家属版复苏陪伴利弊评估量表的汉化及信效度研究

The reliability and validity of the Chinese version of Family Presence During Resuscitation Benefits-Risks Scale for parents

目的对家属版复苏陪伴利弊评估量表(FPDR-BRS)进行汉化,并检测其信效度。方法翻译并修订FPDRBRS,采用中文版FPDR-BRS对2016年5月24日至2016年11月2日253名儿童急诊Ⅰ、Ⅱ级及急诊重症留观病危患儿的家属进行调查,分析评价其信度和效度。结果对中文版FPDR-BRS在临界组比较、条目与总分相关、同质性检验3个方面进行量表的项目分析,结果显示量表条目具有良好的适切及可靠程度。量表的内容效度指数为1.0。分别对利益和风险子量表进行探索性因子分析,利益项量表因子分析结果显示,Bartlett球形检验KMO值为0.876(P<0.01),主成分分析提取2个主因子,可解释总体方差的53.0%,各条目的因子载荷为0.588~0.795,可很好地解释原量表的13个条目,分别命名为充分理解与积极应对,Cronbach'sα系数为0.873;风险项量表因子分析结果显示,Bartlett球形检验KMO值为0.883(P<0.01),主成分分析提取2个主因子,可解释总体方差的64.5%,各条目的因子载荷为0.726~0.892,可很好地解释原量表的10个条目,分别命名为个人风险与人员风险,Cronbach'sα系数为0.890。结论中文版FPDR-BRS具有良好的信度和效度,可以应用于评估家属对复苏陪伴的态度及意向。

Objective To translate the family member version of FPDR-BRS(Family Presence During Resuscitation Benefits-Risks)into Chinese,and test its reliability and validity.Methods The English version of FPDR-BRS was translate and revise.The reliability and validity of the Chinses version of FPDR-BRS was investigated in 253 children(emergency gradeⅠ,Ⅱ,and critically ill)parents from May 2016 to November 2016.Results The Chinese version of FPDR-BRS was analyzed in three aspects:critical group comparison,item and total score correlation and homogeneity test.The content validity index was 1.0;exploratory factor analysis was done in the two parts of the benefits and risks.The result of benefits scale showed that the Bartlett test value of KMO was 0.876(P<0.01),principal component analysis extracted two main factors,which could explain the overall variance of 53.0%,the load factor ranged from 0.588 to 0.795,and could explain the 13 items of the original scale well,named as fully understand and actively respond.The Cronbach s'alpha coefficient of it was 0.873.The result of risks scale showed that the Bartlett test value of KMO was 0.883(P<0.01),principal component analysis to extract 2 the main factors,can explain the overall variance of 64.5%,the factor loading ranged from 0.726 to 0.892,could explain the 10 items of the original scale well,named personal risk and personnel risk.The Cronbach s alpha Coefficient of it was 0.890.Conclusion The Chinese version of FPDR-BRS has good reliability and validity,and thus can be used to evaluate the attitude and intention of the family members in the family presence.