血液透析患者心理弹性量表的汉化及信效度检验

Reliability and validity of the Chinese version of the Patients on Hemodialysis Resilience Scale

目的:对英文版血液透析患者心理弹性量表(PHRS)进行汉化,并检验其中文版的效度和信度。方法:采用Brislin模式对PHRS进行翻译、回译及跨文化调适,形成中文版PHRS。采用便利抽样法选取2020年9—11月在郑州大学第一附属医院血液净化中心进行血液透析的210例患者进行问卷调查,评价量表信效度。结果:中文版PHRS量表水平的内容效度指数为0.972,条目水平的内容效度指数为0.861~1.000。探索性因子分析共提取4个公因子,累计方差贡献率为68.581%。总量表的Cronbach'sα系数为0.912,4个公因子的Cronbach'sα系数分别为0.762、0.813、0.889、0.781,重测信度为0.915。中文版PHRS与心理弹性量表(CD-RISC)的相关系数为0.873(P<0.001)。结论:中文版PHRS量表具有良好的信效度,可用于我国血液透析患者心理弹性水平的评估。

Objective To translate the English version of the Patients on Hemodialysis Resilience Scale(PHRS)into Chinese,and test the validity and reliability of the Chinese version.Methods Brislin model was used to translate,back-translate and cross-culturally adapt the PHRS to form the Chinese version of PHRS.From September to November 2020,convenience sampling was used to select 210 patients undergoing hemodialysis in the Blood Purification Center of the First Affiliated Hospital of Zhengzhou University to conduct a questionnaire survey to evaluate the reliability and validity of the scale.Results The scale-level content validity index of the Chinese version of the PHRS was 0.972,and the item-level content validity index was from 0.861 to 1.000.Exploratory factor analysis extracted 4 common factors,and the cumulative variance contribution rate was 68.581%.The Cronbach'sαcoefficient of the total scale was 0.912,and the Cronbach'sαcoefficients of the four common factors were 0.762,0.813,0.889,0.781,respectively,and the test-retest reliability was 0.915.The correlation coefficient between the Chinese version of PHRS and the Connor-Davidson Resilience Scale(CD-RISC)was 0.873,and the difference was statistically significant(P<0.001).Conclusions The Chinese version of the PHRS has good reliability and validity,and can be used to evaluate the psychological resilience of Chinese hemodialysis patients.