摘要
目的翻译“心肌梗死多维度评估量表”（Myocardial Infarction Dimensional Assessment Scale，MIDAS），评价其效度、信度及文化相关性，提供一种有效评估心肌梗死患者生活质量的中史版问卷。方法应用专家小组评定法进行问卷文化相关性、语言一致性及内容效度的评价。对88例心肌梗死患者应用问卷对其内部一致性、效标关联效度及结构效度进行评价，对其中30例心梗患者在2周内重新应用问卷收集资料，进行重测信度的评价。结果问卷中所有务目均具有较好的文化相关性，其中2个条目被重新修订。中文版“心肌梗死多维度评估量表”具有较好的表面和内容效度，内容效度指数（CVI）为0．94，其内部一致性及重测信度均可接受。问卷7个亚量表的Cronbach＇sa为0．73～0．91，重测信度系数为0．74～0．94，总体Cronbach＇s α为0．93，重测信度系数为0．85。中史版MIDAS中的各亚量表与中文版“36条目简明量表”（ShortForm 36，SF-36）中的相关亚量表具有显著相关性（P〈0．05）。因子分析结果提示中文版MIDAS具有与原英文量表一致的结构效度。结论中文版“心肌梗死多维度评估量表”是一种具有较高效度和信度的疾病专用量表，可为医护人员量化评估心肌梗死患者生活质量提供可靠的依据。
Objective To evaluate the validity, reliability and cultural relevance of Myocardial Infarction Dimensional Assessment Scale （MIDAS） as an effective assessment instrument for Chinese patients with myocardial infarction（MI）. Method The culture relevance, language equivalency and content validity of the Chinese version of the MIDAS （CMIDAS） were evaluated by an expert panel. The scale was used to test 88 Chinese patients with Mi. Thirty of them were retested within 2 weeks for tes ring reliability. Results Two items were modified. The overall CMIDAS and seven domains had acceptable internal consistency （Cronbach＇s α was 0.94 for the scale and 0.73-0.91 for the domains） and the retested reliability （internal correlation eoeffi eient was 0.85 for the overall scale and 0, 74-0.94 for the severr domains）. Measured with Chinese Version of the Short Form 36 （CSF 36）, there was acceptable concurrent validity with significant correlations between CMIADS subscale and patients’ perceived quality of life （P〈0.05）. The principal components analysis showed the presence of seven factors together explained 66.92% of the variance. The findings also demonstrated a high factor loading indicating good construct validity of the CMIDAS. Conclusions It is supported that CMIADS is a valid and reliable as disease specific heahh status measure for Chinese patients with MI.
出处
《中华护理杂志》
CSCD
北大核心
2006年第1期7-11,共5页
Chinese Journal of Nursing
关键词
心肌梗死
生活质量
量表效证
Myocardial infarction
Quality of life
Instrument validation
