School of Nursing, Peking University, Beijing, China.
Faculty of Nursing, Fenyang College of Shanxi Medical University, Lvliang, China.
Int J Nurs Pract. 2023 Jun;29(3):e13107. doi: 10.1111/ijn.13107. Epub 2022 Sep 12.
It has been reported that the knowledge, attitudes and practices of nurses play a significant role in preventing incontinence-associated dermatitis (IAD), and these three factors influence and interact with each other. This study aimed to translate the English version of the Knowledge, Attitudes and Practices of Incontinence-Associated Dermatitis Questionnaire (KAP-IAD-Q) into Chinese and assess the validity and reliability of the Chinese KAP-IAD-Q (C- KAP-IAD-Q) used with Chinese nurses.
The KAP-IAD-Q was translated into Chinese strictly in accordance with the Brislin translation model, and a Chinese version of IAD was formed after discussion by experts. From October to November 2021, a total of 259 Chinese nurses were recruited through a convenience sampling method and investigated using the Chinese version of the knowledge, attitudes and practices of the incontinence-associated dermatitis questionnaire (C-KAP-IAD-Q) and the general self-efficacy scale to assess its reliability and validity.
Three factors were extracted by exploratory factor analysis comprised of 22 items. The Cronbach's α coefficients were 0.961, 0.929 and 0.833, and the intraclass correlation coefficient was 0.98 totally. The scale-level content validity index (S-CVI) was 0.95, and the item-level content validity (I-CVI) was 0.83-1.00. The correlation coefficient between the general self-efficacy scale and the C-KAP-IAD-Q was 0.561 (P < 0.01).
The 22-item C-KAP-IAD-Q seems to be culturally well adapted and has good psychometric properties used by Chinese nurses.
据报道，护士的知识、态度和实践在预防失禁相关性皮炎（IAD）方面起着重要作用，这三个因素相互影响和相互作用。本研究旨在将英文版的失禁相关性皮炎知识、态度和实践问卷（KAP-IAD-Q）翻译成中文，并评估中文版失禁相关性皮炎知识、态度和实践问卷（C-KAP-IAD-Q）在中国护士中的有效性和可靠性。
严格按照 Brislin 翻译模型将 KAP-IAD-Q 翻译成中文，并由专家讨论形成中文版 IAD。2021 年 10 月至 11 月，采用便利抽样法共招募 259 名中国护士，采用中文版失禁相关性皮炎知识、态度和实践问卷（C-KAP-IAD-Q）和一般自我效能感量表对其进行调查，以评估其信度和效度。
通过探索性因子分析提取出包含 22 个项目的 3 个因子。Cronbach's α 系数分别为 0.961、0.929 和 0.833，总内类相关系数为 0.98。量表水平内容效度指数（S-CVI）为 0.95，条目水平内容效度（I-CVI）为 0.83-1.00。一般自我效能感量表与 C-KAP-IAD-Q 的相关系数为 0.561（P<0.01）。
22 项 C-KAP-IAD-Q 似乎在中国护士中具有良好的文化适应性和心理测量学特性。
