中文版19条重返工作自我效能量表在断指再植术后患者中的应用及信效度检验

Application of Chinese version of 19-Item Return-To-Work Self-Efficacy Scale in patients after digital replantation and its reliability and validity test

目的:汉化19条重返工作自我效能(RTWSE-19)量表,并验证其在断指再植术后患者中应用的信效度。方法:采用Brislin翻译模式对RTWSE-19量表进行翻译和回译,通过专家评价、小组讨论和预调查对中文版RTWSE-19量表进行汉化调适。采用便利抽样法,于2019年3月—2020年2月选择在广东省佛山市南海区第四人民医院诊疗的150例断指再植术后有重返工作意愿的患者,应用调整后的中文版RTWSE-19量表对其进行调查。通过专家评价的内容效度、探索性因子分析的结构效度进行量表的效度评价;通过Cronbach'sα系数、重测信度和折半信度进行量表的信度评价。结果:共发放问卷150份,回收有效问卷141份,有效回收率为94.0%。中文版RTWSE-19量表与原量表结构相同,保留原有的19个条目,分为应对工作(条目1~7)、工作调整(条目8~14)、向同事提出需求(条目15~19)3个维度。量表的内容效度指数为0.920。通过探索性因子分析共可提取3个特征根植>1的公因子,累积方差贡献率为62.4%。量表的Cronbach'sα系数为0.903,重测信度为0.771,折半信度为0.763。结论:本研究汉化的中文版RTWSE-19量表具有良好的信效度,适用于评价断指再植术后患者的重返工作自我效能。

Objective To translate 19-Item Return-To-Work Self-Efficacy(RTWSE-19)Scale into Chinese and verify reliability and validity of its application in patients after replantation of severed fingers.Methods Brislin translation model was used to translate and back-translate RTWSE-19 Scale,and the Chinese version of RTWSE-19 Scale was adjusted through expert evaluation,group discussion and pre-survey.Using the convenient sampling method,a total of 150 patients who were treated and were willing to return to work after replantation of severed fingers in the Fourth People's Hospital of Nanhai District in Foshan,Guangdong Province from March 2019 to February 2020 were selected,and the modified Chinese version of RTWSE-19 Scale was used to investigate.The validity of the scale was evaluated by the content validity of expert evaluation and the structure validity of exploratory factor analysis.Cronbach'sαcoefficient,test-retest reliability and split-half reliability were used to evaluate the reliability of the scale.Results A total of 150 questionnaires were distributed,and 141 valid questionnaires were returned.The effective recovery rate was 94.0%.The Chinese version of RTWSE-19 Scale had the same structure as the original scale.The original 19 items were retained,which were divided into three dimensions:coping with work(items 1-7),work adjustment(items 8-14)and request to colleagues(items 15-19).The content validity coefficient of the scale was 0.920.Through exploratory factor analysis,3 common factors with characteristic roots greater than 1 were extracted,and the cumulative variance contribution rate was 62.4%.The Cronbach'sαcoefficient of the scale was 0.903,the test-retest reliability was 0.771 and the half-reliability was 0.763.Conclusions The Chinese version of RTWSE-19 Scale in this study has good reliability and validity,which is suitable for evaluating the return-to-work self-efficacy of patients after replantation of severed fingers.