Nie Jing, Jiang Zheng-Ying
Intensive Care Unit, Chongqing University Cancer Hospital, Chongqing, 400030, People's Republic of China.
J Multidiscip Healthc. 2025 Aug 5;18:4665-4673. doi: 10.2147/JMDH.S530177. eCollection 2025.
The aim of this study is to culturally adapt the Traditional Chinese version of the Delirium Care Self-Efficacy Scale for ICU Nurses (DCSE-I), originally developed in Taiwan, for use in mainland China and to assess its reliability and validity.
The revised scale underwent cross-cultural adaptation following expert consultations and a pilot survey. To evaluate its reliability and validity, a survey was conducted among 284 ICU nurses from eight tertiary hospitals in Chongqing.
The Chinese version of the DCSE-I demonstrated strong internal consistency, with an overall Cronbach's α coefficient of 0.934. The item-level content validity index (I-CVI) values ranged from 0.800 to 1.000, and the scale-level content validity index/average (S-CVI/Ave) was 0.923. The split-half reliability was 0.861, while the test-retest reliability reached 0.954. Exploratory factor analysis identified two factors with a cumulative variance contribution rate of 65.522%. These two dimensions were labeled "Confidence in Delirium Assessment" and "Confidence in Delirium Management".
The Chinese version of the DCSE-I is appropriate for the cultural context of mainland China and exhibits strong reliability and validity.
本研究旨在对最初在台湾开发的《重症监护病房护士谵妄护理自我效能量表》（DCSE-I）的繁体中文版进行文化调适，以适用于中国大陆，并评估其信效度。
修订后的量表经专家咨询和预调查后进行跨文化调适。为评估其信效度，对重庆8家三级医院的284名重症监护病房护士进行了调查。
DCSE-I中文版表现出很强的内部一致性，总体Cronbach's α系数为0.934。条目水平的内容效度指数（I-CVI）值范围为0.800至1.000，量表水平的内容效度指数/平均值（S-CVI/Ave）为0.923。分半信度为0.861，重测信度达到0.954。探索性因素分析确定了两个因素，累积方差贡献率为65.522%。这两个维度分别被标记为“谵妄评估信心”和“谵妄管理信心”。
DCSE-I中文版适用于中国大陆的文化背景，具有很强的信效度。
