合理用药自我效能量表的汉化及信效度检验

目的对合理用药自我效能量表(Self-efficacy for Appropriate Medication Use Scale,SEAMS)进行汉化并测定其中文版信效度。方法严格按照Brislin量表翻译原则,对量表进行翻译、回译、文化调适及预试验;使用中文版SEAMS对480例社区脑卒中患者进行调查,并对测定结果进行信效度分析。结果中文版SEAMS的重测信度为0.932,整个量表的Cronbach′sα系数为0.934;探索性因子分析共提取2个共因子,累积方差贡献率为55.821%,且各条目在其公因子上的因子载荷均大于0.4;量表水平的内容效度指数(CVI)为0.913。中文版SEAMS得分与Morisky服药依从性问卷得分的Pearson相关系数为-0.847(P0.01)。结论中文版SEAMS具有较好的信效度,适合评价脑卒中患者的服药依从性。     

口服抗凝治疗护理管理自我效能量表的汉化及信效度检验

目的 汉化口服抗凝治疗护理管理自我效能量表（Self-Efficacy Scale for Oral Anticoagulant Nursing Therapy Management,SE-OAM）,检验其信效度,为临床提供合适的评估工具。方法 对原量表进行翻译、综合、回译,经文化调适后形成中文版SE-OAM;对292名护士进行正式调查,在调查2周后从中便利抽取20名护士再次填写量表,检验量表信效度。结果 中文版SE-OAM共5个维度21个条目,项目分析高、低分组各条目评分比较,t=16.380~22.830（均P＜0.05）,相关系数0.762～0.935;I-CVI为0.870～1.000,S-CVI/Ave为0.970。探索性因子分析共提取出5个公因子,累计方差贡献率71.279%。总量表Cronbach′s α系数为0.982,重测信度为0.971。结论 中文版SE-OAM信效度较好,可用于测量护士在患者口服抗凝治疗管理中的自我效能水平,为护理管理者制定针对性的自我效能提高方案提供依据。     

独立式移动医疗应用程序可用性问卷的汉化及信效度检验

目的 汉化独立式移动医疗应用程序可用性问卷患者版,并检验其在老年人群中的信效度。方法 对问卷进行翻译、回译和跨文化调适,形成中文版独立式移动医疗应用程序可用性问卷;采用便利抽样法调查403名老年人评估问卷的信效度。结果 中文版独立式移动医疗应用程序可用性问卷共18个条目,探索性因子析出易用性、界面和满意度、有效性3个因子,累计方差贡献率为89.166%。验证性因子分析显示,3因子模型拟合良好。以系统可用性量表作为校标,相关系数为0.636。该问卷的Cronbach′s α系数为0.979,折半信度为0.919,重测信度为0.974。结论 中文版独立式移动医疗应用程序可用性问卷的信效度良好,适用于老年人对独立式移动医疗应用程序进行可用性评价,可为未来开发及实施移动健康服务提供参考。     

护士人性化护理能力量表汉化及信效度检验

目的 汉化英文版护士人性化护理能力量表,旨在为准确评估我国护理人员人性化护理能力提供测评工具。 方法 严格遵循量表引进原则,采用Brislin翻译模式对英文版量表进行翻译,形成中文版护士人性化护理能力量表,并采用中文版量表调查420名临床护士,分析其信效度。 结果 中文版护士人性化护理能力量表I-CVI为0.830～1.000,S-CVI为0.937。探索性因子分析共提取5个公因子,累积方差贡献率为82.271%;验证性因子分析结果显示,χ2/df=4.124,RMSEA=0.086,NFI=0.919,IFI=0.938,TLI=0.923,CFI=0.937,此模型基本适配。量表总的Cronbach′s α系数为0.851,各维度Cronbach′s α系数为0.857～0.965;量表折半信度为0.829,各维度折半信度为0.734～0.866;量表重测信度为0.928,各维度重测信度为0.706～0.924。 结论 中文版护士人性化护理能力量表信效度良好,可用于评估中国临床护士的人性化护理能力。     

护理教育欺凌行为量表的汉化及信效度检验

目的汉化护理教育欺凌行为量表并评价其在中国护生中的信效度.方法经Brislin模式翻译和文化调适形成中文版,对552名护生进行调查检验量表的信效度.结果中文版共18个条目,探索性因子分析提取4个公因子,累积方差贡献率为73.244％;验证性因子分析拟合较好(CFI=0.916,IFI = 0.918,RMSEA=0.0...     

