中文版决策冲突量表在重症手足口病患儿家长中应用的信效度研究

Reliability and validity of the Chinese version of Decision Conflict Scale among parents of severe hand-foot-and-mouth disease children

目的翻译并修订决策冲突量表(DCS),在重症手足口病患儿家长中对中文版DCS进行信、效度的初步评价。方法基于量表引进原则,翻译和回译DCS,并进行跨文化调适和修订形成中文版DCS。选取2017年1—6月在南京市某儿童医院接受重症手足口病治疗的患儿家长117名为调查对象,根据结果对中文版DCS进行信度和效度分析。结果中文版DCS的内容效度指数为0.95。量表的重测信度为0.865,共包含16个条目,总量表的Cronbach'sα系数为0.873,各维度的Cronbach'sα系数为0.723~0.895;探索性因子分析提取3个因子,方差累计贡献率62.849%。结论中文版DCS具有良好的信效度,适用于重症手足口病患儿家长决策冲突情况的评估。

ObjectiveTo translate and revise the Decision Conflict Scale(DCS),and explore the reliability as well as validity of the Chinese version of DCS among parents of severe hand-foot-and-mouth disease children.MethodsWe carried out translation and back translation of DCS based on the principle of introducing scale,and then we applied cross-cultural adaptation and revised to form the Chinese version of DCS.From January to June 2017,we selected 117 parents of severe hand-foot-and-mouth disease children at a children hospital in Nanjing as subjects.The reliability and validity of the Chinese version of DCS was analyzed according to the results.ResultsThe content validity index and test-retest reliability of the Chinese version of DCS were 0.95 and 0.865 respectively with 16 items.The Cronbach'sαof the total scale was 0.873 and that of dimensions ranged from 0.723 to 0.895.Exploratory factor analysis extracted three factors with 62.849%for the cumulative variance contribution rate.ConclusionsThe Chinese version of DCS has good reliability and validity which is applicable for assessing the decision conflict among parents of severe hand-foot-and-mouth disease children.