心脏病自责归因量表的汉化及信效度评价

Reliability and validity of Chinese version of Cardiac Self-Blame Attributions scale

目的对心脏病自责归因量表(Cardiac Self-Blame Attributions scale,CSBA scale)进行汉化,并检验其用于冠心病患者自责归因的信效度,探索适合中国心血管疾病患者的归因评估工具。方法获得原版心脏病自责归因量表作者Bennett授权,采用Brislin模式对英文版心脏病自责归因量表进行翻译、回译及跨文化调适,形成中文版心脏病自责归因量表。采用便利抽样法抽取2019年9-11月解放军总医院第一医学中心收治的冠心病患者进行调查,调查问卷由患者一般资料问卷和心脏病自责归因量表组成,其中心脏病自责归因量表分为行为自责和性格自责两部分。在此基础上,评价量表的信效度。结果本研究共发放问卷110份,回收有效问卷107份,有效率为97.27%。参与调查的107例患者中,男性71例(66.36%),女性36例(33.64%),平均年龄为(61.70±12.28)岁,平均得分为23.21±6.14;经项目分析,删除原量表条目2"对于可能导致心脏病的行为,您能在多大程度上接受这些错误"。条目水平的内容效度指数为0.86~1.00,量表水平的内容效度指数为0.96,探索性因子分析提取2个公因子,累计解释变异量为66.4%,总量表的Cronbach’sα系数为0.830,折半系数为0.870。结论中文版心脏病自责归因量表包含2个维度共10个条目,具有良好的信效度,适用于评估我国冠心病患者自责归因。

Objective To translate and localize the Cardiac Self-Blame Attributions scale(CSBA scale)and verify the attribution for patients with coronary heart disease,and explore the attribution evaluation tool that is suitable for patients with cardiovascular disease(CVD)in China.Methods Authorized by Bennett,author of the original Cardiac Self-Blame Attributions scale,we used the Brislin model to translate and back translate the English version of Cardiac Self-Blame Attributions scale with cross-culturally adaption to form the Chinese version.From September to November in 2019,the convenience sampling method was used to enroll patients with coronary heart disease in our hospital for a sample survey.The questionnaire consisted of general information and Cardiac Self-Blame Attributions scale,while the Cardiac Self-Blame Attributions scale included behavioral self-blame and Characterological self-blame.On this basis,the reliability and validity of the scale were evaluated.Results A total of 110 questionnaires were distributed and returned,and 107 questionnaires were valid.Among the 107 patients participating in the survey,71 cases were male(66.36%)and 36 cases were female(33.64%),with the average age of(61.70±12.28)years and the average score of(23.21±6.14)for CSBA scale.After item analysis,we deleted the original item 2(To what extent do you accept fault for behaviors that may have caused your heart disease).The CVI of items ranged from 0.86 to 1.00,and CVI of the scale was 0.96.Two factors were extracted by exploratory factor analysis,and the cumulative explained variance was 66.4%.The Cronbach’sαcoefficient of the total scale was 0.830,and the split-half reliability was 0.870.Conclusion Chinese version of Cardiac Self-Blame Attributions scale contains 10 items in 2 dimensions and has good reliability and validity,which is suitable for assessing attribution of coronary heart disease patients in China.