Kim Dong Hee, Yoo Il Young
Sungshin Women's University College of Nursing, Seoul, Korea.
J Korean Acad Nurs. 2010 Apr;40(2):236-46. doi: 10.4040/jkan.2010.40.2.236.
The purpose of this study was to develop and evaluate a Korean questionnaire to measure resilience in children with chronic illness.
Item construction was drawn from an extensive review of the literature, existing questionnaires and interviews with parents. Content validity was tested by experts. To further refine the questionnaire and test its reliability and validity, data were collected from the 202 children with asthma, diabetes mellitus or nephrotic syndrome. Corrected items were used to total correlation coefficient and test-retest reliability. Questionnaire testing was conducted using factor analysis, Cronbach's alpha, and correlation coefficients. Validity of the questionnaire was tested using internal consistency, construct validity, and criterion-related validity.
Components of the questionnaire were in three domains; interpersonal characteristics, characteristics of coping, and intrapersonal characteristics. Factor analysis is showed five factors; positive self-understanding, self-reliance, resourcefulness, perception of positive family relationships, and intimacy. The questionnaire showed a high internal consistency. A significant positive correlation with the Numerical Rating Score and negative correlation with the Child Depression Inventory support the validity of the questionnaire.
This instrument demonstrated high reliability and validity. Therefore, this instrument can contribute to the evaluation of resilience of chronically ill children and to any subsequent intervention as well as to develop a theory for resilience.
本研究旨在开发并评估一份用于测量慢性病患儿心理韧性的韩语问卷。
通过广泛查阅文献、参考现有问卷以及与家长访谈来构建问卷项目。由专家对内容效度进行测试。为进一步完善问卷并检验其信效度，收集了202名患有哮喘、糖尿病或肾病综合征患儿的数据。使用校正后的项目计算总相关系数和重测信度。通过因子分析、克朗巴哈系数和相关系数进行问卷测试。采用内部一致性、结构效度和效标关联效度来检验问卷的效度。
问卷的组成部分分为三个领域：人际特征、应对特征和个人内在特征。因子分析显示有五个因子：积极的自我认知、自立、足智多谋、对积极家庭关系的感知以及亲密感。该问卷显示出较高内部一致性。与数字评定量表呈显著正相关，与儿童抑郁量表呈负相关，这支持了问卷的效度。
该工具具有较高的信效度。因此，该工具有助于评估慢性病患儿的心理韧性以及后续的任何干预措施，并有助于构建心理韧性理论。
