类风湿关节炎患者自我护理行为量表的汉化及信效度检测

Translation and validation of Self-care Behavior Scale for Patients with Rheumatoid Arthritis

目的汉化类风湿关节炎患者自我护理行为量表(RA-SCBS)并检验其信效度。方法对类风湿关节炎患者自我护理行为量表进行翻译、回译及文化调适,形成中文版量表;采用该量表对兰州市450例类风湿关节炎患者进行调查,检验其信效度。结果探索性因子分析共提取6个公因子(运动管理、药物管理、压力管理、营养/关节保护、日常生活管理、疼痛管理),累积方差贡献率为62.280%;验证性因子分析显示模型适配度良好。中文版量表总的CVI=0.910,各条目CVI 0.805~1.000;总的Cronbach′sα系数为0.844,重测信度为0.854。结论中文版类风湿关节炎患者自我护理行为量表具有较好的信效度,可作为我国类风湿关节炎患者自我护理行为的评估工具。

Objective To translate the Self-care Behavior Scale for Patients with Rheumatoid Arthritis(RA-SCBS)into Chinese and evaluate its reliability and validity.Methods RA-SCBS was translated,back-translated and culturally adapted to form a Chinese version.The reliability and validity of the scale were evaluated in 450 patients with rheumatoid arthritis in Lanzhou.Results By exploratory factor analysis,6 common factors(physical activity,medication,stress management,nutrition/joints protection,management of daily activities,and pain management)were extracted,and the cumulative variance contribution rate was 62.28%.Confirmatory factor analysis showed that the scale enjoyed good fitness.The content validity index was 0.910 for the overall scale,and 0.805-1.000 for the items.The Cronbach′sαcoefficient and test-retest reliability coefficient of Chinese Version RA-SCBS were 0.844 and 0.854.Conclusion The Chinese version of RA-SCBS enjoys good reliability and validity,and can be used as a tool to evaluate self-care behavior in rheumatoid arthritis in China.