生出版社,2012:1.
[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,2012,37(2):49-52.
[19]HERHAAG J,TEAM T C D.TMVA-Toolkit for multivariate data analysis[J].Physics,2013,27(2):316-346.
[20]吴迪,张燕,梁会,等.牙周炎病人口腔保健自我效能量表的汉化及信效度评价[J].中华护理杂志,2015,50(6):758-762.
[21]孙晓岚.老年痴呆病人照料者健康教育需求调查与分析[J].中国老年保健医学,2016,14(3):82-84.
[22]钟碧橙,邹淑珍.老年痴呆患者照顾者负担与需求的相关性分析[J].护理学杂志,2010,25(1):16-18.
[23]YAN E,KWOK T.Abuse of older Chinese with dementia by family caregivers:an inquiry into the role of caregiver burden[J].Int J Geriatr Psychiatry,2011,26(5):527-535.
[24]张红,邹莉,宋丽君.汉化版关节炎患者自我效能量表信度效度的测试研究[J].中国实用护理杂志,2012,28(31):50-52.