手卫生行为量表的汉化及信效度检验

The cross-cultural adaptation and reliability and validity evaluation of hand hygiene behaviour questionnaire

目的对手卫生行为量表(Hand Hygiene Behaviour Questionnaire,HHBQ)进行汉化,并检验其信效度。方法根据跨文化调试指南,对HHBQ进行前译、前译综合、回译、回译综合、原作者审核、专家咨询、预测试,形成中文版HHBQ。2021年7月—10月对杭州市3所三级甲等医院的537名医务人员进行调查,评价中文版HHBQ的信效度。结果中文版HHBQ包含3个维度,分别是手卫生能力(5个条目)、手卫生机会(7个条目)、手卫生动机(5个条目)。总量表内容效度指数为0.995,量表各条目内容效度指数为0.923~1.000。探索性因子分析共提取3个公因子,累计方差贡献率为68.741%。验证性因子分析显示模型拟合度良好。总量表的Cronbach’sα系数为0.918,各维度的Cronbach’sα系数为0.871~0.906。量表的重测信度为0.739。结论中文版HHBQ具有良好的信效度,可全面评估医务人员手卫生的影响因素。

Objective To translate and revise Hand Hygiene Behaviour Questionnaire(HHBQ)based on COM-B(capability,opportunity,motivation-behaviour)model,and to test its reliability and validity.Methods According to the intercultural debugging guidelines,the Chinese version of HHBQ was prepared by pre-translation,pre-translation synthesis,back-translation,back-translation synthesis,original author review,expert consultation and pre-test.The reliability and validity of Chinese version of HHBQ were evaluated by a survey of 537 medical staff from 3 tertiary A hospitals in Hangzhou from July to October 2021.Results The Chinese version of HHBQ contained 3 dimensions,namely,hand hygiene ability(5 items),hand hygiene opportunity(7 items),and hand hygiene motivation(5 items).The content validity of the total scale was 0.995,and the content validity of each item in the questionnaire was 0.923~1.000.3 common factors were extracted from exploratory factor analysis,and the cumulative variance contribution rate was 68.741%.Confirmatory factor analysis showed that the model fit well.The Cronbach’sαcoefficients of the total amount table are 0.918,and the Cronbach’sαcoefficients of each dimension are 0.871~0.906.The retest reliability of the questionnaire was 0.739.Conclusion The Chinese version of HHBQ has good reliability and validity,and it can be used to comprehensively evaluate the influencing factors of medical staff’s hand hygiene.