保髋手术患者结果期望量表汉化及信效度检验

Chinese version of the Hip Preservation Surgery Expectations Survey and its reliability and validity

目的:对保髋手术患者结果期望量表(HPSES)进行汉化,并进行信效度检验。方法:严格遵循Brislin翻译、回译及跨文化调适原则,形成简体中文版HPSES。采用便利抽样法,选取2019年9月—2021年7月青岛大学附属医院骨科行保髋手术的215例患者进行调查,检验中文版HPSES的信效度。采用临界比值决断法和相关分析法进行项目分析;采用内容效度指数、结构效度评价量表的效度;采用Cronbach'sα系数和折半信度评价量表的信度。结果:中文版HPSES提取出4个公因子,共22个条目,累计总方差贡献率63.696%。量表水平的内容效度指数为0.97,条目水平的内容效度指数为0.83~1.00。验证性因子分析结果显示,量表拟合度良好。量表总的Cronbach'sα系数为0.873,各维度的Cronbach'sα系数为0.834~0.868;量表总的Guttman折半信度系数为0.840,各维度的Guttman折半信度系数为0.755~0.865。结论:中文版HPSES具有较好的信效度,可用于评价保髋手术患者的结果期望,便于医务人员对患者进行针对性的术前健康教育和康复指导,提高患者满意度。

Objective To translate the Hip Preservation Surgery Expectations Survey(HPSES)into Chinese and test its reliability and validity.Methods This study strictly followed the principles of Brislin translation,back translation,and cross-cultural adaptation to form a simplified Chinese version of HPSES.From September 2019 to July 2021,a survey was conducted using convenience sampling method to select 215 patients from the Department of Orthopedics of the Affiliated Hospital of Qingdao University who underwent hip preservation surgery to test the reliability and validity of the Chinese version of HPSES.This study used critical ratio determination and correlation analysis for item analysis,and used content validity index and structural validity to evaluate the validity of the scale,and the reliability of the scale was evaluated using Cronbach'sαcoefficients and half reliability.Results The Chinese version of HPSES extracted 4 common factors,totaling 22 items,with a cumulative total variance contribution rate of 63.696%.The content validity index at the scale level was 0.97,and the content validity index at the item level was 0.83 to 1.00.The results of confirmatory factor analysis showed that the fit of the scale was good.The total Cronbach'sαcoefficient of the scale was 0.873,and Cronbach'sαcoefficients for each dimension ranged from 0.834 to 0.868.The overall Guttman half reliability coefficient of the scale was 0.840,and the Guttman half reliability coefficients for each dimension were 0.755 to 0.865.Conclusions The Chinese version of HPSES has good reliability and validity,which can be used to evaluate the expected outcomes of patients undergoing hip preservation surgery,facilitating medical and nursing staffs to provide targeted preoperative health education and rehabilitation guidance to patients,and improving patients satisfaction.