胰岛素治疗自我管理量表的汉化及信效度检验.pdfVIP

·16JournalofNursingScienceApr.2025Vol.40No.7

胰岛素治疗自我管理量表的汉化及信效度检验

杨艳惠，杨艳霞，朱洁，蒋明倩，姚蕊，杨冉，林翠霞”，苗燕3

摘要：目的汉化胰岛素治疗自我管理量表，并在糖尿病患者中进行信效度检验，为此类患者自我管理水平提供测评工具。方法

按照Brislin

糖尿病患者展开调查，检验量表的信效度。结果中文版胰岛素治疗自我管理量表包含3个维度共27个条目，量表Cronbachsα

系数为0.916，行为、认知及情感维度Cronbachsα

平的内容效度为0.930；探索性因子分析提取3个公因子，累计方差贡献率为62.835%；验证性因子分析中，X/df=1.158、RM-

SEA=0.028、CFI=0.983、GFI=0.886、TLI=0.981、IFI=0.983，模型适配度较好；效标关联效度为0.439（P0.05）。结论中

文版胰岛素治疗自我管理量表具备较好信效度，可作为评估胰岛素治疗患者自我管理能力的有效工具。

关键词：糖尿病；胰岛素；自我管理；胰岛素治疗自我管理量表；治疗依从性；评估；护理

中图分类号：R473.5D0I:10.3870/j.issn.1001-4152.2025.07.016

TranslationandvalidationoftheInsulinTreatmentSelf-ManagementScale

Yang

Yanhui,YangYanxia,ZhuJie,JiangMingqian,YaoRui,YangRan,LinCuixia,MiaoYan.SchoolofNur-

sing,ShandongUniversityofTraditionalChineseMedicine,Jinan250300,China

Abstract:ObjectiveTotranslatetheInsulinTreatmentSelf-ManagementScaleintoChineseandtotestitsreliabilityandvalidity

amongdiabeticpatients,andtoprovideameasurementtoolforassessingself-managementlevelsinthispopulation.MethodsTrans-

lationandback-translation,culturaladaptation,andpreliminarysurveywereconductedfollowingtheBrislintranslationmodelto

developtheChineseversionITSMS.FromApriltoJuly2024,aconveniencesamplingmethodwasusedtoselect365diabeticpa-

tientsforthesurvey.ResultsTheChineseversionITSMSconsistsof27itemsacrossthreedimensions.TheoverallCronbachsα

coefficientofthescalewas0.916,withCronbachsαcoefficientsforthebehavioral,cognitive,andemotionaldimensionsbeing

0.926,0.918,and0.905,respectively.Thesplit-halfreliabilitycoefficientwas0.943,andthetest-retestreliabilitycoefficientwas

0.851.Thescale-levelcontentvalidityindexwas0.930.Exploratoryfact