造口患者自我照护指数量表的汉化及信效度检验

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目的:汉化造口患者自我照护指数量表,并检验其信度、效度。方法:在获得原量表作者的同意后,采用Brislin翻译模式对英文版造口患者自我照护指数量表进行翻译、回译和跨文化调试。采用便利抽样法,选取于2019年12月—2020年5月在青岛市某三级甲等综合医院门诊复诊的330例造口患者进行调查,评价量表的信效度。结果:量表包含4个分量表,共32个条目。自我照护维持分量表提取出2个因子(造口袋装置维持、造口护理行为),自我照护监测分量表提取出1个因子(自我照护监测行为),自我照护管理分量表提取出2个因子(自主自理管理行为、咨询自理管理行为),自我照护信心分量表提取出1个因子(自我照护信心)。4个分量表的累计方差贡献率分别为77.778%、64.855%、92.761%、69.710%。总量表的Cronbach's α系数0.962,4个分量表的Cronbach's α系数为0.903~0.951,重测信度为0.814~0.947。量表条目水平的内容效度指数为0.875~1.000,量表水平的平均内容效度指数为0.988。结论:造口患者自我照护指数量表信效度良好,可作为测量我国造口患者自我照护行为的评估工具。“,”Objective:To translate the Ostomy Self-Care Index (OSCI) and assess its reliability and validity.Methods:After obtaining the consent of the original scale's author, the Brislin translation model was used to translate, back translate and cross-culturally debug the English version of OSCI. From December 2019 to May 2020, the convenience sampling method was used to select 330 patients with stoma who were revisited in the outpatient clinic of a ClassⅢ Grade A hospital in Qingdao to conduct a survey, so as to evaluate the reliability and validity of OSCI.Results:The scale contained 4 subscales with a total of 32 items. The self-care maintenance sub scale extracted 2 factors (stoma appliances maintenance, stoma-care behavior) , and the self-care monitoring sub scale extracted 1 factor (self-care monitoring behavior) , and the self-care management sub scale extracted 2 factors (autonomous self-care management behaviors, consultative self-care management behaviors) , and the self-care confidence sub scale extracted 1 factor (self-care confidence) . The cumulative variance contribution rates of the 4 subscales were 77.778%, 64.855%, 92.761% and 69.710% respectively. The Cronbach's α coefficient of the total scale was 0.962, and the Cronbach's α coefficient of the 4 subscales was from 0.903 to 0.951, and the test-retest reliability was from 0.814 to 0.947. The item-level content validity index of the scale items ranged from 0.875 to 1.000, and the average scale-level content validity index of the scale was 0.988.Conclusions:The OSCI has good reliability and validity, and can be used as an assessment tool to measure the self-care behavior of stoma patients in China.
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