中文版 2 型糖尿病患者低血糖恐惧调查量表在我国特大城市的心理测量学特性。
Psychometric properties of the Chinese version of the Hypoglycemia Fear SurveyII for patients with type 2 diabetes mellitus in a Chinese metropolis.
机构信息
NHC Key Laboratory of Hormones and Development, Tianjin Key Laboratory of Metabolic Diseases, Chu Hisen-I Memorial Hospital & Tianjin Institute of Endocrinology, Tianjin Medical university, Tianjin, China.
出版信息
PLoS One. 2020 Mar 25;15(3):e0229562. doi: 10.1371/journal.pone.0229562. eCollection 2020.
PURPOSE
To evaluate the psychometric properties of the Chinese version of the Hypoglycemia Fear SurveyII (HFS-II) in patients with type 2 diabetes mellitus from Tianjin City.
METHODS
The original HFS-II was translated and adapted to Chinese.350 inpatients from five hospitals of Tianjin completed the Chinese HFS-II. We examined the validity (content and construct validity) and reliability (internal consistency and test-retest reliability) of the scale. Content validity was evaluated by the content validity index (CVI) and the average agreement CVI(S-CVI/Ave). The construct validity was assessed by exploratory factor analysis. Reliability was measured by intraclass correlation coefficient (ICC) and Cronbach's alpha.
RESULTS
The mean age of the 350 patients was 55.5±9.3years. The CVI was 0.71~1.0 and S-CVI/Ave was 0.92 respectively. By exploratory factor analysis, four factors were extracted which accounted for 52.15% of the total variance in the 23-item scale. The Chinese HFS-II displayed good internal consistency (Cronbach's alpha = 0.90) and test-retest reliability (ICC = 0.96).
CONCLUSIONS
The Chinese version of HFSII had excellent psychometric properties and it could provide a useful tool for clinicians and nursing staff to assess the fear of hypoglycemia.
目的
评估中文版低血糖恐惧量表 II（HFS-II）在天津市 2 型糖尿病患者中的心理测量特性。
方法
将原始 HFS-II 翻译成中文并进行改编。来自天津市五家医院的 350 名住院患者完成了中文版 HFS-II。我们检验了该量表的有效性（内容和结构有效性）和可靠性（内部一致性和重测信度）。内容有效性通过内容有效性指数（CVI）和平均一致性 CVI（S-CVI/Ave）进行评估。结构有效性通过探索性因子分析进行评估。可靠性通过组内相关系数（ICC）和克朗巴赫系数（Cronbach's alpha）进行测量。
结果
350 名患者的平均年龄为 55.5±9.3 岁。CVI 为 0.71~1.0，S-CVI/Ave 为 0.92。通过探索性因子分析，从 23 项量表中提取出四个因子，占总方差的 52.15%。中文版 HFS-II 具有良好的内部一致性（Cronbach's alpha = 0.90）和重测信度（ICC = 0.96）。
结论
中文版 HFS-II 具有良好的心理测量特性，可为临床医生和护理人员评估低血糖恐惧提供有用的工具。
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