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目的汉化慢性病赋能量表,并探讨其在中国社区中老年慢性病患者中的适用性。方法采用Brislin翻译模型完成量表汉化。于2015年11月—2016年1月,采用方便抽样法选取在广州市某三甲医院下属的4个社区卫生服务站就诊的中老年慢性病患者273例,采用一般资料调查表、中文版慢性病赋能量表、一般自我效能感量表(GSES)进行调查。采用Cronbach’sα系数和分半信度考察量表的信度;采用因子分析评价量表的结构效度;采用Pearson相关分析计算量表的内部相关系数;采用Spearman秩相关分析计算量表的效标关联效度。结果中文版慢性病赋能量表标准化Cronbach’sα系数为0.950,分半信度为0.930,各维度标准化Cronbach’sα系数为0.694~0.877,重测信度为0.921,平均内容效度为0.950,各维度得分与总分的相关系数为0.875~0.959,以GSES作为效标的效标效度为0.678;主轴因子分解法提取6个公因子,删除3个不归类任何因子的条目后,累计方差贡献率为54.504%。结论中文版慢性病赋能量表信效度良好,符合中国国情,适合在国内社区中老年慢性病患者中进行应用。
Objective To make the Chronic Epidemic Energy Scale Chinese-Speaking and explore its applicability in Chinese elderly patients with chronic diseases. Methods Using Brislin translation model to complete the scale localization. From November 2015 to January 2016, 273 middle-aged and elderly patients with chronic diseases were selected by using convenient sampling method in 4 community health service stations of a top three hospital in Guangzhou. The general data questionnaire, Table, General Self-Efficacy Scale (GSES). The Cronbach’s alpha and half-reliability were used to evaluate the reliability of the scale. Factor analysis was used to evaluate the structural validity of the scale. Pearson correlation analysis was used to calculate the internal correlation coefficient. Spearman rank correlation analysis was used to calculate the validity of the scale. Standard correlation validity. Results The standardized Cronbach’s α coefficient was 0.950, and the half-letter reliability was 0.930. The standardized Cronbach’s alpha coefficient of each dimension was 0.694-0.877, the test-retest reliability was 0.921 and the average content validity was 0.950. The correlation coefficient between the scores and the total scores was 0.875 ~ 0.959, the validity of validity was 0.678 with GSES as the criterion, 6 common factors were extracted by the principal factorization method, and after removing 3 items that did not classify any factors, the cumulative variance contribution rate 54.504%. Conclusion The Chinese version of Chronic Disease and Epidemic Function Scale has good reliability and validity, is in line with China’s national conditions and is suitable for application in elderly patients with chronic diseases in the domestic community.