新生儿重症监护病房患儿父母压力源量表的汉化和信效度检验

Localization and reliability and validity of parental stressor scale for children in neonatal intensive care unit

目的翻译新生儿重症监护病房(NICU)患儿父母压力源量表,并评价其中文版信度和效度。方法将英文版NICU患儿父母压力源量表经过翻译、回译和跨文化调适、预调查等过程,形成NICU患儿父母压力源量表。采用便利抽样法选取2018年6月~2019年6月在空军军医大学唐都医院儿科NICU住院治疗的118例患儿的父/母进行问卷调查,对量表进行项目分析,评价其信效度。结果中文版NICU患儿父母压力源量表共3个维度,25个条目。各条目与总分之间的相关系数为0.339~0.589(P<0.05),决断值为3.652~8.883(P<0.05)。总内容效度为0.961,3个维度内容效度分别为0.989、0.924、1.000,各条目内容效度为0.843~1.000。探索性因子分析共提取3个特征根>1的公因子,累计贡献率为67.136%。汉化后量表总Cronbach′α系数为0.856,各维度Cronbach′α系数分别为0.841、0.815、0.774,折半信度为0.825。结论汉化后的NICU患儿父母压力源量表具有较好的信度与效度,能够作为评价NICU患儿父母压力源暴露情况和了解患儿父母心理特征的调查工具。

Objective To translate the parental stressor scale of neonatal intensive care unit(NICU),and to evaluate the reliability and validity of the Chinese version.Methods The English version of the parental stressor scale of NICU was translated,back translated,cross-culturally adjusted,pre-investigated and other processes to form a Chinese version.The convenient sampling method was used to select the parents of 118 children who were hospitalized in the NICU of the Tangdu Hospital of the Air Force Military Medical University from June 2018 to June 2019.The questionnaire was surveyed,while the reliability and validity of the scale were evaluated.Results The Chinese version of the parental stressor scale of the NICU has 3 dimensions and 25 entries.The correlation coefficient between each item and the total score were 0.339-0.589(P<0.05),and the decision value were 3.652-8.883(P<0.05).The total content validity was 0.961,while the content validity of the three dimensions were 0.989,0.924,1.000,respectively,and the content validity of each item were 0.843-1.000.Exploratory factor analysis extracted a total of three common factors with a characteristic root>1,the cumulative contribution rate was 67.136%.The total Cronbach′αcoefficient of the scale was 0.856,the Cronbach′αcoefficients of each dimension were 0.841,0.815,0.774,respectively,the half-fold reliability was 0.825.Conclusion The parental stressor scale of Chinese NICU has better reliability and validity.It can be used as a survey tool to evaluate the exposure of parents with stressors in the NICU and to understand the psychological characteristics of parents.