马特森儿童社会技能评价量表中文版的初步修订

目的 引进、修订6~12岁儿童马特森儿童社会技能评价量表(The Matson Evaluation of Social Skills with Youngsters,MESSY)家长版,检验其信、效度。方法 通过双向翻译获得MESSY量表初版,对预调查样本[n=209,男105人,平均年龄(9.44 ± 1.74)岁]进行项目分析和探索性因子分子获得MESSY中文修订版。对正式调查样本[n=465,男251,平均年龄(9.26±1.75)岁]进行信度、效度检验,其中67人完成2周后重测。结果 修订版MESSY共包含30个条目。全量表Cronbach's α系数为0.876,重测信度为0.75。探索性因子分析抽取3个因子,解释总变异的41.973%,各条目所属因子结构与原量表一致。验证性因子分析RMSEA为0.058,GFI为0.87,模型拟合较好。结论 修订后的6~12岁儿童MESSY量表的信、效度均可接受,适用于该年龄段儿童社会技能的评估。     

养老机构护理相关生活质量量表的汉化及信效度检验

目的 汉化养老机构护理相关生活质量量表（NHC-Qo L）,并进行信效度检验。方法 按照Brislin模型将NHC-QoL量表翻译成中文,并进行跨文化调试。采用便利抽样法,于2023年3—7月选取十堰市4所养老机构的198例老年人进行问卷调查,以评价量表的信效度。结果 中文版NHC-QoL量表共14个条目。各条目内容效度指数为0.7～1.0,总量表内容效度指数为0.929。探索性因子分析提取出5个公因子,可解释总变异的67.914%,经课题组讨论后调整为2个公因子,即环境与服务（11个条目）、社会互动（3个条目）。量表总体的Cronbach α系数为0.758,重测信度为0.783。结论 中文版NHC-QoL量表具有良好的信效度,可用于评估养老机构老年人生活质量。     

中文版老年人抑郁量表(DIA-S)的信效度研究

目的 翻译老年人抑郁量表(the Depression In old Age scale,DIA-S),并评价其信效度。方法 采用Brislin法对量表进行汉化,应用便利抽样法,对辽宁省锦州市社区老年人进行调查,运用SPSS22.0和Amos17.0软件对数据进行分析。结果 中文版DIA-S量表的总Cronbach′s α系数为0.829,分半信度为0.831,重测信度为0.907;量表水平的内容效度指数(S-CVI/UA)为0.900,条目水平的内容效度指数(I-CVI)为0.833～1.000,平均量表水平的内容效度指数(S-CVI/Ave)为0.983;各条目与总分的Pearson相关系数为0.475～0.789,差异有统计学意义(P＜0.05)。探索性因子分析(EFA)得到1个公因子,累积方差贡献率为62.16%,各条目共同度为0.378～0.731。验证性因子分析(CFA)得到拟合良好的结构方程模型,模型适配度(拟合度)指标中,x2/df=2.679,GFI=0.948,AGFI=0.911,PGFI=0.552,IFI=0.944,TLI=0.919,CFI=0.943,RMSEA=0.073,RMR=0.010,标准化回归系数取值范围为0.35～0.77。结论 中文版老年人抑郁量表(DIA-S)信效度良好,可用于评估社区老年人抑郁情况。     

孕妇社会资本量表的修订及信效度检验

目的 旨在翻译、修订孕妇社会资本评估量表（Social Capital Assessment Tool for in Pregnancy for Maternal Health, SCAT-MH）,并检验其信效度。方法 采用两阶段便利抽样的方法,样本1（n=253）主要用于修订中文版SCAT-MH量表;样本2（n=335）主要验证该量表的信效度。结果 中文版SCAT-MH主要包含4个维度16个条目,量表总的Cronbach ɑ为0.862,各个维度的信度系数在0.701~0.901之间,分半信度系数为0.819、0.760,重测信度系数为0.854;量表各个条目与总分（r=0.484~0.776,PSymbol|@@0.01）、维度与总分均呈中高度相关（r=0.575~0.807,PSymbol|@@0.01）,具有较好的内容效度;总量表及4个维度得分与效标工具均有相关性;验证性因子结果显示模型拟合度较好。结论 修订、汉化后的中文版SCAT-MH量表具有较好的信度、效度及区分度,适用于我国孕妇社会资本的评估。     

