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癫痫儿童健康相关生活质量特异性量表的汉化及在5~7岁患儿及家长中的信效度检验

Psychometric properties of the Chinese version of the Pediatric Epilepsy-Specific Health-Related Quality of Life in children aged 5 to 7 years old and their parents
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摘要 目的汉化癫痫儿童健康相关生活质量特异性量表(PedsQL^(TM)Epilepsy Module)并检验其在5~7岁患儿及家长中的信效度。方法采用Brislin翻译模型对PedsQL^(TM)Epilepsy Module进行正译、回译、调和与校译,通过认知性访谈、专家咨询、预调查对量表进行跨文化调适,形成中文版PedsQL^(TM)Epilepsy Module测试版。采用便利抽样法,于2023年4—11月选取苏州大学附属儿童医院收治的420例癫痫患儿及其家长为研究对象进行问卷调查,检验其信效度。结果本研究共发放问卷840份(患儿及家长各420份),回收患儿、家长有效问卷分别为394、400份,问卷有效回收率分别为93.81%(394/420)、95.24%(400/420)。中文版PedsQL^(TM)Epilepsy Module(患儿自我报告版)包含5个维度、28个条目;中文版PedsQL^(TM)Epilepsy Module(家长代理报告版)包含5个维度、29个条目。条目水平的内容效度指数为0.800~1.000,量表水平的内容效度指数分别为0.978、0.979。2个版本量表的探索性因子分析结果显示均提取出5个公因子,累计方差贡献率分别为64.557%、75.205%;验证性因子分析结果显示2个量表的模型拟合良好。2个版本量表总的Cronbach'sα系数分别为0.906、0.914,各维度的Cronbach'sα系数为0.869~0.991;量表总的重测信度系数分别为0.998、0.995,各维度的重测信度系数为0.803~0.995。结论中文版PedsQL^(TM)Epilepsy Module具有良好的信效度,适合中国文化背景下5~7岁癫痫患儿健康相关生活质量水平的评估。 Objective To translate the Pediatric Epilepsy-Specific Health-Related Quality of Life(PedsQL^(TM)Epilepsy Module)into Chinese and test its reliability and validity in children aged 5 to 7 years old and their parents.Methods Brislin translation model was used for forward translation,back translation,harmonization,and proofreading of the PedsQL^(TM)Epilepsy Module.Chinese version of PedsQL^(TM)Epilepsy Module beta version was developed through cognitive interviews,expert consultations,and pre-surveys for cross-cultural adaptation of the scale.From April to November 2023,convenience sampling was used to select 420 children with epilepsy and their parents admitted to the Children's Hospital of Soochow University as participants for a questionnaire survey to test its reliability and validity.Results A total of 840 questionnaires were distributed(420 for children and 420 for parents),and 394 valid questionnaires were collected from children and 400 valid questionnaires were collected from parents,and the effective response rates of the questionnaires were 93.81%(394/420)and 95.24%(400/420),respectively.Chinese version of PedsQL^(TM)Epilepsy Module(child report version)included five dimensions and 28 items.Chinese version of PedsQL^(TM)Epilepsy Module(parent agent report version)consisted of five dimensions and 29 items.The content validity indices at the item level were 0.800 to 1.00,while the content validity indices at the scale level were 0.978 and 0.979,respectively.Exploratory factor analysis of two versions of the scale showed that five common factors were extracted,with cumulative variance contribution rates of 64.557%and 75.205%,respectively.Confirmatory factor analysis showed that the models of the two scales fitted well.The total Cronbach'sαcoefficients of the two scales were 0.906 and 0.914,respectively,with Cronbach'sαcoefficients for each dimension ranging from 0.869 to 0.991.The total test-retest reliability coefficients of the scale were 0.998 and 0.995,respectively,and the test-retest reliability coefficients of each dimension were 0.803 to 0.995.Conclusions Chinese version of the PedsQL^(TM)Epilepsy Module has good reliability and validity,and is suitable for evaluating the health-related quality of life of children with epilepsy aged 5 to 7 years old in China.
作者 张一铭 谢安慰 汪小华 田利 林璐 孙丽华 苗丰 赵璇 Zhang Yiming;Xie Anwei;Wang Xiaohua;Tian Li;Lin Lu;Sun Lihua;Miao Feng;Zhao Xuan(Department of Neurology,Children's Hospital of Soochow University,Suzhou 215000,China;School of Nursing,Soochow University,Suzhou 215000,China;Department of Infectious Diseases,Children's Hospital of Soochow University,Suzhou 215000,China)
出处 《中华现代护理杂志》 2024年第30期4096-4104,共9页 Chinese Journal of Modern Nursing
关键词 癫痫 儿童 健康相关生活质量 量表汉化 信效度 Epilepsy Child Health-related quality of life Sinicization Reliability and validity
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