恶性血液病患者信息需求量表的汉化和信效度检验

The translation of the Hematology Information Needs Questionnaire and its reliability and validity test

目的 汉化恶性血液病患者信息需求量表(Hematology Information Needs Questionnaire,HINQ),并检验其信效度。方法 运用Beaton自评量表跨文化调试指南对原量表进行翻译、回译及文化调试,形成中文版HINQ。采用便利抽样法,选取2021年10月―12月天津市某三级甲等医院收治的362例恶性血液病患者进行调查,分析量表的信效度。结果 回收有效问卷345份。中文版HINQ包含7个维度,共62个条目,分别为疾病(10个条目)、治疗(19个条目)、病因(3个条目)、睡眠及身体变化(6个条目)、自我护理(7个条目)、医学检查和预后(11个条目)、社会心理(6个条目)。探索性因子分析结果显示,7个公因子的累计方差贡献率为73.963%。量表条目水平的内容效度指数为0.830~1.000,平均量表水平的内容效度指数为0.949;量表总的Cronbach’s α系数为0.986,各维度的Cronbach’s α系数为0.903~0.976;量表总的重测信度为0.896,折半信度系数为0.917。结论 中文版HINQ具有良好的信效度,可用于评价恶性血液病患者的信息需求。

Objective The purpose is to translate the Hematology Information Needs Questionnaire(HINQ) into Chinese,and to test its reliability and validity. Methods The cross-cultural adaption guide of Beaton was used to translate the scale. The reliability and validity of the HINQ were tested through a survey of 362 patients with hematologic neoplasms in a tertiary specialized hospital in Tianjin by convenience sampling from October to December 2021. Results 345 valid questionnaires were collected. The Chinese version of the scale included 7dimensions of disease(with 10 items),treatment(with 19 items),etiology(with 3 items),sleep and physical changes(with 6 items),self-care(with 7 items),medical tests and prognosis(with 11 items),psycho-social aspect(with 6 items),with a total of 62 items. In exploratory factor analysis,the cumulative variance contribution of 7 common factors was 73.963%. The item-level content validity index of the Chinese HINQ is 0.830 ~1.000,the scale-level content validity index is 0.949;Cronbach’s α coefficient for the overall scale was 0.986,and the Cronbach’s α coefficients of each dimension ranged from 0.903 ~0.976;the test-retest reliability of the total scale was 0.896,and the split half reliability coefficient was 0.917. Conclusion The scale has good reliability and validity,and it can be used as an assessment tool for the information needs of patients with hematologic neoplasms.