防社交孤独社区自我效能量表在社区老年人中应用的信效度评价

目的 探讨防社交孤独社区自我效能量表(the Community’s Self-efficacy Scale for preventing social isolation)在社区老年人中应用的信效度,为预防老年人社交孤独提供科学依据。方法 便利抽取辽宁省沈阳市694例社区老年人进行问卷调查,运用SPSS20.0和AMOS17.0软件处理数据。结果 该量表总Cronbach’s α系数和分半信度分别为0.974和0.948,社区网络和邻里监督分维度的Cronbach’s α系数为0.955和0.962,重测信度为0.926;条目 - 总分Pearson相关系数范围是0.894～0.944(P＜0.05),条目水平的内容效度指数（I - CVI）为0.830～1.000,量表水平的内容效度指数（S - CVI/UA）为0.875,平均量表水平的内容效度指数（S - CVI/Ave）为0.979;探索性因子分析提取到2个公因子的累积方差贡献率为89.154%,各条目共同度为0.872～0.907;验证性因子分析中χ2/df = 2.516,RMSEA = 0.066,GFI = 0.993,AGFI = 0.937,TLI = 0.989,IFI = 0.993,CFI = 0.993,标准化回归系数为0.85～0.98。结论 中文版CSES量表信效度良好,可用于我国老年人社区自我效能感的评估。     

奖惩敏感性问卷的汉化及其在青少年中的信效度检验

目的 对奖惩敏感性问卷(SPSRQ)进行汉化修订，并检验其在青少年中的信效度，以期为评估青少年奖惩敏感性提供可靠工具。方法 对SPSRQ进行翻译、回译、跨文化调试，形成青少年SPSRQ中文版(SPSRQ-A);2022年1月17日—9月30日采用随机抽样法和年级分层抽样法对1 350名青少年施测，将总样本随机平均分成两组，采用一组数据进行项目分析和探索性因子分析，另一组数据进行验证性因子分析、效标效度和信度检验。结果 SPSRQ-A中文版包含奖励敏感性(16个条目)和惩罚敏感性(21个条目)2个维度，累计方差贡献率为54.321%。验证性因子模型主要拟合指标符合测量学要求(χ²/df=3.156,RMSEA=0.059,SRMR=0.062,CFI=0.906,NNFI=0.900);条目内容效度指数(I-CVI)均为0.800～1.000,平均量表内容效度指数(S-CVI/Ave)为0.970;SPSRQ-A中文版2个维度得分与2个效标量表得分显著相关(r=-0.453～0.604,P<0.001)。信度检验：总量表和敏感性、惩罚敏感性维度Cronbach...     

宫颈癌根治术后患者自我管理行为量表的编制及信效度检验

编制宫颈癌根治术后患者自我管理行为量表并检验量表信效度,为后续研究提供一致性测评工具及为针对性护理干预提供依据。方法 基于文献回顾、半结构化质性访谈构建量表条目池,经专家函询和适用性测试形成初始量表。采用便利抽样法,于2023年8-10月选取广州市某三甲医院的195例宫颈癌根治术后患者进行调查,采用项目分析及探索性因子分析法优化条目后,再于2023年10-12月对220例宫颈癌根治术后患者进行正式调查以检验量表信效度。结果 2轮调查分别回收184份及210份有效问卷,经条目优化形成包括健康生活方式管理、性康复管理、管道护理、并发症监测与预防、信息管理、情绪管理、角色管理7个维度,共27个条目的宫颈癌根治术后患者自我管理行为量表。〖JP〗通过探索性因子分析提取7个公因子,累积方差贡献率为68.493%;验证性因子分析显示模型拟合良好(χ2/df＝1.668,CFI=0.917,RMSEA=0.056);量表全体一致性内容效度指数为0.926,平均内容效度为0.988,条目水平的内容效度指数为0.833~1.000;总量表的Cronbach′s α系数为0.816,重测信度为0.596。结论 本研究开发的宫颈癌根治术后患者自我管理行为量表信效度良好,可作为宫颈癌根治术后患者的自我管理行为的测评工具。     

