天津护理

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慢性疾病病耻感量表-8在脑卒中患者中应用的信效度研究

 

邓翠玉1    李丽雅2    张丽丽2    王雨露2    赵岳2     卢琦2
  

  1.  
    (1.天津医科大学第二医院,天津 300211; 2.天津医科大学护理学院)
  • 收稿日期:2018-09-14 修回日期:2019-03-27 出版日期:2019-10-28 发布日期:2019-11-13
  • 基金资助:
    *国家自然科学基金面上项目(71673199);天津市教委科研计划项目(2018SK007)

 
A study of reliability and validity of the stigma scale for chronic illness 8-item version (SSCI-8) in stroke patients

 

DENG Cuiyu1, LI Liya2, ZHANG Lili2, WANG Yulu2, ZHAO Yue2, LU Qi2
  

  1.  
    (1.The Second Hospital of Tianjin Medical University, Tianjin 300211; 2.Tianjin Medical University, School of Nursing)
  • Received:2018-09-14 Revised:2019-03-27 Online:2019-10-28 Published:2019-11-13

摘要: 目的:调查慢性疾病病耻感量表-8(SSCI-8)在脑卒中患者中的信效度。方法:采用便利抽样的方法抽取204名社区脑卒中患者进行调查,进行信效度检验。结果:项目分析显示中文版SSCI-8能够鉴别高分组和低分组(P<0.01),各条目得分与SSCI-8总分的相关系数为0.611~0.843;与抑郁、日常生活能力、SF-12心理维度及生理维度的相关系数为0.537、-0.440、-0.450、-0.441(P<0.01)。探索性因子分析提取2个公因子,累计方差贡献率为75.39%,各条目在其相应维度上有较高的因子负荷,验证性因子分析结果显示,各拟合指数均在可接受范围内,SSCI-8的Cronbach’s α系数为0.892,重测信度为0.809。结论:中文版SSCI-8在脑卒中具有较好的信效度,可在脑卒中及神经系统疾病病耻感的相关研究中使用。

关键词: 脑卒中, 病耻感, 信度, 效度

Abstract:  Objective: To investigate the reliability and validity of Chinese version of stigma scale for chronic illness-8 in stroke patients. Methods: A total of 204 patients with stroke in community were recruited using convenience sampling method to test the reliability and validity.Results: Item analysis showed that the Chinese version of SSCI-8 could discriminate the high score group from the low group(P<0.01).Correlation coefficient between the scores of each item and the total score was 0.611~0.843.As for the association between the SSCI and depression, activity of daily living, psychological dimensionandphysical dimensions of SF-12, Pearson’s correlation was 0.537、-0.440、-0.450、-0.441(P<0.01).From exploratory factor analysis, 2 factors were generated with an accumulated variance contribution of 75.39%, and each item had high factor loading of the corresponding dimension. Confirmatory factor analysis indicated that the fitting index were all in acceptable level. Internal consistency was confirmed by Cronbach’s α coefficient of 0.892, the test-retest interclass correlation of total scale was both 0.809. Conclusion: The Chinese version of SSCI-8 showed good reliability and validity, and could be used in the research of stigma in neurological disorder diseases in China.

Key words:  Stroke, Stigma, Reliability, Validity