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阿尔茨海默病患者挑战性行为量表的汉化及信度效度检验

曾丽娟 陈瑜 许妹仔 杨文娇 陈蔚臣 高源敏   

  1. 南方医科大学护理学院,510515 广州市
  • 出版日期:2018-05-25 发布日期:2018-05-25
  • 基金资助:
    2018年广州市高校创新创业教育项目(重点项目)(201709T04)

Reliability and validity of Chinese version of the Challenging Behavior Scale

  • Online:2018-05-25 Published:2018-05-25

摘要: 目的:汉化阿尔茨海默病患者挑战性行为量表(Challenging Behavior Scale,CBS),并进行信度和效度检验。方法:对CBS进行翻译、回译和跨文化调试,形成中文版CBS;方便抽取广州市两所养老院阿尔茨海默病患者照顾者244例,使用中文版CBS进行调查,评价量表的信度和效度。结果:中文版CBS内容效度指数为0.94,各条目的内容效度指数为0.80~1.00,共提取2个公因子,累计方差贡献率为56.567%,且每个条目在其公因子上的载荷值均>0.4;中文版CBS总分与中文版Cohen-Mansfield激越问卷呈正相关(r=0.815,P<0.001),校标关联效度良好;量表的总Cronbach’s α系数为0.827,重测信度为0.892。结论:中文版CBS在养老院阿尔茨海默病患者中具有良好的信度、效度,可以作为我国阿尔茨海默病患者挑战性行为的测量工具。

Abstract: Objective: To translate the Challenging Behavior Scale (CBS) into Chinese and evaluate its reliability and validity. Methods: The Chinese version of CBS (CCBS) was translated from the original English version, back-translated and adjusted for cultural adaptation. The reliability and validity were tested in 244 caregivers of patients with Alzheimer disease. Results: The scale-level content validity index (S-CVI) of the CCBS was 0.94, and the item-level content validity index (I-CVI) of the CCBS was 0.80~1.00, which indicated a desirable content validity. Factor analysis extracted 2 common factors, which explained 56.567% of variance of the total scale, and each item had high factor loading (>0.4). The Cronbach's α was 0.827, and test-retested reliability was 0.892. Conclusion: The Chinese version of CBS has been proved to be valid and reliable. It is a valuable tool for evaluating the Challenging Behavior among patients with Alzheimer disease.