慢性病保健评估问卷的汉化及信效度评价

慢性病保健评估问卷的汉化及信效度评价
孙玫;冯辉;李华艳;Jeffrey Fuller;徐霜;崔虹艳;王秀华;唐四元
【期刊名称】《中国全科医学》
【年(卷),期】2014(000)031
【摘要】目的：翻译、跨文化修订形成机构版慢性病保健评估问卷
（ assessment of chronic illness care，ACIC）简体中文版，并评价其信效度。

方法引进 ACIC，进行翻译、回译及文化调试，最终修订为包含七个维度，34个
条目的 ACIC 简体中文版。

并于2013年11月-2014年2月，采用多阶段分层整群随机抽样法在湖南省抽取102家基层医疗卫生机构的400名医务人员进行问卷
调查，对问卷进行内部一致性、重测信度、内容效度、因子分析等信效度分析。

结果ACIC 简体中文版可行性良好（得到有效问卷390份，有效回收率为89.0%）。

问卷的Cronbach's α系数为0.826，问卷各维度的Cronbach's α系数为
0.880~0.930；重测信度为0.722（P <0.01）；七因子结构方程模型拟合良好，
χ2/ df 为2.70，RMSEA 为0.066。

结论 ACIC 简体中文版有较好的信度、效度，可作为特异性 ACIC，用于评价医疗机构慢性病保健服务能力及水
平。

%Objective To design the simplified Chinese version of Assessment of Chronic Illness Care( ACIC)in mechanism edition by translation and cross - cultural revision and evaluate its reliability and validity. Methods We introduced ACIC from abroad and revised it into simplified Chinese edition including 7 dimensions and 34 items by translation,back transla-tion and culture adjustment. Using multi - stage stratified cluster random sampling method,from Nov,2013 to Feb,2014,400 personnel selected from 102
community health service institutions in Hunan province were investigated with questionnaire about the internal consistency,the test - retest reliability,content validity and factor analysis. Results The simplified Chinese version of ACIC had good feasibility(returned valid questionnaires were 390 and the valid recovery rate was 89. 0% ). The Cronbach's
αcoefficients was 0. 826 and that of all factors of ACIC ranged from 0. 880 to 0. 930. Test - retest reliability coefficients was 0. 722 (P < 0. 01). Structural equation model showed good fit,χ2 / df being 2. 70 and RMSEA 0. 066. Conclusion The Chinese ver-sion of ACIC has good reliability and validity,which can be used as a kind of specific ACIC to evaluate medical institutions' serv-ice ability and level in treating chronic diseases.
【总页数】4页(P3696-3698,3712)
【作者】孙玫;冯辉;李华艳;Jeffrey Fuller;徐霜;崔虹艳;王秀华;唐四元
【作者单位】410013 湖南省长沙市，中南大学基础医学院博士后流动站;中南大学健康护理研究中心;中南大学护理学院;澳大利亚弗林德斯大学;中南大学健康护理研究中心;中南大学公共卫生学院;中南大学护理学院;中南大学护理学院
【正文语种】中文
【中图分类】R197
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