结核病污名感受量表的汉化及其信度和效度的评价

Evalation on Validity and Reliability of the Chinese Version of Tuberculosis-related Stigma Scale

目的译制中文版结核病污名感受量表(tuberculosis-related stigma scale,TSS),并对其信度和效度进行初步评价。方法通过系统的前译-回译形成中文版TSS量表,并采用中文版TSS量表对230名结核病患者进行调查,对测定结果进行信度和效度分析。结果中文版TSS量表总的Cronbachα系数为0.877,其2个维度的Cronbachα值均大于0.8;总量表重测信度为0.943,分半信度为0.846。内容效度评估表明全部条目的平均内容效度比CVI值为0.90;以Rosenberg自尊量表为效标,其效标关联效度为-0.766;因子分析萃取2个公因子,方差累计贡献率为64.952%。结论中文版TSS量表是一份信度和效度颇佳的评定工具,可用于评价我国结核病患者的污名感受。

Objective To translate the Chinese version of Tuberculosis-related Stigma Scale（TSS） and evaluate its reliability and validity.Methods A forward-backward translation procedure was followed to develop the Chinese version of TSS.A total of 230 patients with tuberculosis were surveyed by the revised Chinese version of TSS.The results were evaluated on the reliability and validity.Results The Cronbach s α coefficient of the Chinese version of TSS was 0.877 and the Cronbach s α values of its two dimensions of were higher than 0.8.The test-retest reliability coefficient for the instrument＇s stability was 0.943 and the split-half reliability was 0.846.The content validity index（CVI） for item content validity was 0.90.With Rosenberg self-esteem scale as the criterion,the criterion-related validity was-0.766.The construct validity was confirmed by factor analysis with cumulative contribution of variance of 64.952% which was explained by two factors.Conclusion The Chinese version of TSS were validated with good reliability and validity,which supports the use of the TSS for assessing stigma experienced by tuberculosis patients in China.