健康素养敏感型沟通量表的汉化及信效度分析

目的汉化健康素养敏感型沟通量表(HL-COM)并检验其信效度。方法按照Brislin翻译原则对HL-COM量表进行翻译和文化调适。本研究为横断面研究, 选择湖北省3所三甲医院门诊及住院部就诊的患者进行问卷调查, 回收样本434例。利用Cronbach′sα系数和分半信度评价量表的信度, 采用量表水平的内容效度指数(S-CVI)和条目水平的内容效度指数(I-CVI)等指数评价内容效度, 采用探索性因子分析和验证性因子分析进行结构效度检验, 再进行跨性别的测量等值性检验。结果中文版HL-COM包括9个条目, 与原英文版量表的形式和条目数量相同。量表信度:Cronbach′sα系数=0.938, Spearman-Brown分半系数=0.926;内容效度:S-CVI=0.926, I-CVI为0.833～1.000;探索性因子分析共提取1个公因子, 累积方差贡献率68.541%;验证性因子分析结果表明模型拟合良好, 各拟合指标为:卡方/自由度(χ2/df)=2.794, 标准拟合指数(NFI)=0.974, 标准化均方根残差(SRMR)=0.025, 拟合优度指数(GFI)=0.962, 近...     

肿瘤科护士共享决策知信行问卷的编制及信效度检验

目的 编制肿瘤科护士共享决策知识、态度和行为的调查问卷,并检验其信效度。 方法 以知信行理论为指导,通过文献回顾、质性访谈、两轮德尔菲法专家函询确定问卷条目,调查河南省郑州市4所三级综合医院257名肿瘤科护士分析信效度以确定问卷条目。 结果 最终形成共24个条目的问卷,其中知识维度11个条目,态度维度6个条目,行为维度7个条目;问卷探索性因子分析共产生3个因子,累计方差贡献率为57.657%,各条目的内容效度(I-CVI)在0.857～1.000之间,问卷平均内容效度(S－CVI)为0.929,问卷Cronbach’s α系数为0.941,重测信度为0.894。 结论 编制的问卷具有良好信效度,可作为评价肿瘤科护士共享决策知信行现状的研究工具。     

精简版青少年社交焦虑量表在初中生人群中的信效度评价

目的对精简版的青少年社交焦虑量表(SAS-A)进行信效度评价,为研究初中生的社会交往现状提供一种更加简便的测量工具。方法采用便利抽样法在辽宁省锦州市选取一所初级中学,再采用分层和整群抽样法于该校抽取12个班级,对其中符合纳入标准的学生630例进行问卷调查,并应用探索性因子、验证性因子进行分析。结果量表整体的Cronbach'sα系数为0.874,害怕否定评价维度、陌生环境下的社会回避及苦恼维度、一般环境下的社会回避及苦恼维度的Cronbach'sα系数分别为0.892、0.737、0.725,分半信度为0.730,重测信度为0.905(P0.01)。进行探索性因子分析得到三个公共因子,累计方差贡献率为71.825%,各条目的共同度为0.534~0.909;验证性因子分析结果显示:CMIN/DF=2.761,GFI=0.972,TLI=0.921,CFI=0.939,RMSEA=0.076,PGFI=0.606,SRMR=0.046,AGFI=0.888,RMR=0.098,除AGFI,RMR外,均达到适配标准。相关性分析结果表明,精简版SAS-A各条目得分与总分均呈正相关(P0.05),平均量表水平内容效度指数(S-CVI/Ave)为0.972、量表水平内容效度指数(S-CVI/UA)为0.833、条目水平内容效度指数(I-CVI)为0.830~1.000。不同性别、年级及是否为学生干部的社交焦虑总分差异均有统计学意义(均P0.05),该量表的区分效度良好。结论精简版青少年社交焦虑量表可用于评价初中生人群的社交焦虑状况,具有较好的信度和效度。     