社区护理感知量表的汉化及信效度检验

目的 汉化社区护理感知量表,并在本科护生中检验其信效度.方法 按照Brislin原则对英文版社区护理感知量表进行翻译、回译,经跨文化调适后形成中文版量表.采用汉化版社区护理感知量表调查本科护生476人,分析中文版量表的信度和效度.结果 中文版社区护理感知量表有情感成分、实习和职业3个分量表和2个单独条目,共33个条目.量表的Cronbach's α系数为0.966,内容效度指数为0.939,探索性因子分析结果显示,3个分量表共提取出5个特征根＞1的公因子,各分量表的累积方差贡献率均＞60％.结论 中文版社区护理感知量表具有较好的信效度,可以用于测量本科护生对社区护理的感知.     

护生临床实践反思问卷的汉化及信效度检验

目的 汉化护生临床实践反思问卷,检验其在实习护生中的信度和效度。 方法 基于Brislin模型对英文版临床实践反思问卷进行翻译。采用一般资料调查表、中文版护生临床实践反思问卷和反思功能问卷对550名实习护生进行调查,以检验其信效度。 结果 中文版护生临床实践反思问卷包括专业能力、内部动机来源、基于反思的自我管理、具有挑战性的临床情境、动态的组织氛围和动态的职业发展6个维度,共36个条目。探索性因子分析共提取6个公因子,累计方差贡献率为70.099%;验证性因子分析结果显示,χ2/df=1.292,RMSEA=0.033,CFI=0.977,TLI=0.974。量表Cronbach′s α系数为0.961,各维度Cronbach′s α系数为0.870～0.949,量表水平的平均内容效度为0.983,折半信度为0.853,重测信度为0.934。 结论 中文版护生临床实践反思问卷具有较好的信度和效度,可用于评估我国实习护生在临床实践中的反思能力。     

绝经期配偶支持问卷的汉化及信效度检验

目的 汉化绝经期配偶支持问卷,并检验其信效度,为评估我国绝经期女性感知配偶支持提供测量工具。方法 应用Brislin翻译模型对英文版绝经期配偶支持问卷进行翻译、回译、文化调适及预试验,形成中文版问卷。采用便利抽样法选择锦州市600名社区绝经期女性进行调查,评价问卷的信效度。结果 中文版问卷包括情感支持、工具性支持、评价性支持、性亲密支持4个维度共17个条目。问卷各条目的内容效度指数为0.714～1.000,问卷的平均内容效度指数为0.966。探索性因子分析提取4个公因子,累积方差贡献率为75.834%;验证性因子分析显示,χ²/df为2.095,RMSEA为0.061,CFI为0.958,IFI为0.958,TLI为0.949。问卷的Cronbach′s α系数为0.876,重测信度为0.911,折半信度为0.945。结论 中文版绝经期配偶支持问卷具有较好的信效度,可用于测评绝经期女性感知配偶的支持程度。     

类风湿关节炎患者自我护理行为量表的汉化及信效度检测

目的 汉化类风湿关节炎患者自我护理行为量表（RA-SCBS）并检验其信效度。方法 对类风湿关节炎患者自我护理行为量表进行翻译、回译及文化调适,形成中文版量表;采用该量表对兰州市450例类风湿关节炎患者进行调查,检验其信效度。结果 探索性因子分析共提取6个公因子（运动管理、药物管理、压力管理、营养/关节保护、日常生活管理、疼痛管理 ）,累积方差贡献率为62.280%;验证性因子分析显示模型适配度良好。中文版量表总的CVI=0.910,各条目CVI0.805~1.000;总的Cronbach′s α系数为0.844,重测信度为 0.854。结论 中文版类风湿关节炎患者自我护理行为量表具有较好的信效度,可作为我国类风湿关节炎患者自我护理行为的评估工具。     

