医护人员对残疾人态度量表的汉化及信度、效度检验

Reliability and validity of the Chinese version of disability attitude scale

目的对医护人员对残疾态度量表进行汉化及信度、效度检验,为测量我国医护人员对残疾人的态度提供评估工具。方法2020年8月获得原作者授权,2020年9月采用Brislin翻译模型对英文版量表进行翻译、回译、文化调试及预实验,形成中文版医护人员对残疾人态度量表;2021年3月采用便利抽样法,选取锦州市、盘锦市、营口市和抚顺市8所综合性医院的400名康复科医护人员对量表的信度、效度进行检验。结果357名康复科医护人员完成研究。中文版医护人员对残疾人态度量表共20个条目,4个维度,分别为知识技能(4个条目)、临床责任(4个条目)、临床行为(8个条目)、情绪反应(4个条目);总量表的Cronbachα系数为0.943,折半信度为0.824,重测信度为0.899;各维度Cronbachα系数为0.843~0.944,折半信度为0.854~0.904,重测信度为0.701~0.913。探索性因子分析KMO值为0.921,Bartrett球形检验值为5534.981(P<0.01),累积方差贡献率为73.050%。结论中文版医护人员对残疾人态度量表具有良好的信度、效度,可用于测评我国医护人员对残疾人态度的现状。

Objective Reliability and validity of the Chinese version of disability attitude scales(DAS-CN)toward disabled persons were created and tested to provide an assessment instrument for measuring the attitude of medical staff toward disabled persons in China.Methods Authorised by the author of DAS in August 2020,based on BRISLIN translation model,the English version of DAS was translated into Chinese followed by back translation,cultural debugging and then put it into pre-experiment in September 2020.The reliability and validity of the finalised DAS-CN were further tested in a survey with 400 randomly selected medical staff in rehabilitation from 8 general hospitals in Jinzhou,Panjin,Yingkou and Fushun in Liaoning Province,China by using the convenience sampling method in March 2021.Results A total of 357 surveyees completed the survey.The localised DSA-CN was composed of 4 dimensions with a total of 20 items,including 4 items in clinical knowledge and skills,4 in clinical responsibility,8 in clinical behaviour and 4 in emotional response.The Cronbachαcoefficient of the scales was 0.943,with the split-half reliability and test-retest reliability at 0.824 and 0.899,respectively.The Cronbachαcoefficient of each dimension was 0.843~0.944,and the split half reliability was 0.854~0.904.The test�retest reliability ranged from 0.701 to 0.913.The KMO value of exploratory factor analysis was 0.921.The Bartrett spherical test value was 5534.981(P<0.01).The total explanatory rate of variation was 73.050%.Conclusion The Chinese version of Disability Attitude Scales(DSA-CN)has good reliability and validity.Therefore,DSA-CN can be used as an instrument in investigation of the current status about the attitudes towards the disabled persons among the medical staff in China.