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采用探索性因子分析对沙登 2 型糖尿病患者进行马来语版糖尿病能力量表的心理测量特性研究。

Psychometric properties of the Malay version of the diabetes empowerment scale among hospital Serdang type 2 diabetes mellitus patients using exploratory factor analysis.

机构信息

Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia.

Malaysian Research Institute on Ageing, Universiti Putra Malaysia, 43400, Serdang, Selangor Darul Ehsan, Malaysia.

出版信息

Health Qual Life Outcomes. 2020 Feb 7;18(1):23. doi: 10.1186/s12955-020-1280-0.

DOI:10.1186/s12955-020-1280-0
PMID:32033609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7006206/
Abstract

BACKGROUND

This study was initiated to examine the psychometric components of the Diabetes Empowerment Scale (DES) by translating and validating the scale into the Malay language (DES-M) which is the main language spoken in Malaysia. This study can determine the level of empowerment among diabetic patients towards diabetes management. In addition, the reliability and validity of the DES-M was also demonstrated.

METHODS

A total of 151 patients with type 2 diabetes mellitus were recruited (between June 2016 and October 2016) to complete sets of questionnaires, which were DES-M, the Malay versions of the Diabetes Quality of Life (DQOL) for Adults and Summary of Diabetes Self Care Activities Questionnaire (SDSCA). Confirmatory and Exploratory factor analysis (CFA and EFA) were carried out to determine the factor structures of the DES-M.

RESULTS

There were 100 males and 51 females with ages ranging from 19 to 81 years old (55 ± 13) included in this study. The instrument displayed good internal consistency (Cronbach's α =0.920) and the respective coefficients ranged from 0.65-0.84. Discriminant validity showed adequate correlations ranged from 0.257-0.744. Concurrent validity with SDSCA (Pearson's correlation = 0.313, p = 0.012). Predictive validity with DQOL (B = 0.27, p = 0.016). CFA indicated that four factor model of the DES-M has good fit to the data.

CONCLUSION

This study indicates that the DES-M has a good internal consistency and validity. Therefore, it is a valid and reliable instrument for assessing empowerment score among patients with diabetes in Malaysia.

TRIAL REGISTRATION

NMRR-16-805-30503 (IIR).

摘要

背景

本研究旨在通过将量表翻译并验证为马来西亚主要语言(马来语),即马来西亚语(DES-M),来检验糖尿病授权量表(DES)的心理计量学成分。该研究可以确定糖尿病患者在糖尿病管理方面的授权水平。此外,还证明了 DES-M 的可靠性和有效性。

方法

本研究共招募了 151 名 2 型糖尿病患者(2016 年 6 月至 2016 年 10 月),以完成一套问卷,包括 DES-M、成人糖尿病生活质量(DQOL)的马来语版本和糖尿病自我护理活动问卷(SDSCA)的摘要。进行验证性和探索性因素分析(CFA 和 EFA)以确定 DES-M 的因素结构。

结果

该研究共纳入 100 名男性和 51 名女性,年龄从 19 岁到 81 岁不等(55±13 岁)。该工具显示出良好的内部一致性(Cronbach's α=0.920),各自的系数范围为 0.65-0.84。判别效度显示,相关性适度,范围为 0.257-0.744。与 SDSCA 的同时效度(Pearson 相关系数=0.313,p=0.012)。与 DQOL 的预测效度(B=0.27,p=0.016)。CFA 表明,DES-M 的四因素模型与数据拟合良好。

结论

本研究表明,DES-M 具有良好的内部一致性和有效性。因此,它是一种有效且可靠的工具,可用于评估马来西亚糖尿病患者的授权得分。

试验注册

NMRR-16-805-30503(IIR)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5b/7006206/ce9fee979141/12955_2020_1280_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5b/7006206/54095b073aff/12955_2020_1280_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5b/7006206/0748fe04872a/12955_2020_1280_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5b/7006206/ce9fee979141/12955_2020_1280_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5b/7006206/54095b073aff/12955_2020_1280_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5b/7006206/0748fe04872a/12955_2020_1280_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5b/7006206/ce9fee979141/12955_2020_1280_Fig3_HTML.jpg

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