冠心病病人运动恐惧量表的汉化及信效度检验

Chinesization of Fear of Activity in Patients with Coronary Artery Disease and its reliability and validity test

目的:对冠心病病人运动恐惧量表(Fact⁃CAD)进行汉化,并检验其信效度。方法:依照Brislin翻译模式对Fact⁃CAD进行翻译,经过文化调适、预调查形成中文版Fact⁃CAD暂定版。选取2021年2月22日—9月30日在洛阳市某三级甲等医院心血管内科住院治疗的340例冠心病病人作为研究对象,对中文版Fact⁃CAD暂定版进行条目分析,并进行信效度检验。结果:中文版Fact⁃CAD为单维量表,其Cronbach'sα系数为0.982,折半信度为0.986,重测信度为0.854,条目水平的内容效度指数为0.83~1.00,量表水平的内容效度指数为0.90,探索性因子分析提取1个特征值为15.484的公因子,方差贡献率为73.732%。结论:中文版Fact⁃CAD具有良好信效度,可用于我国冠心病病人的运动恐惧测评。

Objective:To translate Fear of Activity in Patients with Coronary Artery Disease(Fact-CAD)and test its reliability and validity.Methods:Fact⁃CAD was translation according to the Brislin translation model.Provisional Chinese version of Fact⁃CAD was developed after cultural adaptation and pre-investigation.A total of 340 patients with coronary heart disease hospitalized in cardiovascular department of a tertiary grade A hospital in Luoyang city were selected as research subjects from February 22 to September 30,2021.Item of provisional Chinese version of Fact⁃CAD was analyzed,and reliability and validity was test.Results:The Chinese version of Fact⁃CAD was single dimensional scale,and its Cronbach'sαcoefficient was 0.982,the half reliability was 0.986,the retest reliability was 0.854,the item⁃level content validity index was from 0.83 to 1.00,scale⁃content validity index was 0.90.Exploratory factor analysis extracted one common factor with an eigenvalue of 15.484,and the variance contribution rate was 73.732%.Conclusions:The Chinese version of Fact⁃CAD has good reliability and validity,and can be used for assessing fear of activity in Chinese patients with coronary heart disease.