卫生保健相关后悔应对量表的汉化及其在实习护生中的信效度检验

Translation of Regret Coping Scale for Health-care Professionals and Its Reliability and Validity in Nursing Interns

目的汉化卫生保健相关后悔应对量表,并检验其在实习护生中的信效度。方法采用Brislin双人直译-回译法、专家评议、预调查对量表进行文化调适,于2021年9月—2022年8月采用便利抽样法选取529名实习护生(295名本科生和234名专业学位硕士研究生)进行正式调查,评价量表的信度和效度。结果删除条目2后形成了具有3个维度、共14个条目的中文版卫生保健相关后悔应对量表。量表水平的内容效度指数为1.000,条目水平的内容效度指数均为1.000。探索性因子分析提取了3个公因子,累计方差贡献率为72.25%;验证性因子分析显示,量表的模型适配良好(χ^(2)/df=2.309,RMSEA=0.075,GFI=0.911,CFI=0.955,TLI=0.940,IFI=0.955,NFI=0.924)。量表各维度的平均方差抽取量分别为0.464、0.521及0.685,组合信度分别为0.775、0.844及0.915;平均方差抽取量平方根值为0.681~0.828大于各维度间相关系数绝对值0.406~0.584(P<0.01);护理专业学位硕士研究生的总量表、各维度得分均显著高于本科实习护生水平(t=2.468~3.568,P<0.05)。总量表、问题应对策略维度、适应性情绪应对策略维度及不良情绪应对策略维度的Cronbachα系数分别为0.905、0.827、0.876及0.918;折半信度系数分别为0.847、0.849、0.792和0.863;ICC值分别为0.909、0.813、0.787和0.767。结论中文版卫生保健相关后悔应对量表具有较好的信效度,可用于测评我国实习护生的卫生保健相关后悔应对策略现状。

Objective To translate the regret coping scale for health-care professionals(RCS-HCP)into Chinese and test its reliability and validity in nursing interns.Methods RCS-HCP was translated based on Brislin translation model and cross-cultural adaptation,expert review and pre-survey were performed successively.A total of 295 nursing undergraduates and 234 nursing postgraduates from September 2021 to August 2022 were selected by convenience sampling method to test the reliability and validity of the scale.Results The Chinese version of RCS-HCP consisted of 3 dimensions,involving 14 items after 1 item was removed.All item-level content validity index was 1.000,and the scale-level content validity index was also 1.000.Exploratory factor analysis extracted 3 common factors,accounting for 72.25%of the cumulative contribution of variance.Confirmatory factor analysis suggested that the model fitted well(χ^(2)/df=2.309,RMSEA=0.075,GFI=0.911,CFI=0.955,TLI=0.940,IFI=0.955,NFI=0.924).The average variance extracted of each dimension were 0.464,0.521 and 0.685,respectively,and composite reliability was 0.775,0.844 and 0.915,respectively.The square root of average variance extracted ranged from 0.681 to 0.828,which were greater than the absolute value of the correlation coefficient(r=0.406~0.584,P<0.01)among the dimensions.The total score of the RCS-HCP and the score of each dimension of nursing postgraduates were significantly higher than those of nursing undergraduates(t=2.468~3.568,P<0.05).The Cronbach’sαcoefficient of the total scale and each dimension were 0.905,0.827,0.876 and 0.918 respectively.The split-half reliability was 0.847,0.849,0.792 and 0.863 respectively,and the test-retest reliability coefficient 0.909,0.813,0.787 and 0.767respectively.Conclusion The Chinese version of RCS-HCP is reliable and valid,which can be used as an instrument for assessing the coping strategies among nursing interns in China.