功能性腹胀患者健康促进行为量表的汉化及信效度检验

doi:10.16460/j.issn1008-9969.2023.03.011

摘要/Abstract

摘要： 目的汉化并检验功能性腹胀患者健康促进行为量表（the Health Promoting Behaviour for Bloating scale,HPB-Bloat）的信效度。方法按照Brislin翻译原则对量表进行顺译、回译、文化调适和预试验,形成量表中文版,采用方便抽样法对2022年1—6月南宁市某三级甲等医院脾胃病科的404例功能性腹胀患者进行健康促进行为的评估,运用SPSS 26.0和Mplus 8.3完成量表的项目分析、信效度和等值性检验。结果功能性腹胀患者健康促进行为量表包含4个维度11个条目,项目分析表明量表条目具有良好的鉴别度和同质性;量表的内容效度指数为0.949,各条目的内容效度指数在0.875~1.000之间;探索性因子分析提取4个因子（饮食、身体活动、压力管理、健康与治疗意识）,累计方差贡献率为51.4%;验证性因子分析结果显示,模型拟合数据理想;量表的效标关联效度为0.687;量表的Cronbach α系数为0.796,间隔2周后的重测信度为0.824;量表在跨性别等值性检验中△CFI≤0.010,△RMSEA≤0.015。结论中文版功能性腹胀患者健康促进行为量表具有良好的信效度和跨性别的测量等值性,可作为我国功能性腹胀患者健康促进行为的评估工具。

关键词: 功能性腹胀, 健康促进行为, 信度, 效度

Abstract: Objective To translate the Health Promoting Behavior for Bloating scale (HPB-Bloat) for patients with functional abdominal distension, and to test its reliability and validity. Methods According to Brislin's translation model, the scale was translated, back-translated, culturally adjusted and pre-tested to form the Chinese version of the scale. Convenient sampling method was used to select 404 patients with functional abdominal distension in the Department of Spleen and Stomach Diseases of a tertiary grade-A hospital in Nanning from January to June 2022 to evaluate the health promoting behavior. SPSS 26.0 and Mplus 8.3 were used to complete the project analysis, reliability and validity and equivalence test of the scale. Results The translated HPB-Bloat for patients with functional abdominal distension consisted of 4 dimensions and 11 items. Item analysis showed that the scale items had good discrimination and homogeneity. Content validity index of the scale was 0.949, and the content validity index of each item ranged from 0.875 to 1.000. Exploratory factor analysis extracted 4 factors (diet, physical activity, stress management, health and treatment awareness), and cumulative variance contribution rate was 51.4%. Confirmatory factor analysis showed that the model fitting data was ideal. Criterion-related validity of the scale was 0.687; Cronbach α coefficient of the scale 0.796, and the test-retest reliability after 2 weeks 0.824. In cross-gender equivalence test, △CFI was≤0.010; and △RMSEA≤0.015. Conclusion The Chinese version of HPB-Bloat for patients with functional abdominal distension has good reliability and validity and cross-gender measurement equivalence, which can be used as an evaluation tool for the health promoting behavior of patients with functional abdominal distension in China.

Key words: functional abdominal distension, health promoting behavior, reliability, validity

中图分类号:

董世攀, 梁小英, 黄兰怡, 梁善英, 梁锦波, 代炜, 赵玉玲, 黄沂. 功能性腹胀患者健康促进行为量表的汉化及信效度检验[J]. 护理学报, 2023, 30(3): 11-15.

DONG Shi-pan, LIANG Xiao-ying, HUANG Lan-yi, LIANG Shan-ying, LIANG Jin-bo, DAI wei, ZHAO Yu-ling, HUANG yi. Translation of Health Promoting Behavior for Bloating scale for patients with functional abdominal distension and its reliability and validity[J]. Journal of Nursing, 2023, 30(3): 11-15.