Reliability and validity of the Mandarin version of the Continuity Assessment Record and Evaluation for older people who are transferred between hospitals and nursing homes in China

To date, assessment tools for older people are different between hospitals and nursing homes in China. The difference between assessment tools can lead to poor communication of information between hospitals and nursing homes, which causes discontinuity of care and adverse outcomes when older people are transferred between these different settings. Continuity Assessment Record and Evaluation (CARE) is a comprehensive geriatric assessment tool developed in the United States of America. This study aimed to evaluate the reliability and validity of the Mandarin Version of CARE for older people who are transferred between hospitals and nursing homes. Using a convenience sampling method, 120 older people in hospitals and 120 older people in nursing homes in Shanghai were selected to test the internal consistency, interrater reliability and criterion‐related validity of CARE from May to November 2017. When used among hospital, 70.0% (7/10) of the subscales had a Cronbach's alpha coefficients of greater than 0.7, 94.3% (50/53) of the items had an intraclass correlation coefficient (ICC) of greater than 0.75. When used in nursing homes, 90.0% (9/10) of the subscales had a Cronbach's alpha coefficients of greater than 0.7, 94.3% (50/53) of the items had an ICC of greater than 0.75. For both settings, the correlation coefficients of the subscales with their corresponding instruments for criterion‐related validity were all greater than 0.8 (p < .01). The Mandarin version of CARE exhibits good reliability and validity. It can be used as an assessment tool for transition between hospitals and nursing homes.     

Development and Validation of the Nursing Home Care-related Quality of Life Scale

ObjectivesWe developed an instrument to assess nursing home residents' quality of life (QOL), with a focus on QOL-related factors modifiable through nursing home care, within the South Korean context; then, we tested its validity and reliability.DesignThe scale was constructed through a literature review, qualitative interviews, expert panel review, and a focus group interview; then, it was validated through survey research.Setting and participantsResidents (N = 667) from 42 nursing homes in South Korea participated in scale validation.MethodsNinety-nine items across 5 dimensions were initially drafted through a literature review and qualitative interview data. The expert panel review and a focus group interview yielded a scale with 31 items across 3 dimensions. Next, using survey data from nursing home residents, we examined the construct and concurrent validity and reliability (using Kuder-Richardson 20) of the 31-item QOL scale.ResultsThrough a series of factor analyses, the 31 items were reduced to 17 items across 2 dimensions: Environment and Services (13 items) and Social Interaction (4 items). This 17-item scale was further examined for model fitness and reliability. The scale had acceptable to good fit (root mean square error of approximation = 0.07 and 0.07; comparative fit index = 0.83 and 0.98 for Environment and Services and Social Interaction, respectively), and good concurrent validity and internal consistency (Kuder-Richardson 20 = 0.72).Conclusions and implicationsThis 17-item scale is a valid and reliable tool to assess nursing home residents' QOL in South Korea, with a focus on factors modifiable through nursing home care. Through more research to test its usefulness, validity, and reliability, the scale can be used as an index of nursing home care quality and contribute to the development of strategies to improve nursing home residents' QOL.     

