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[《韩国版艾滋病疾病管理技能自我效能感量表的心理测量学特性》]

[Psychometric Properties of the Korean Version of Self-Efficacy for HIV Disease Management Skills].

作者信息

Kim Gwang Suk, Kim Layoung, Shim Mi-So, Baek Seoyoung, Kim Namhee, Park Min Kyung, Lee Youngjin

机构信息

College of Nursing, Yonsei University, Seoul, Korea.

Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.

出版信息

J Korean Acad Nurs. 2023 Jun;53(3):295-308. doi: 10.4040/jkan.23016.

DOI:10.4040/jkan.23016
PMID:37435761
Abstract

PURPOSE

This study evaluated the validity and reliability of Shively and colleagues' self-efficacy for HIV disease management skills (HIV-SE) among Korean participants.

METHODS

The original HIV-SE questionnaire, comprising 34 items, was translated into Korean using a translation and back-translation process. To enhance clarity and eliminate redundancy, the author and expert committee engaged in multiple discussions and integrated two items with similar meanings into a single item. Further, four HIV nurse experts tested content validity. Survey data were collected from 227 individuals diagnosed with HIV from five Korean hospitals. Construct validity was verified through confirmatory factor analysis. Criterion validity was evaluated using Pearson's correlation coefficients with the new general self-efficacy scale. Internal consistency reliability and test-retest were examined for reliability.

RESULTS

The Korean version of HIV-SE (K-HIV-SE) comprises 33 items across six domains: "managing depression/mood," "managing medications," "managing symptoms," "communicating with a healthcare provider," "getting support/help," and "managing fatigue." The fitness of the modified model was acceptable (minimum value of the discrepancy function/degree of freedom = 2.49, root mean square error of approximation = .08, goodness-of-fit index = .76, adjusted goodness-of-fit index = .71, Tucker-Lewis index = .84, and comparative fit index = .86). The internal consistency reliability (Cronbach's α = .91) and test-retest reliability (intraclass correlation coefficient = .73) were good. The criterion validity of the K-HIV-SE was .59 ( < .001).

CONCLUSION

This study suggests that the K-HIV-SE is useful for efficiently assessing self-efficacy for HIV disease management.

摘要

目的

本研究评估了希利及其同事编制的艾滋病疾病管理技能自我效能感量表(HIV-SE)在韩国参与者中的有效性和可靠性。

方法

采用翻译和回译程序将包含34个条目的原始HIV-SE问卷翻译成韩语。为了提高清晰度并消除冗余,作者和专家委员会进行了多次讨论,并将两个含义相似的条目合并为一个条目。此外,四位艾滋病护士专家对内容效度进行了测试。从韩国五家医院的227名艾滋病确诊患者中收集了调查数据。通过验证性因素分析验证了结构效度。使用与新的一般自我效能量表的皮尔逊相关系数评估了效标效度。对内部一致性信度和重测信度进行了检验以评估可靠性。

结果

韩语版HIV-SE(K-HIV-SE)包括33个条目,分为六个领域:“应对抑郁/情绪”、“管理药物”、“管理症状”、“与医疗服务提供者沟通”、“获得支持/帮助”和“应对疲劳”。修正模型的拟合度可以接受(差异函数最小值/自由度 = 2.49,近似均方根误差 = .08,拟合优度指数 = .76,调整后拟合优度指数 = .71,塔克-刘易斯指数 = .84,比较拟合指数 = .86)。内部一致性信度(克朗巴赫α系数 = .91)和重测信度(组内相关系数 = .73)良好。K-HIV-SE的效标效度为.59(P < .001)。

结论

本研究表明,K-HIV-SE有助于有效评估艾滋病疾病管理的自我效能感。

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