中文版老年人睡眠类药物使用情况调查问卷的跨文化调适

doi:10.16460/j.issn1008-9969.2021.17.011

摘要/Abstract

摘要： 目的对英文版老年人睡眠类药物使用情况调查问卷进行翻译,形成中文版问卷,并测量问卷的心理计量学特征。方法与源问卷作者取得联系获得授权,采用Brislin翻译模型汉化形成修订版问卷。采用项目区分度（极端组比较法及积差相关系数）进行项目分析;采用专家测评法进行内容效度分析;探索性因子分析及验证性因子分析进行结构效度分析;问卷信度采用Cronbach α系数表示。结果中文版问卷共有12条目,问卷Cronbach α系数为0.76,重测信度系数ICC=0.97;内容效度（S-CVI/Ave）为0.98;利用探索性因子分析对问卷提取公因子,特征值≥1的公因子有3个,对总方差的累计贡献率为56.56%,结构方程模型结果显示调整卡方值=3.75、拟合优度指数=0.89、比较拟合指数=0.86、调整后拟合优度指数=0.84、递增拟合指数=0.86、近似误差均方根=0.09,模型拟合度良好。结论修订的中文版老年人睡眠类药物使用情况调查问卷具有良好的信效度,为医疗卫生人员评估老年人睡眠类药物使用情况提供工具,为卫生保健体系制定策略提供参考依据。

关键词: 老年人, 睡眠药物, 跨文化调适, 信效度

Abstract: Objective To translate the English questionnaire of use of sleep medication (Q-USM) in elderly people and to analyze its psychometrics character. Methods A methodological study carried out in six steps: authorization of the translation of the questionnaire, across-cultural adaptation, back-translation, analysis by expert committee, pre-testing and the evaluation of psychometric properties. Psychometric properties, including item analysis (the extreme group comparison and item-total correlations), content validity (item-level content validity index (I-CVI) and scale-level content validity index (S-CVI)), construct validity confirmatory factor analysis (CFA) and internal consistency (Cronbach α and test-retest reliability), were measured. Results The instrument was translated and cross-culturally adapted and its final version consisted of 12 items. The translated Q-USM had excellent internal consistency (Cronbach α=0.76). The test-retest reliability coefficient was 0.97. The S-CVI was 0.98. CFA showed that the three-factor model explained 56.56% of the total variance, indicating good model fit (likelihood ratio χ²/df=3.75, incremental fit index=0.86, comparative fit index=0.86, goodness-of-fit index=0.89, adjusted goodness-of-fit index=0.84 and standardized root mean square error of approximation=0.09). Conclusion With good reliability and validation, the translated Q-USM provides reference for assessment of sleep medication use in elderly people and for developing related strategies by heath care system.

Key words: elderly people, sleep medication, cross-cultural adaptation, reliability and validity

中图分类号:

R471

唐鹤, 乔宇, 朱佳美, 张敏. 中文版老年人睡眠类药物使用情况调查问卷的跨文化调适[J]. 护理学报, 2021, 28(17): 11-14.

TANG He, QIAO Yu, ZHU Jia-mei, ZHANG Min. Cross-cultural Adaptation of Chinese Version of Questionnaire of Use of Sleep Medication in Elderly[J]. Journal of Nursing, 2021, 28(17): 11-14.

参考文献

[1] Cross NE.Association between Insomnia Disorder and Cognitive Function in Middle-aged and Older Adults: A Cross-Sectional Analysis of the Canadian Longitudinal Study on Aging[J].Sleep,2019,42(8):114.DOI:10.1093/sleep/zsz114.
[2] Kumar S.The Relationship between Sleep Quality, Inappropriate Medication Use and Frailty among Older Adults in Aged Care Homes in Malaysia[J]. PLoS One, 2019,14(10):e0224122.DOI:10.1371/journal.pone.0224122.
[3] Kripke DF.Hypnotic Drug Risks of Mortality, Infection, Depression, and Cancer: but Lack of Benefit[J]. F1000Res, 2016, 5:918. DOI:10.12688/f1000research.8729.3.
[4] Abraham O, Schleiden L, Albert SM.Over-the-counter Medications Containing Diphenhydramine and Doxylamine Used by Older Adults to Improve Sleep[J]. Int J Clin Pharm, 2017,39(4):808-817. DOI:10.1007/s11096-017-0467-x.
[5] Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society.Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons[J]. J Am Geriatr Soc, 2011,59(1): 148-157. DOI:10.1111/j.1532-5415.2010.03234.x.
[6] Avin KG, Hanke TA, Neva KS, et al.Management of Falls in Community-dwelling Older Adults: Clinical Guidance Statement from the Academy of Geriatric Physical Therapy of the American Physical Therapy Association[J]. Phys Ther,2015,95(6):815-834. DOI:10.2522/ptj.20140415.
[7] Fiorin BH, Oliveira ER, Rita SL, et al.Cross-cultural Adaptation of the Myocardial Infarction Dimensional Assessment Scale(MIDAS) to the Brazilian Portuguese Language[J]. Cien Saude Colet,2018,23(3):785-793.DOI:10.1590/1413-81232018233.08332017.
[8] Denti L, Marcomini B, Riva S, et al.Cross-cultural Adaptation of the Stroke Action Test for Italian--Speaking People[J]. BMC Neurol, 2015,15:76. DOI:10.1186/s12883-015-0335-z.
[9] 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.DOI:10.3761/j.issn.0254-1769.2012.03.039.
[10] 史静峥,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. DOI:10.3969/j.issn.1672-7347.2012.02.007.
[11] Lindig A, Hahlweg P, Christalle E, et al.Translation and Psychometric Evaluation of the German Version of the Icansdm Measure-a Cross-Sectional Study among Healthcare Professionals[J]. BMC Health Serv Res, 2021,21(1):541.DOI:10.1186/s12913-021-06430-3.
[12] Chen Y.Psychometric Evaluation of the Major Depression Inventory (MDI) as a Depression Severity Scale in Chinese Patients with Coronary Artery Disease. Findings from the MEDEA FAR-EAST Study[J]. Front Psychiatry, 2019, 10(18):493. DOI:10.3389/fpsyt.2019.00493.
[13] 李峥,刘宇. 国外量表或问卷的跨文化调适——量表的选择[J]. 中国护理管理, 2020, 20(12):1782.

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