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.
PLoS One. 2020 Mar 25;15(3):e0229562. doi: 10.1371/journal.pone.0229562. eCollection 2020.
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.
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.
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).
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.
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。
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。
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）。
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。
