2型糖尿病心理痛苦量表的汉化及信效度检验

doi:10.16460/j.issn1008-9969.2024.19.024

摘要/Abstract

摘要： 目的汉化英文版2型糖尿病心理痛苦量表（Type 2 Diabetes Distress Assesment System,T2-DDAS）并检验其信效度。方法基于Brislin翻译模式对T2-DDAS量表进行翻译及跨文化调试。采用便利抽样法,2023年10月—2024年1月,调查410例2型糖尿病患者的心理痛苦程度,以检验中文版T2-DDAS量表的信效度。结果中文版T2-DDAS量表的内容效度指数为0.98;探索性因子分析提取7个公因子,累计方差贡献率86.63%,验证性因子分析结果显示,χ²/df=2.29,RMSEA=0.08,CFI=0.94,TLI=0.92,IFI=0.94,GFI=0.86,NFI=0.89;核心量表Cronbach α系数为0.91,源量表各维度的Cronbach α系数为0.81~0.89。核心量表重测信度系数为0.90,源量表各维度重测信度为0.88~0.94。结论中文版T2-DDAS具有良好的信效度,可作为测量国内2型糖尿病患者心理痛苦水平的评估工具。

关键词: 2型糖尿病, 心理痛苦, 量表, 信度, 效度, 德尔菲法

Abstract: Objective To translate the English version of the type 2 diabetes distress assessment system (T2-DDAS) into Chinese and to test its reliability and validity. Methods Translation and cross-cultural adaptation of the T2-DDAS was performed based on the Brislin model. Convenience sampling was used to select 410 patients with type 2 diabetes from October 2023 to January 2024 and they were investigated to test the reliability and validity of the Chinese version of T2-DDAS. Results The content validity index of the Chinese version of T2-DDAS was 0.98. The exploratory factor analysis extracted seven common factors with a cumulative variance contribution of 86.63%. Validation factor analysis showed that χ²/df=2.29, RMSEA=0.08, CFI=0.94, TLI=0.92, IFI=0.94, GFI=0.86, NFI=0.89. The Cronbach's alpha coefficient of the core scale was 0.91, and the Cronbach's alpha coefficient of the dimensions of the source scale ranged from 0.81 to 0.89. The re-test reliability coefficient of the core scale was 0.90, and the re-test reliability of the dimensions of the source scale ranged from 0.88 to 0.94. Conclusion The Chinese version of T2-DDAS has good reliability and validity, and it can be used as an assessment tool to measure the level of psychological distress of patients with type 2 diabetes mellitus in China.

Key words: type 2 diabetes, psychological distress, scale, reliability, validity, Delphi method

中图分类号:

R473.58

罗铎麟, 杨春清, 高萍, 胡清文, 徐小群. 2型糖尿病心理痛苦量表的汉化及信效度检验[J]. 护理学报, 2024, 31(19): 24-30.

LUO Duo-lin, YANG Chun-qing, GAO Ping, HU Qing-wen, XU Xiao-qun. Localization of type 2 diabetes distress assessment system and its reliability and validity[J]. Journal of Nursing, 2024, 31(19): 24-30.

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