非酒精性脂肪性肝病患者自我管理量表的汉化及信效度检验
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胡馨萍

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上海健康医学院资助项目[上健医科技(2024)-2]


Translation of the Nonalcoholic Fatty Liver Disease Self-Management Questionnaire (NAFLD-SMQ) into Chinese and psychometric testing
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    目的 汉化非酒精性脂肪性肝病患者自我管理量表(The Nonalcoholic Fatty Liver Disease Self-Management Questionnaire,NAFLD-SMQ),为构建非酒精性脂肪性肝病患者健康管理体系提供有效和科学的测量工具。方法 在取得原量表作者授权后,对原量表进行翻译、回译、文化调适及预调查后形成中文版NAFLD-SMQ。方便选取2022年7月至2023年3月在上海市2所三级医院脂肪肝专科门诊、体检中心334例非酒精性脂肪性肝病患者进行问卷调查,以评价量表的信效度。结果 中文版NAFLD-SMQ包含6个维度和22个条目。探索性因子分析提取6个特征根值>1的因子,累计方差贡献率为74.254%,且验证性因子显示模型基本适配。量表水平的内容效度指数(S-CVI/UA)为0.863,整体的Cronbach′s α系数为0.920,各维度的Cronbach′s α系数为0.830~0.942;重测信度为0.906,各维度的重测信度为0.733~0.835。结论 中文版NAFLD-SMQ展现出良好的信效度,可作为评估非酒精性脂肪性肝病患者自我管理水平的有效工具。

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    Objective To translate the NAFLD-SMQ into Chinese, and to provide an effective and scientific measurement tool for the establishment of a health management system for this population in China.Methods The Chinese version of the NAFLD-SMQ was formed through translation, back-translation, cultural adaptation and pre-survey after obtaining the authorization from the original author.A total of 334 patients with non-alcoholic fatty liver disease were conveniently selected from fatty liver specialist clinics and physical examination centers of 2 tertiary hospitals in Shanghai from July 2022 to March 2023 for questionnaire survey, aiming to evaluate the reliability and validity of the scale.Results The Chinese version NAFLD-SMQ contains 6 dimensions and 22 items.Exploratory factor analysis extracted 6 factors, the cumulative variance contribution rate was 74.254%, and the confirmatory factor analysis showed that the model was fitted.The scale-leve content validity index (S-CVI/UA) was 0.863, Cronbach′s α coefficient of the Chinese version was 0.920, and the Cronbach′s α coefficients of each dimension ranged from 0.830-0.942.The test-retest reliability of the Chinese version of NAFLD-SMQ 0.906 for the whole scale and 0.733-0.835 for all dimensions.Conclusion The Chinese version of NAFLD-SMQ shows good reliability and validity and can be used as an effective tool to evaluate the level of self-management in patients with nonalcoholic fatty liver disease.

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胡馨萍,陈艺文,王赢,梅花.非酒精性脂肪性肝病患者自我管理量表的汉化及信效度检验[J].护理学杂志,2025,(1):83-87

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  • 收稿日期:2024-07-07
  • 最后修改日期:2024-09-30
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  • 在线发布日期: 2025-02-10