老年人社会支持行为量表简化版的研制

目的 研制老年人社会支持行为量表（the social support behaviors scale,SSB-31）的简化版,并对其进行评价。方法通过整群随机抽样的方法抽取东莞市1 130名符合纳入标准的老年人进行一对一访问调查,随机抽取565名被调查者作为训练样本,利用经典测量理论和项目反应理论对老年人社会支持行为量表（SSB-31）进行简化版量表的研制,剩余565名被调查者作为考核样本,评价简化版量表的心理测量学特性。结果 经训练样本分析,最终建议或指导维度保留6个条目,情感支持维度保留5个条目,社会化维度保留3个条目,实际援助维度保留7个条目,形成21个条目的老年人社会支持行为量表简化版（SSB-21）。考核样本结果显示,SSB-21的Cronbach α系数为0.958,各维度Cronbachα系数在0.871～0.911之间;验证性因子分析模型拟合显示卡方自由度为4.212,比较拟合指数为0.934,增值适配指数为0.934,拟合优度指数为0.877,非标准适配指标为0.924,渐进残差均方和平方根为0.075,残差均方和平方根为0.039;项目反应理论结果显示,区分度在2...     

老年人社会支持评价量表的汉化及信效度检验

  目的  汉化老年人社会支持评价(the social support appraisals scale, SS-A)量表,并进行文化调适和信效度检验。  方法  遵循Brislin翻译模式进行量表的翻译、回译及文化调适。采用便利抽样对548名老年人进行一对一访谈调查,分析中文版量表的信度和效度。  结果  中文版量表共包含20个条目,3个维度。结构效度:探索性因子提取3个因子,可解释的总变异为59.706%;模型拟合指标为:χ2/υ=2.648、比较拟合指数(comparative fit idex, CFI)=0.907、增值适配指数(iciemental fit index, IFI)=0.908、拟合优度指数(goodness of fit index, GFI)=0.862、非标准适配指数(Tucker-Lewis index, TLI)=0.889、渐进残差均方和平方根(root mean square error of approximation, RMSEA)=0.078、残差均方和平方根(root mean square residual, RMR)=0.019。收敛效度:平均方差抽取量(average vriance extracted, AVE)=0.579。区分效度:低分组和高分组差异均有统计学意义(均有P＜0.05)。一致性信度:总量表克朗巴赫(Cronbach’s α)系数为0.927;3个维度的Cronbach’s α系数分别为0.884、0.858和0.697。重测信度:组内相关系数(intraclass correlation coefficient, ICC)为0.780,3个维度ICC值分别为0.869、0.655和0.505,且均有统计学意义(均有P < 0.001)。  结论  中文版老年人社会支持评价量表信效度良好,可用于中国老年人社会支持的评价。     

高职院校护生职业心理素质量表的初步编制

目的 初步编制高职院校护生职业心理素质量表,并检测其信效度。 方法 通过文献研究、专家访谈和半结构化问卷调查确定护生职业心理素质成分并编制题项,形成初始量表。选取83名初测样本进行项目分析,选取441名正式施测样本进行信效度分析,其中76名间隔4周后重测。 结果 经因子分析提取出6个因子,共26个条目,累计方差贡献率为47.8％,量表的Cronbach’s α系数为0.79,分半信度为0.82,重测信度为0.77,校标效度为0.74。 结论 量表具有良好的信效度,可以用于高职院校护生职业心理素质水平的评估。     

