关键词: 慢性病；永久性肠造口；预期病耻感；量表汉化；信度；效度

Abstract: Objective: To translate the Chronic Illness Anticipated Stigma Scale (CIASS) into Chinese, and to test the reliability and validity among patients with permanent enterostomy, in order to provide a measuring tool for the evaluation of anticipated stigma among patients with permanent enterostomy in China. Methods: The Brislin model was adopted to conduct translation and cultural adjustment, pre-investigation of the CIASS was conducted. From March to December 2023, 541 patients with permanent enterostomy in three tertiary grade A hospitals in Hunan province were investigated by using Chinese version of CIASS (CCIASS) to test the reliability and validity of the scale. Results: The I-CVI of the scale was 0.853-1.000, the S-CVI/UA was 0.865, and the S-CVI/Ave was 0.973. The KMO value was 0.893, and Bartlett's sphericity test chi square value was 1128.531 (P<0.01). Three common factors were extracted, and the cumulative variance contribution rate was 68.725%. The results of confirmatory factor analysis showed that the model fitted well, with χ2/df of 2.027, RMSEA of 0.073, GFI of 0.915, CFI of 0.918, IFI of 0.936 and TLI of 0.922. In addition, the total score of CCIASS is positively correlated with the total score of Social Impact Scale (r=0.655, P<0.01). The total Cronbach's α coefficient of CCIASS was 0.925, Cronbach's α coefficients of friends and family members, work colleagues, and healthcare workers dimension were 0.907, 0.893 and 0.916 respectively, and the test-retest reliability was 0.872. Conclusion: The CCIASS contains 3 dimensions and 12 items, and its reliability and validity are good in patients with permanent enterostomy, so it can be used to evaluate the anticipated stigma of patients with permanent enterostomy.

Key words: chronic disease; permanent enterostomy; anticipated stigma; sinicization; reliability; validity