摘要
背景 歧视知觉是导致维持性血液透析患者抑郁的主要因素之一,慢性病排斥与歧视量表(CIRDS)可用于评定慢性病患者的歧视知觉水平。目前,尚未查见针对维持性血液透析患者的中文版CIRDS。目的 对CIRDS进行汉化,评价其中文版在我国维持性血液透析患者中应用的信效度,为评定该群体的歧视知觉水平提供工具。方法 按照Brislin翻译模式对CIRDS进行正译、回译和文化调试,通过预调查形成了中文版CIRDS。选取2023年7月—10月湖北医药学院附属太和医院的250例维持性血液透析患者为研究对象。通过项目分析、探索性因子分析、验证性因子分析形成正式量表。采用内容效度和结构效度评价量表的效度,采用Cronbach’s α系数、重测信度以及折半信度评价量表的信度。结果 中文版CIRDS共11个条目,包括感知区别对待和感知排斥侮辱两个因子。量表水平的内容效度指数(S-CVI)为0.898,各条目的内容效度指数(I-CVI)为0.875~1.000。探索性因子分析共提取2个公因子,累计方差贡献率为65.41%。验证性因子分析结果显示,模型拟合良好。量表Cronbach’s α系数为0.910,感知区别对待因子和感知排斥侮辱因子的Cronbach’s α系数分别为0.835和0.912。量表的折半信度为0.803,重测信度为0.920。结论 中文版CIRDS具有良好的信效度,可用于维持性血液透析患者疾病歧视知觉水平的评定。
Background Perceived discrimination has been identified as a main risk factor for depression in maintenance hemodialysis patients.Chronic Illness Rejection and Discrimination Scale(CIRDS)is a measure for assessing perceived discrimination in individuals with chronic disease.However,the Chinese version of CIRDS for maintenance hemodialysis patients has not yet been established.Objective To translate CIRDS into Chinese version and evaluate its reliability and validity in maintenance hemodialysis patients,so as to provide an effective tool for assessing the perceived discrimination among maintenance hemodialysis patients.Methods The Brislin′s model for translation,back-translation,cross-cultural adaptation and pre-experimentation was utilized to develop a Chinese version of CIRDS.A coherent of 250 maintenance hemodialysis patients attending Taihe Hospital Affiliated to Hubei Medical College,from July to October 2023 were selected as the research subjects.The formal scale was refined by employing item analysis,exploratory factor analysis and confirmatory factor analysis.The validity of the scale was evaluated using content validity and construct validity.The reliability of the scale was evaluated using Cronbach′sαcoefficient,test-retest reliability and split-half reliability.Results The Chinese version of CIRDS consisted of 11 items,including 2 factors(perceived discrimination and perceived rejection).The scale-level content validity index(S-CVI)value was 0.898 and the item-level content validity index(I-CVI)values ranged from 0.875 to 1.000.Two common factors were extracted by exploratory factor analysis and explained 65.41%of the total variance.Confirmatory factor analysis also indicated that the model provided a good fit for the data.The Cronbach′sαcoefficient of the scale was 0.910,with Cronbach′sαcoefficients of 0.835 and 0.912 for the perceived discrimination and perceived rejection,respectively.The split-half reliability of the scale was 0.803,and the test-retest reliability was 0.920.Conclusion The Chinese version of CIRDS has excellent reliability and validity,which can be used to evaluate the perceived discrimination in maintenance hemodialysis patients.
作者
徐滢佳
何伟
谢松洪
李明雅
黄菲
Xu Yingjia;He Wei;Xie Songhong;Li Mingya;Huang Fei(Leshan Hospital of Chinese Medicine,Leshan 614000,China;Hubei University of Medicine,Shiyan 442000,China;Neijiang Health Vocational College,Neijiang 641100,China)
出处
《四川精神卫生》
2025年第1期78-83,共6页
Sichuan Mental Health
关键词
慢性病排斥与歧视量表
维持性血液透析
信度
效度
Chronic Illness Rejection and Discrimination Scale
Maintenance hemodialysis
Reliability
Validity