临床科室护理风险评估问卷的编制及信效度检验

目的 编制临床科室护理风险评估问卷并检验其信效度。方法 以集对分析理论为指导，通过文献分析法、小组讨论法及专家咨询法形成问卷初稿，对武汉市某三级甲等医院的349名护士进行问卷调查，测定问卷的信效度。结果 临床科室护理风险评估问卷包含4个维度共52个条目。探索性因子分析提取4个公因子，累积方差贡献率为50.302%；问卷内容效度指数为0.980，各条目内容效度指数为0.850～1.000；总问卷Cronbach′s α系数为0.945，折半信度为0.903，重测信度为0.831。结论 所编制的临床科室护理风险评估问卷具有良好的信效度，可用于临床科室护理风险现状的评估。     

Validity and reliability of Chinese version of the new diabetic foot ulcer assessment scale

A specific assessment tool is urgently needed to guide effective wound care for diabetic foot ulcers. However, the tool has not been available in Chinese. We aimed to culturally translate and verify the validity and reliability of the new Diabetic Foot Ulcer Assessment Scale (DFUAS). The original scale was translated into Chinese according to the Brislin guidelines. Patients satisfying the inclusion and exclusion criteria were recruited. Each of the included foot ulcers was evaluated independently by two wound care specialists using the new DFUAS and by the third wound care specialists at the same time using the Bates-Jensen Wound Assessment Tool according to per guidelines. 210 diabetic foot ulcers were included for data analysis. The S-CVI of the Chinese version of the DFUAS was 0.96, and the I-CVIs ranged from 0.89 to 0.98. The total Cronbach's Alpha of the scale was 0.709, and the corrected item-total correlation of the items ranged from 0.4 to 0.872. The DFUAS had high inter-observer reliability of 0.997, and there were weak, moderate, and strong correlations between each pair of the items. The Bland–Altman plots showed a good agreement between the scale and the Bates-Jensen Wound Assessment Tool. We concluded that the Chinese version of the DFUAS showed good validity and reliability and is a reliable instrument for the assessment of diabetic foot ulcers.     

Translation and validation of the Persian version of diabetic foot ulcer scaleshort form (DFS-SF)

Foot ulcer in diabetic patients could often result in significantly impaired quality of life. This study aimed to translate and validate the DFS-SF in Iran. The DFS-SF was translated into Persian, and then its validity and reliability were tested in 262 patients with DFUs. Content validity was evaluated using content validity ratio (CVR) and content validity index (CVI), and criterion validity was assessed through Spearman's correlation between dimensions of the DFS-SF and the EQ-5D-5L. Construct validity was measured using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and convergent-discriminant validity was examined by calculating the average variance extracted (AVE) and composite reliability (CR). Cronbach's alpha and intraclass correlation coefficient (ICC) were calculated to evaluate the reliability of the measure. CVR ≥0.66 and CVI = 0.81 were calculated. Spearman's correlation ranged from 0.23 to 0.78 across all dimensions. The results of EFA showed that all six dimensions of the DFS-SF had an eigenvalue more than 1; accounting for 68.88% of the total variance. CFA confirmed the DFS-SF as a six-dimension structure with good fit indices of χ2/df = 2.15 < 5, RMSEA = 0.06 < 0.08, CFI = 0.91 ≥ 0.90, TLI = 0.90 ≥ 0.90, and RMR = 0.04, as well as with adequate fit indices of GFI = 0.84 ≤ 0.90, NFI = 0.86 ≤ 0.90. Estimates of ≥0.50 for AVE were not observed in two of the six dimensions and CR ≥0.70 was obtained for all dimensions. The reliability was calculated with a Cronbach's alpha of 0.89 and ICC >0.69 for all dimensions. Our findings confirmed the validity and reliability of the Persian DFS-SF; therefore, it can be used to assess QoL in patients with DFSs in clinical and research settings in Iran.     

Translation and validation of the Persian version of diabetic foot ulcer scaleshort form (DFS‐SF)

