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护理学报 ›› 2021, Vol. 28 ›› Issue (17): 11-14.doi: 10.16460/j.issn1008-9969.2021.17.011

• 研究生园地 • 上一篇    下一篇

中文版老年人睡眠类药物使用情况调查问卷的跨文化调适

唐鹤1, 乔宇2, 朱佳美3, 张敏1   

  1. 1.北华大学 护理学院,吉林 吉林 132013;
    2.辽宁中医药大学 临床学院,辽宁 沈阳 110847;
    3.吉林大学第一医院,吉林 长春130031
  • 收稿日期:2021-01-19 发布日期:2021-10-12
  • 通讯作者: 张敏（1982-）,女,吉林吉林人,本科学历,博士,硕士生导师。E-mail:3054452635@qq.com
  • 作者简介:唐鹤（1995-）,女,吉林吉林人,本科学历,硕士研究生在读,护师。
  • 基金资助:
    吉林省卫生计生青年科技骨干培养计划（2018Q035）

Cross-cultural Adaptation of Chinese Version of Questionnaire of Use of Sleep Medication in Elderly

TANG He1, QIAO Yu2, ZHU Jia-mei3, ZHANG Min1   

  1. 1. School of Nursing, Beihua University, Jilin 132013, China;
    2. School of Clinical Medicine, Liaoning University of Traditional Chinese Medicine, Shenyang 110847, China;
    3. The First Hospital of Jilin University, Changchun 130031, China
  • Received:2021-01-19 Published:2021-10-12

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摘要： 目的 对英文版老年人睡眠类药物使用情况调查问卷进行翻译,形成中文版问卷,并测量问卷的心理计量学特征。方法 与源问卷作者取得联系获得授权,采用Brislin翻译模型汉化形成修订版问卷。采用项目区分度（极端组比较法及积差相关系数）进行项目分析;采用专家测评法进行内容效度分析;探索性因子分析及验证性因子分析进行结构效度分析;问卷信度采用Cronbach α系数表示。结果 中文版问卷共有12条目,问卷Cronbach α系数为0.76,重测信度系数ICC=0.97;内容效度（S-CVI/Ave）为0.98;利用探索性因子分析对问卷提取公因子,特征值≥1的公因子有3个,对总方差的累计贡献率为56.56%,结构方程模型结果显示调整卡方值=3.75、拟合优度指数=0.89、比较拟合指数=0.86、调整后拟合优度指数=0.84、递增拟合指数=0.86、近似误差均方根=0.09,模型拟合度良好。结论 修订的中文版老年人睡眠类药物使用情况调查问卷具有良好的信效度,为医疗卫生人员评估老年人睡眠类药物使用情况提供工具,为卫生保健体系制定策略提供参考依据。

关键词: 老年人, 睡眠药物, 跨文化调适, 信效度

Abstract: Objective To translate the English questionnaire of use of sleep medication (Q-USM) in elderly people and to analyze its psychometrics character. Methods A methodological study carried out in six steps: authorization of the translation of the questionnaire, across-cultural adaptation, back-translation, analysis by expert committee, pre-testing and the evaluation of psychometric properties. Psychometric properties, including item analysis (the extreme group comparison and item-total correlations), content validity (item-level content validity index (I-CVI) and scale-level content validity index (S-CVI)), construct validity confirmatory factor analysis (CFA) and internal consistency (Cronbach α and test-retest reliability), were measured. Results The instrument was translated and cross-culturally adapted and its final version consisted of 12 items. The translated Q-USM had excellent internal consistency (Cronbach α=0.76). The test-retest reliability coefficient was 0.97. The S-CVI was 0.98. CFA showed that the three-factor model explained 56.56% of the total variance, indicating good model fit (likelihood ratio χ2/df=3.75, incremental fit index=0.86, comparative fit index=0.86, goodness-of-fit index=0.89, adjusted goodness-of-fit index=0.84 and standardized root mean square error of approximation=0.09). Conclusion With good reliability and validation, the translated Q-USM provides reference for assessment of sleep medication use in elderly people and for developing related strategies by heath care system.

Key words: elderly people, sleep medication, cross-cultural adaptation, reliability and validity

中图分类号: 

  • R471
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