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慢性病自我护理量表泰语版的跨文化调适及心理测量学分析
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作者 Chonchanok Bunsuk Jom Suwanno +12 位作者 Nuntaporn Klinjun Wanna Kumanjan Kannika Srisomthrong Chennet Phonphet Chidchanok Mayurapak Chutiporn Dansuwan Juk Suwanno Punnaphat Chramnanpho Umaporn Kamlungdee Wichai Arab Putrada Ninla-aesong Sadee Saithong Hamilton ladda thiamwong 《International Journal of Nursing Sciences》 CSCD 2023年第3期332-344,共13页
目的本研究旨在翻译和验证泰语版慢性病自我护理量表4.c版(Self-Care of Chronic Ilness Inven-tory version 4.c,SC-CII v4.c)在慢性病患者中应用的信效度。方法对SC-CI v4.c量表进行翻译,并通过横断面研究验证其信效度。采用准备、正... 目的本研究旨在翻译和验证泰语版慢性病自我护理量表4.c版(Self-Care of Chronic Ilness Inven-tory version 4.c,SC-CII v4.c)在慢性病患者中应用的信效度。方法对SC-CI v4.c量表进行翻译,并通过横断面研究验证其信效度。采用准备、正向翻译、对比、反向翻译、反向翻译审查、调适、认知报告、认知报告审查、定稿、校对9个步骤将英语版本问卷翻译为泰语,并对翻译的有效性进行了评估。于2022年7一11月在泰国南部的16所初级保健中心选取410名至少有1种慢性疾病患者为研究对象。采用结构效度、聚合效度和区分效度评估量表的效度;应用自我护理自我效能量表(the Self-Care Self-Eficacy Scale,SCSES)和自我感知健康量表来评估量表的同时效度;采用Cronbach'sα系数、项目总相关系数和组合信度(composite relia-bility,CR)指数来评估量表的信度。结果泰语版SC-CI v4.c具有很好的翻译效度(卡帕系数为0.99)。泰语版自我护理维持分量表与原始模型拟合度很好,其中健康促进行为和疾病相关行为维度中的条目有较小差异;自我护理监测和自我护理管理分量表与原始模型存在很好的拟合度。验证性因子分析显示,泰语版SC-CII v4.c具有良好的拟合度。量表的平均方差提取值(average variance extracted,AVE)范围为0.23~0.51,异质-单质比率(heterotrait-monotrait ratios,HTMT)范围为0.37~0.88。泰语版SC-CI v4.c及3个分量表得分与SCSES(r=0.25~0.65)和自我感知健康量表(r=0.09~0.35)均呈正相关。除自我护理维持分量表(Cronbach’sα=0.68)外,所有量表Cronbach'sα系数都较高,CR指数显示3个分量表均具有可靠性(范围为0.80~0.82)。除与睡眠有关的条目外,其他条目与总分的相关系数均较好,范围为0.34~0.71。结论泰语版SC-CI v4.c对于评估非特异性慢性病患者的自我护理是有效和可靠的。建议对特定疾病患者进行进一步测试。 展开更多
关键词 慢性疾病 病人 心理测量 自我护理 自我管理
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Psychometric testing of the cross-culturally adapted Thai version of the Self-Care Self-Efficacy Scale version 3.0 in individuals with chronic illnesses
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作者 Chennet Phonphet Jom Suwanno +2 位作者 Chonchanok Bunsuk Wanna Kumanjan ladda thiamwong 《International Journal of Nursing Sciences》 2024年第4期473-484,共12页
Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Wester... Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Western context,its applicability in Asian populations,including Thailand,remains inadequately explored.Methods:Psychometric tests were guided by COSMIN principles.This included the translation of the English version into Thai based on the ISPOR framework.Nine nursing experts evaluated the content validity.Data were obtained from a multicenter cross-sectional study conducted between July and November 2022.This study included individuals with chronic conditions from 16 primary care centers in Thailand.We tested the structural validity using exploratory factor analysis(EFA)and confirmatory factor analysis(CFA),and concurrent validity in relation to the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).We tested the scale’s reliability with McDonald’s u,Cronbach’s a,and the intraclass correlation coefficient(ICC).Results:The Thai SCSES-v3.0 demonstrated excellent content validity(k¼1.00).Thefinal analysis included a total of 385 participants.The EFA with thefirst split-half subsample(n¼193)extracted a twofactor structure.One reflected SCSES for maintenance and monitoring behaviors and another captured SCSES for management behaviors(item 6e10).CFA with the second split-half subsample(n¼192)and the overall sample(n¼385)supported the scale’s two-factor model with high factor loadings.Each dimension and the overall SCSES-v3.0 positively correlated with each scale and the overall SC-CII-v4.c.McDonald’s u and Cronbach’s a(both ranged 0.91e0.94)and ICC(ranged 0.95e0.96),indicated excellent internal reliability and test-retest reliability,respectively.Conclusions:The identification of a valid and reliable two-factor model for the Thai SCSES-v3.0 renders it a valuable tool for clinicians and investigators,facilitating the assessment of self-efficacy in self-care across diverse contexts. 展开更多
关键词 Chronic illness Psychometric Self-care Self-confidence Self-efficacy
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