Foot ulcer in diabetic patients could often result in significantly impaired quality of life. This study aimed to translate and validate the DFS‐SF in Iran. The DFS‐SF was translated into Persian, and then its validity and reliability were tested in 262 patients with DFUs. Content validity was evaluated using content validity ratio (CVR) and content validity index (CVI), and criterion validity was assessed through Spearman''s correlation between dimensions of the DFS‐SF and the EQ‐5D‐5L. Construct validity was measured using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and convergent‐discriminant validity was examined by calculating the average variance extracted (AVE) and composite reliability (CR). Cronbach''s alpha and intraclass correlation coefficient (ICC) were calculated to evaluate the reliability of the measure. CVR ≥0.66 and CVI = 0.81 were calculated. Spearman''s correlation ranged from 0.23 to 0.78 across all dimensions. The results of EFA showed that all six dimensions of the DFS‐SF had an eigenvalue more than 1; accounting for 68.88% of the total variance. CFA confirmed the DFS‐SF as a six‐dimension structure with good fit indices of χ2/df = 2.15 < 5, RMSEA = 0.06 < 0.08, CFI = 0.91 ≥ 0.90, TLI = 0.90 ≥ 0.90, and RMR = 0.04, as well as with adequate fit indices of GFI = 0.84 ≤ 0.90, NFI = 0.86 ≤ 0.90. Estimates of ≥0.50 for AVE were not observed in two of the six dimensions and CR ≥0.70 was obtained for all dimensions. The reliability was calculated with a Cronbach''s alpha of 0.89 and ICC >0.69 for all dimensions. Our findings confirmed the validity and reliability of the Persian DFS‐SF; therefore, it can be used to assess QoL in patients with DFSs in clinical and research settings in Iran.     

Dyspnoea-12量表的汉化与信效度检验

目的 汉化Dyspnoea-12量表,验证其对COPD患者的适用性。 方法 对Dyspnoea-12量表进行翻译、回译、语义调适;采用Dyspnoea-12量表修订版、改良英国医学研究协会呼吸困难量表（mMRC）、慢性阻塞性肺病评估测试（CAT）、医院焦虑抑郁量表（HADS）对120例COPD患者进行调查,行信度及效度分析。 结果 Dyspnoea-12量表中文版为2个维度共12个条目;探索性因子分析2个维度累积方差贡献率为74.460%;与效标mMRC、CAT和HADS得分相关系数为0.328～0.690,均P＜0.01;量表总Cronbach′s α为0.938,分半信度为0.796。 结论 Dyspnoea-12量表中文版有较好的信度和效度,可用于我国COPD患者呼吸困难的评估。     

中文版Cataldo肺癌污名量表的信效度研究

目的对Cataldo肺癌污名量表进行翻译,并对翻译后的量表做信、效度分析。方法翻译并修订Cataldo肺癌污名量表,采用中文版Cataldo肺癌污名量表对150例肺癌患者进行测试,评价其信度和效度。结果中文版Cataldo肺癌污名量表及分量表的Cronbach’SQ系数为0．599～0．884,重测信度为0．601～0．881;总量表的内容效度指数为0．875,探索性因素分析提取4个公因子,分别是耻辱与羞愧、社会隔离、歧视、吸烟,与原量表的结构一致,4个公因子的累计贡献率为58．6％。结论中文版Cataldo肺癌污名量袁具有良好的信度和效度,可用于评估国内肺癌患者的污名感程度。     

分娩恐惧量表的汉化及信效度检测

目的对分娩恐惧量表进行汉化,并对其进行信度、效度检测。方法遵循量表引进对等性模型,根据Brislin翻译与回译原则,将英文版分娩恐惧量表翻译成中文,应用专家咨询法进行文化调适,形成中文版分娩恐惧量表。对351例孕妇进行调查评价其信度与效度。结果中文版分娩恐惧量表共有16个条目,因子分析共提取4个因子,累积贡献率为63.217%。该量表Cronbach′sα系数为0.910,各因子Cronbach′sα系数为0.678~0.853;重测信度为0.803,各因子重测信度为0.812~0.921。中文版分娩恐惧量表的内容效度(CVI)为0.924,结构效度、效标关联效度良好。结论中文版分娩恐惧量表具有良好的信效度,可作为测量孕妇分娩恐惧的有效工具。     

中文版气管切开术后患者生活质量量表的言效度检验

目的 引进气管切开术后长期置管患者生活质量量表(TQOL),并检验信效度.方法 按照Brislin跨文化翻译原则对TQOL进行汉化及文化调适,使用中文版TQOL量袁调查153例气管切开术后患者的生活质量,分析其信效和效度.结果 中文版TQOL保留22个条目,因子分析共提取生理状况、躯体功能状况、社会/家庭状况、满意程度4个公因子,累计贡献率达68.45％.量表内容效度指数为0.920,Cronbach's α系数为0.907,各因子Cronbach' s α系数为0.824～0.912,Guttmann折半系数为0.925(均P＜0.01).结论 中文版TQOL具有良好的信效度,适合中国文化背景下气管切开术后长期置管患者生活质量的测量.     

