主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (3): 340-345.doi: 10.3969/j.issn.1672-1756.2023.03.005

• 论著 • 上一篇    下一篇

居丧风险评估工具的汉化及信度效度检验

马晓晓 陈国霞 孙文喜 李玉会 国仁秀 尚妍 关鑫 刘莉 庞英 陆宇晗   

  1. 北京大学肿瘤医院暨北京市肿瘤防治研究所介入治疗科,恶性肿瘤发病机制及转化研究教育部重点实验室,100142 北京市(马晓晓);消化肿瘤内科(国仁秀);中西医结合科(尚研);康复科(庞英);护理部(陆宇晗);顺义区医院肿瘤内科(陈国霞);北京大学首钢医院安宁疗护中心(孙文喜);昌平区医院肿瘤科(李玉会);南郊肿瘤医院护理部(关鑫);消化肿瘤内科(刘莉)
  • 出版日期:2023-03-15 发布日期:2023-03-15
  • 通讯作者: 陆宇晗,硕士,主任护师,护理部主任,E-mail:yuhan_lu@sina.com
  • 作者简介:马晓晓,硕士,护师
  • 基金资助:
    2019年北京大学朗泰护理科研基金项目(LTHL19MS10)

Reliability and validity of the Chinese version of Bereavement Risk Assessment Tool

MA Xiaoxiao, CHEN Guoxia, SUN Wenxi, LI Yuhui, GUO Renxiu, SHANG Yan, GUAN Xin, LIU Li, PANG Ying, LU Yuhan   

  1. Department of Interventional Therapy, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital & Institute, Beijing, 100142, China
  • Online:2023-03-15 Published:2023-03-15
  • Contact: E-mail:yuhan_lu@sina.com

摘要: 目的:对居丧风险评估工具进行汉化,并进行信度、效度检验,同时重新划分居丧风险等级界值。方法:按照Brislin双向翻译模式进行工具翻译、回译,请专家评议中文版居丧风险评估工具的内容效度并对每个条目重新赋分。根据“居丧支持公共健康模型”重新划分中文版居丧风险评估工具的居丧风险等级界值。另外对25名调查对象测量评定者间信度。结果:汉化后量表包括与患者的关系、照护者、精神健康、应对、精神或信仰、并存的压力源、既往丧亲经历、支持与关系、儿童与青少年、与患者/照护/死亡有关的情况、居丧结局的保护性因素等11个维度39个条目;量表内容效度指数为0.97,各条目内容效度指数为0.60~1.00;评定者间信度指标量表总ICC为0.952(95%CI:0.894~0.979);量表总分≤0分、1~26分、>26分分别表示患者/逝者的家属处于低、中、高居丧风险水平。结论:中文版居丧风险评估工具内容全面、引进过程科学,可帮助筛查高危居丧人群,为基于风险评估的居丧照护策略的构建奠定基础。

关键词: 居丧风险评估工具;量表;文化调试;居丧;风险评估

Abstract: Objective: To translate and culturally adapt the Bereavement Risk Assessment Tool (BRAT) into Chinese, and evaluate the validity and reliability of the Chinese version of BRAT. Methods: Brislin's two-way translation method was used for translation. Experts were invited to evaluate the content validity of the Chinese version of the BRAT and re-assign each item. The bereavement risk cutoff of BRAT-C was reclassified according to the Public Health Approach to Bereavement Support Services Model. Results: BRAT-C included 39 items and 11 subscales. The content validity index of the scale was 0.97, and the content validity index of each item was 0.60-1.00. The total ICC of the inter-rater reliability index scale was 0.952 (95 %CI: 0.894-0.979). The total score of the scale ≤0, 1-26, and >26 indicated that the patient/dead’s family members were at low, medium, and high bereavement risk levels, respectively. Conclusion: The Chinese version of BRAT is comprehensive in content and scientific in the introduction process. It is expected to help screen high-risk bereavement groups and lay a foundation for the construction of bereavement support strategies based on risk assessment.

Key words: Bereavement Risk Assessment Tool; scale; cultural adaptation; bereavement; risk assessment

中图分类号:  R47;R197