Development of ADL index for partially dependent older adults

The purpose of this study was to develop an index of activities of daily living (ADL) for partially dependent older adults (PD). The index is intended to assess the capability of PD in performing basic daily tasks. A questionnaire of 22 items representing 7 ADL domains was administered by institutional therapists (nurse, OT, PT, social worker) on 466 PD 60 years or more of age, excepting completely dependent people. As a result of examining achievement rates and sex/age differences, inter- and intra-rater reliability (perfect agreement rates), and scalability, 17 reliable items were selected. The validity, reliability and unidimensionality of the ADL index using the 17 items were verified. Age and ADL score calculated based on Hosokawa's extended ADL scale were used as the external standard of validity. Furthermore, the relationships between ADL score and self-assessment of health status and physical fitness level were examined. The main findings of this study can be summarized as follows: 1) The reliability of the ADL index using 17 items was high (r = 0.996 in inter-reliability, and r = 0.940 in intra-reliability). Cronbachs' alpha coefficient of the ADL index was also high (0.926). 2) Based on scalogram analysis, the Guttman's CR, an index of unidimensionality, was very high (CR = 0.939, CS = 0.691). 3) The validity examination showed that ADL score tended to decrease significantly with age, and had a high correlation with Hosokawa's extended ADL scale (r = 0.939). 4) The ADL score tended to be higher in people with a higher self-assessment of health status and physical fitness level.     

孕产妇VTE预防知信行量表的构建及信效度检验

目的 编制孕产妇静脉血栓栓塞症(venous thromboembolism,VTE)预防知信行量表,并进行信效度检验。方法 采取文献检索和专家焦点访谈方法构建初步的条目池,通过两轮专家咨询,进一步修改条目池,形成初步的量表,并进行预调查。采用便利抽样的方法,选取于2021年9—10月于长沙市某三甲医院产科门诊就诊孕产妇为研究对象,采取临界比值法、相关系数法、Cronbach's α系数法、因子分析法四种方法进行条目筛选,结合专业最终决定条目的去留,并对形成的量表进行信效度检验。结果 共回收有效问卷 308份。形成53个条目的孕产妇VTE预防知信行量表,其中知识维度包含28个条目,态度维度16条目,行为维度9条目。知识、信念、行为三个维度及总量表的Cronbach's α 系数分别是0.969、0.961、0.870、0.964,分半信度分别是0.912、0.901、0.701、0.694,重测信度分别是0.816、0.679、0.715、0.799。内容效度(content validity index,CVI):条目水平内容效度指数(item-level CVI,I-CVI)介于0.83~1间,均大于0.780。量表水平的内容效度指数(scale-level CVI,S-CVI)中平均 S-CVI(average scale-level CVI,S-CVI/Ave)为0.96,全体一致S-CVI(universal agreement scale-level CVI,S-CVI/UA)为0.83。结构效度:探索性因子分析结果显示提取8因子模型,累计贡献率 73.532%;验证性因子分析结果显示误差平方根近似值(root mean square error of approximation,RMSEA)=0.086,增量拟合指数(increnental fit index,IFI)=0.850,塔克-刘易斯指数(Tacker-Lewis index,TLI)=0.841,比较拟合指数(comparative fit index,CFI)=0.849。聚敛效度:各条目因子载荷大于均 0.3,各个潜变量的平均方差抽取量(average variance extracted,AVE)大于0.5,组合信度(construct reliability,CR) 大于0.8。区分效度:知识、态度、行为维度之间显著相关,相关系数为正数且均小于0.5,并小于AVE平方根。结论 本问卷具有良好的信度和效度,可用于孕产妇VTE预防知信行的调查和评估。     

The development and psychometric evaluation of a support scale for pre-school inclusion

This study aimed to develop a new scale, the 'Supports Scale For Preschool Inclusion' (SSPI), to assess pre-school teachers' perceptions of necessary factors and availability of supports for a successful inclusion in pre-school educational settings. Pre-school teachers (n = 183, mean age = 32.81, standard deviation = 8.29) from all regions of Turkey participated in the study. They were asked to fill in each item of the SSPI for two dimensions, namely necessity and support dimensions, by rating on a four-point Likert-type scale from 1 (none) to 4 (completely). A number of reliability and validity analyses—such as internal consistency, test-retest reliabilities and factor and criterion validities—were conducted to examine the psychometric properties of the SSPI. The results showed that the 34-item respondent-based scale is a reliable and valid instrument to assess pre-school teachers' perception of necessities and availabilities of supports for successful inclusion. Findings were discussed in relation to the usage of the scale in inclusive settings.