安宁疗护沟通舒适度量表汉化及信效度检验

目的 对安宁疗护沟通舒适度量表进行汉化,并检验其在医护人员中应用的信效度。方法 依据跨文化调适指南对英文版量表进行直译、回译、跨文化调适、预调查后对量表进行修订,形成中文版安宁疗护沟通舒适度量表。采用便利抽样法对527名医护人员进行调查,检验中文版量表的信效度。结果 中文版量表包括团队考虑、处理医疗决策、精神考虑、处理症状、慎重意识、文化考虑共6个维度,累积方差贡献率为80.349%;条目水平的内容效度指数为0.860～1.000,量表平均内容效度指数为0.980;Cronbach′s α系数为0.910,重测信度为0.869。结论 中文版安宁疗护沟通舒适度量表信效度良好,可作为测量我国医护人员安宁疗护沟通舒适度的工具。     

Knowledge and practice of diabetic foot care and the prevalence of diabetic foot ulcers among diabetic patients of selected hospitals in the Volta Region,Ghana

Diabetic foot ulcers (DFUs) are a common but serious complication of diabetes mellitus (DM). The factors distressing the worth of diabetic foot care (DFC) are knowledge and practice. Foot ulcers are the main cause of amputation and death in people suffering from DM. This study assessed the knowledge and practice of DFC and the prevalence of DFUs and its associated factors among diabetic patients of selected hospitals in the Volta Region, Ghana. A multihospital‐based cross‐sectional study was conducted among 473 patients with DM who were recruited using the systematic sampling method. Data were collected using a validated, pretested, and structured questionnaire, while medical variables were obtained from patient folders and analysed using SPSS version 23. All statistically significant parameters in bivariate analysis were incorporated in the multivariate logistic regression analysis. The results showed that 63% of diabetic patients had good knowledge of DFC, while 49% competently practiced it. A negative correlation was found between knowledge and practice levels of DFC (r = −0.15, P = <.01). The prevalence of DFUs was 8.7% among the studied diabetic patients. Male diabetic patients were 3.4 times more likely to develop DFUs than female diabetic patients (crude odd ratio [cOR] = 3.35; 95% confidence interval [CI] = 1.75‐6.43; P = <.001). Type 1 diabetic patients were five times more likely to develop DFUs than those who had type 2 diabetes (cOR = 5.00; 95% CI = 2.50‐10.00; P = <.001). Diabetic patients who had a family history of diabetes were 4.7 times more likely to develop DFUs than those without family history (adjusted odd ratio [aOR] = 4.66; 95% CI = 1.55‐13.89; P = .006). Those who had diabetes for 5 to 10 years were 3.3 times more likely to develop DFUs than those who had diabetes for less than 5 years (aOR = 3.28; 95% CI = 1.40‐7.67; P = .006). Diabetic patients who had comorbidity were 3.4 times more likely to develop DFUs than those without comorbidity (cOR = 3.35; 95% CI = 1.74‐6.45; P = <.001). The study found that there was good knowledge but poor practices of DFC among patients. Health care providers are expected to better educate patients and emphasise self‐care practices to patients. Health care providers should also give more attention to patients with associated risk factors to avoid further complications and reduce the occurrence of DFUs.     

临床护士批判性思维评估量表的汉化与信效度检验

目的 汉化临床护士批判性思维评估量表,并检验其信效度,为临床护士批判性思维能力测评提供工具。方法 遵循Brislin翻译模型,对临床护士批判性思维评估量表进行翻译、回译及文化调适,形成中文版量表。便利抽取临床护士242人进行调查,评价量表信效度。结果 中文版量表包括问题识别、护理决策、护理优先次序、护理计划、护理计划实施与改进5个维度共16个条目。探索因子分析结果显示,5个公因子的累计方差贡献率为86.472%。总量表Cronbach′s α系数为0.969,折半系数为0.925,重测信度为0.835。结论 中文版临床护士批判性思维评估量表具有良好的信效度,可用于评估临床护士批判性思维能力。