参考文献

[1] Pessarelli T, Sorge A, Elli L, et al.The low-FODMAP diet and the gluten-free diet in the management of functional abdominal bloating and distension[J].Front Nutr, 2022, 9:1007716.DOI:10.3389/fnut.2022.1007716.
[2] 刘静, 李伦兰, 甘玉云,等.健康行为相关测评工具的研究进展[J].中国全科医学,2019, 22(13):1632-1636.DOI:10.12114/j.issn.1007-9572.2019.00.199.
[3] Abdullah N, Kueh YC, Kuan G, et al.Development and validation of the Health Promoting Behaviour for Bloating (HPB-Bloat) scale[J]. PeerJ, 2021,9:e11444.DOI:10.7717/peerj.11444.
[4] 黄穗平, 孟立娜, 唐旭东,等.消化系统常见病功能性腹胀中医诊疗指南(基层医生版)[J].中华中医药杂志,2019,34(9):4148-4154.
[5] 曹文君, 郭颖, 平卫伟, 等.HPLP-Ⅱ健康促进生活方式量表中文版的研制及其性能测试[J]. 中华疾病控制杂志,2016,20(3):286-289.DOI:10.16462/j.cnki.zhjbkz.2016.03.018.
[6] Machado RDS, Fernandes A, Oliveira A, et al.Cross-cultural adaptation methods of instruments in the nursing area[J].Rev Gaucha Enferm,2018, 39:e20170164.DOI:10.1590/1983-1447.2018.2017-0164.
[7] Graeff MDS, Almeida MA, Porcel-Gálvez AM, et al.Cross-cultural adaptation and validation of instrument to measure nursing care dependency[J]. Rev Gaucha Enferm,2022,43:e20210135.DOI:10.1590/1983-1447.2022.20210135.en.
[8] 叶孝灵, 周春兰, 黄丛萍, 等.脑卒中后失能综合评估量表的汉化与信效度检验[J].护理学报, 2022,29(11):65-69.DOI:10.16460/j.issn1008-9969.2022.11.065.
[9] 陈艺华,金童林,乌云特娜.肥胖恐惧量表中文版测评女大学生的效度和信度[J].中国心理卫生杂志, 2022, 36(12):1063-1067.
[10] 王舟强, 吴小琴,王扬勇.基于平行分析法的医疗工作质量小样本数据分析研究[J].现代预防医学, 2021,48(18):3341-3344.
[11] 杨丽潇, 周春兰, 屠燕, 等.老年慢性病患者健康赋能需求评估量表的研制及信效度检验[J].护理学报,2022,29(3):67-71.DOI:10.16460/j.issn1008-9969.2022.03.067.
[12] 陈维, 杨涛, 高荣芬, 等.Connor-Davidson心理韧性量表简版在大学生中的信效度检验和跨性别等值性[J].西南师范大学学报(自然科学版),2021, 46(11):38-45.DOI:10.13718/j.cnki.xsxb.2021.11.006.
[13] Wang J, Li C, Meng X, et al.Validation of the chinese version of the procrastination at work scale[J]. Front Psychol,2021,12:726595.DOI:10.3389/fpsyg.2021.726595.
[14] Liu J, Zheng Z, Ge L, et al.Reliability and validity of the Mandarin version of the Trust in Nurses Scale[J]. J Nurs Manag,2022, 30(5):1366-1375.DOI:10.1111/jonm.13623.
[15] Naye F, Décary S, Tousignant-Laflamme Y.Development and content validity of a rating scale for the pain and disability drivers management model[J]. Arch Physiother,2022,12(1):14.DOI:10.1186/s40945-022-00137-2.
[16] Revuelta J, Ximénez C, Minaya N.Overfactoring in rating scale data: a comparison between factor analysis and item response theory[J]. Front Psychol,2022,13:982137.DOI:10.3389/fpsyg.2022.982137.
[17] Uljarevic M, Richdale AL, McConachie H, et al.The hospital anxiety and depression scale: factor structure and psychometric properties in older adolescents and young adults with autism spectrum disorder[J].Autism Res,2018,11(2):258-269.DOI:10.1002/aur.1872.
[18] 胡鹏, 路红,马子程.验证性因子分析中允许误差相关的可行性与条件性[J].统计与决策,2018,34(19):37-41.DOI:10.13546/j.cnki.tjyjc.2018.19.008.
[19] 项佳莲, 宁丽, 陈雨静, 等.肺癌生存者自我管理行为评估量表的编制及信效度检验[J].中华护理杂志,2022,57(21):2615-2621.
[20] Sakaluk JK, Quinn-Nilas C, Fisher AN, et al.Sameness and difference in psychological research on consensually non-monogamous relationships: the need for invariance and equivalence testing[J]. Arch Sex Behav,2021, 50(4):1341-1365.DOI:10.1007/s10508-020-01794-9.
[21] 柴晓运, 李晓燕, 曹娟, 等.中国青少年积极发展量表(简版)的编制:基于一个大样本数据[J].心理与行为研究,2020,18(5):631-637.
[22] Liang L, Yang J, Yao S.Measurement equivalence of the SDQ in chinese adolescents: a horizontal and longitudinal perspective[J]. J Affect Disord,2019,257:439-444.DOI:10.1016/j.jad.2019.06.049.
[23] Tibubos AN, Otten D, Zöller D, et al.Bidimensional structure and measurement equivalence of the patient health questionnaire-9: sex-sensitive assessment of depressive symptoms in three representative German cohort studies[J].BMC Psychiatry,2021,21(1):238.DOI:10.1186/s12888-021-03234-x.

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