| 引用本文： |
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李宇航,丁洁,潘江其,等.心脏影响否认量表在急性心肌梗死人群中的信度效度检验[J].同济大学学报（医学版）,2020,41(5):592-597. [点击复制]
- LI Yu-hang,DING Jie,PAN Jiang-qi,et al.Reliability and validity of a Chinese Version of Cardiac Denial of Impact Scale among patients with acute myocardial infarction[J].同济大学学报（医学版）,2020,41(5):592-597. [点击复制]
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| 摘要: |
| 目的在急性心肌梗死(acute myocardial infarction, AMI)患者中，对中文版的心脏影响否认量表(CDIS)进行信度和效度检验。方法在上海市4家医院连续收集AMI患者296例，采用中文版CDIS、多维度健康控制诊断量表(MHLC)、广泛性焦虑量表(GAD-7)和世界卫生组织幸福指数量表(WHO-5)等进行评估。对中文版CDIS的各条目进行项目分析，信度检验包括Cronbach’s α系数和分半信度，效度检验包括探索性因子分析、内部相关性分析和效标效度。结果有效回收问卷260份，CDIS平均得分为24.97分。否认与非否认组患者各条目间差异均有统计学意义(P<0.05)。各条目得分与总分间的相关系数为0.35~0.71(P<0.01)。量表包含3个主要因子，累计方差贡献率为62.22%，各因子与总分间的相关系数为0.62~0.87(P<0.01)。量表的Cronbach’s α系数为0.69，分半信度为0.62。CDIS总分与WHO-5幸福指数(r=0.179,P=0.04)、MHLC中的内控量表(r=0.22,P<0.001)和机遇控量表(r=0.146,P=0.19)得分正相关，与GAD-7得分(r=-0.243,P<0.001)负相关。结论CDIS在AMI患者中具有一定的信度和效度，可用于AMI患者心脏影响否认相关的研究。 |
| 关键词: 心脏影响否认量表 急性心肌梗死 信度 效度 |
| DOI：10.16118/j.1008-0392.2020.05.009 |
| 投稿时间：2020-01-30 |
| 基金项目:上海市科学技术委员会科研计划项目(16411965500) |
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| Reliability and validity of a Chinese Version of Cardiac Denial of Impact Scale among patients with acute myocardial infarction |
| LI Yu-hang,DING Jie,PAN Jiang-qi,WANG Zhen,TU Rong-xiang,WU Heng,MA Wen-lin |
| (Tongji University School of Medicine, Shanghai 200092, China;Dept. of Cardiology, Shanghai Pudong New Area District Gongli Hospital, Shanghai 200135, China;Dept. of General Medicine, Nanjing Jiangning Hospital, Nanjing 211100, China;Dept. of Psychosomatic, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China;Dept. of Geriatrics, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China) |
| Abstract: |
| ObjectiveTo assess the reliability and validity of a Chinese version of Cardiac Denial of Impact Scale(CDIS) among acute myocardial infarction(AMI) patients. MethodsA total of 296 AMI patients were enrolled from 4 hospitals in Shanghai. The patients were assessed with a Chinese version of CDIS. The psychological control of health, anxiety symptoms and well-being index of patients were assessed with the multidimensional health locus of control scale(MHLC) (including internal health locus of control, IHLC; powerful others health locus of control, PHLC and chance health locus of control, CHLC), generalized anxiety disorder-7(GAD-7) and world health organization well-being index(WHO-5), respectively. Reliability and validity of the Chinese version of CDIS were analyzed; the Cronbach’s α coefficient and split-half reliability were used for reliability test; exploratory factor analysis, internal correlation analysis and criterion-related validity were used for validity tests. ResultsA total of 260 valid questionnaires were recovered. The average score of CDIS was 24.97; there were significant differences in the scores of eight items in CDIS between denying and non-denying patients(P<0.05). The correlation coefficient between the scores of each item and the total score was 0.35-0.71, indicating a positive correlation(P<0.01). Cronbach’s α coefficient and split-half reliability of the scale were 0.69 and 0.62 respectively. The Chinese version of CDIS included 3 factors and the load factors was 0.62-0.87 and accumulated variance contribution rate was 62.22%. The total score of CDIS was positively correlated with the WHO-5(r=0.179,P=0.04), IHLC(r=0.22,P<0.001), and CHLC(r=0.146,P=0.19), while was negatively correlated with GAD-7(r=-0.243,P<0.001). ConclusionThe Chinese version of CDIS has acceptable reliability and validity, and is capable for research on population with cardiac denial in China. |
| Key words: cardiac denial of impact scale acute myocardial infarction reliability validity |
