孕妇尿失禁知信行量表的汉化及在孕妇中的Rasch模型分析
Translation of the knowledge,attitude and practice assessment scale of pregnant women with urinary incontinence into Chinese and test its reliability and validity under Rasch model
张璐 1郭娜菲 2余燕飞1
作者信息
- 1. 同济大学附属妇产科医院 门诊,上海,200120
- 2. 同济大学附属妇产科医院 护理部,上海,200120
- 折叠
摘要
目的 汉化孕妇尿失禁知信行量表(knowledge,attitude and practice assessment scale for pregnant women on UI,KAP-IU)并评价其信度、效度,为医护人员对孕妇尿失禁知信行情况的评估提供测量工具.方法 2022 年 12 月—2023 年 3月按照国际通用量表跨文化调适流程对量表进行汉化,形成中文版KAP-IU量表.2023 年 3 月—6 月采用便利抽样选取门诊就诊孕妇 456 例进行调查,基于Rasch模型和经典测量学检验指标进行信度、效度检验.结果 430 例孕妇完成研究.中文版KAP-IU量表共由 23 个条目构成,符合Rasch模型单维性假设,Rasch模型解释了 66.1%的变异;个人和条目的分隔信度均>0.8,分隔指数≈ 3,所有条目加权的均方拟合统计量(information-weighted mean square fit statistic,Infit MNSQ)和未加权的均方拟合统计量(unweighted mean square fit statistic,Outfit MNSQ)均方值在 0.473～1.611 之间,点测量相关系数(point-measure correlation,Pt-Measure Corr)在 0.293～0.731 之间,个体能力均值比条目难度均值高 0.343 Logits;总量表Cronbachα系数为0.783,3 个维度(知识、态度和行为)的重测信度分别为 0.751、0.815、0.760;条目水平内容效度指数(item-level CVI,I-CVI)为0.810～1.000;量表水平内容效度(scale-level CVI,S-CVI)为 0.824.结论 中文版KAP-IU量表在国内孕妇人群中经验证信度、效度良好,难度适中,可作为孕妇尿失禁知信行情况评估的可靠工具.
Abstract
Objective To translate the knowledge,attitude and practice assessment scale for pregnant women on UI(KAP-IU)into Chinese and evaluate its reliability and validity,so as to provide healthcare professionals with a tool in Chinese to assess the knowledge,attitude and practice of pregnant women with UI.Methods The KAP-UI scale was translated into a Chinese version following the international standard for cross-cultural adaptation process.A total of 456 pregnant women attending the outpatient clinics were selected for trial of the Chinese version of KAP-UI with the method of convenience sampling.Reliability and validity were further assessed based on Rash model and classic measurement indicators.Results A total of 430 pregnant women validly responded to the survey with the Chinese version of KAPS-UI.The Chinese version of the KAP-UI comprised a total of 23 items.It conformed with the unidimensional assumption of the Rasch model,which explained 66.1%of the variance.Both individual and entry separation reliabilities were>0.8,with the separation index was approximately equal to 3.The information-weighted mean square fit statistic(Infit MnSq)and the unweighted mean square fit statistic(Outfit MnSq)values of the items were from 0.473 to 1.611.The Point-Measure correlation coefficients(Pt-Measure Corr)were from 0.293 to 0.731,with an average individual ability higher than the average item difficulty by 0.343 Logits.The Cronbach's α coefficient of the scale was 0.783,with the test-retest reliabilities of the three dimensions(knowledge,attitude and behaviour)at 0.751,0.815,and 0.760,respectively.The Item-level content validity index(I-CVI)were found from 0.810 to 1.000 and the scale-level content validity index(S-CVI)was 0.824.Conclusions The Chinese version of the KAP-IU scale demonstrates a good reliability and validity among pregnant women in China,with mode rate difficulty.Therefore,it is a reliable tool for assessment of the knowledge,attitudes and practices of pregnant women with UI.
关键词
孕妇尿失禁知信行量表/Rasch模型分析/信度/效度Key words
the knowledge,attitude and practice assessment scale for pregnant women on UI/Rasch model-based analysis/reliability/validity引用本文复制引用
基金项目
同济大学护理学院(筹)学科建设三年行动计划青年人才项目(JS2210206)
出版年
2024
NETL
NSTL
万方数据