护士健康教育能力量表的汉化及信效度检验

The reliability and validity of the Chinese version of the Nurses'Health Education Ability Scale

目的对西班牙语版本的护士健康教育能力量表(Instrumento Competencia de Educación para la Salud del profesional de Enfermería,I-CEpSE)进行汉化,并检验其信效度。方法采用Brislin双人翻译-回译模型对原量表进行翻译、回译,经过跨文化调试及预调查后,形成中文版I-CEpSE,并采用中文版I-CEpSE对青岛市某三级甲等综合性医院546名护士进行问卷调查,以评价量表的信效度。结果中文版I-CEpSE保留原量表的58个条目,S-CVI/Ave为0.90;经探索性因子分析后共提取3个特征根≥1的公因子,累积方差贡献率为53.387%;验证性因子分析结果显示,χ^(2)/df=1.283,RMSEA=0.032,SRMR=0.047,IFI=0.952,TLI=0.950,CFI=0.951,量表模型基本适配。中文版I-CEpSE量表的Cronbach'sα系数为0.958;重测信度为0.954。结论中文版I-CEpSE具有良好的信效度,可用于我国文化背景下护士健康教育能力的评估,以便护士明确自身健康教育能力,从而确定其优劣势及学习需求。

Objective To translate the Spanish version of the Nurse Health Education Competence Instrument(I-CEpSE)into Chinese and to test its reliability and validity.Methods The Brislin two-person translation-back translation model was used to translate the original scale.After cross-cultural adaption and pilot-investigation,the Chinese version of I-CEpSE was finalized.The Chinese version of the I-CEpSE was used to evaluate 546 nurses in a tertiary hospital of Qingdao city.Results The Chinese version of the I-CEpSE kept 58 items of the original scale,and the S-CVI/Ave was 0.90.After exploratory factor analysis,a total of 3 common factors with characteristic roots≥1 were extracted,and the cumulative variance contribution rate was 53.387%.The confirmatory factor analysis results showed thatχ^(2)/df=1.283,RMSEA=0.032,SRMR=0.047,IFI=0.952,TLI=0.950,CFI=0.951,and the scale model was basically adapted.The total Cronbach'sαcoefficient of the Chinese version of the I-CEpSE was 0.958.The test-retest reliability was 0.954.Conclusion The Chinese version of I-CEpSE has good reliability and validity and can be used to evaluate nurses'health education ability under the cultural background in China.With this scale,nurses'own health education capabilities and learning needs can be identified.