儿科患者心理社会风险评估量表的汉化及信效度检验

Sinicization of Psychosocial Risk Assessment in Pediatrics and the test of its reliability and validity

目的汉化儿科患者心理社会风险评估(Psychosocial Risk Assessment in Pediatrics,PRAP)量表,并检验其信效度。方法获得原作者授权后进行翻译、文化调适,形成中文版PRAP量表。采用便利抽样法,选取2021年3月—5月于上海市某三级甲等儿童专科医院住院的167例患者进行心理社会风险评估,检验量表的信效度。结果中文版PRAP量表包括性情、诊疗环境中的焦虑和应对、诊疗经历、发育或发展程度对应对能力的影响、特殊需求、沟通、侵入性操作经历、父母或照顾者的压力8个条目,量表的Cronbach’sα系数为0.711,折半信度为0.626。5名调查员评定结果的肯德尔和谐系数为0.963,χ^(2)值为43.325,差异具有统计学意义(P<0.001)。各条目的内容效度指数为0.90~1.00,量表的平均内容效度指数为0.95。探索性因子分析提取3个公因子,累计方差贡献率为62.686%。结论中文版PRAP量表具有较好的信效度,可作为评估儿科患者就医相关心理社会风险的评估工具。

Objective To translate the Psychosocial Risk Assessment in Pediatrics(PRAP)into the Chinese version,and to test its reliability and validity.Methods The Chinese version of PRAP was formed after translation and cultural adjustment authorized by the original author.167 children from Children’s Hospital in Shanghai from March to May 2021 were selected by convenience sampling method to evaluate the reliability and validity of the scale.Results The Chinese version of PRAP included 8 items,namely temperament,anxiety and coping during healthcare context,past health experience,developmental impact,special needs,communication,invasive procedure/experience and parent/caregiver stress.The Cronbach’sαwas 0.711 and the half reliability was 0.626;the inter rater reliability of 5 investigators showed that the Kendall coefficient was 0.963 and the chi square value was 43.325;the difference was statistically significant(P<0.001).The content validity index of each item is 0.90~1.00.The average content validity index of the scale is 0.95.There were 3 common factors being extracted by exploratory factor analysis,and the cumulative variance contribution rate is 62.686%.Conclusion The Chinese version of PRAP has good reliability and validity,and it can be used as an evaluation tool to evaluate the psychosocial risks of pediatric patients regarding to medical procedure in China.