中文版延续护理测评量表的信度、效度研究

Reliability and validity of Chinese version of Care Transitions Measure

目的：翻译英文版延续护理测评量表，并对形成的中文版进行信度、效度检验。方法：通过翻译、回译、专家咨询和预实验形成中文版本，电话调查200名出院后2～6周的慢性病患者，内容包括中文版量表及围出院期不良体验问卷。结果：全部条目平均内容效度指数为0．99；最终中文版量表包括17个条目，因子分析结果包含四个因子，累积方差贡献率为58．96％；总量表的Cronbach’sα系数为0．85，各因子的Cronbach’sα在0．61～0．89之间；量表得分和围出院期不良体验问卷得分之间相关系数为-0．42（P〈0．001）。结论：中文版延续护理测评量表具有良好的信度、效度，可用于国内医院延续护理质量的评价。

Objectives： To evaluate the psychometric properties of the Chinese version of Care Transitions Measure （CTM-C）. Methods： CTM-C was adapted following guidelines for cross-culture adaptation process, including translation, back-translation, expert consultation, and polit study. Totally 200 subjects with chronic diseases were interviewed by CTM-C and negative experience of transitional care through telephone 2 to 6 weeks after discharge. Results： Content Validity Index for total scale was 0.99. The CTM-C had 17 items and factor analysis resulted in four factors with a cumulative variance of 58.96%. The Cronbach＇α for the total scale was 0.85, and the Cronbach＇α for each factor varied from 0.61 to 0.89. Test of the convergent validity showed that the CTM-C was correlated to patients＇ negative experience of transitional care （r=-0.42, P〈0.001）. Conclusion： CTM-C is a reliable and valid instrument to assess the quality of transitional care in China's Mainland.