中国全科医学2025，Vol.28Issue(21)：2643-2651,9.DOI:10.12114/j.issn.1007-9572.2024.0085
糖尿病自我护理指数量表的汉化及信效度检验
The Reliability and Validity of the Chinese Version of Self-Care of Diabetes Inventory
摘要
Abstract
Background Diabetes mellitus is difficult to cure and has a long process.The level of self-care is crucial for determining the regression and health outcomes of patients with diabetes.A comprehensive and theory-based tool is urgently needed to assess the level of self-care of diabetes.In this way,the self-care of patients with diabetes can be kept up to date and accurate nursing care can be carried out.Objective To examine the psychometric properties of the Chinese version of Self-Care of Diabetes Inventory(SCODI),and provide a scientifically validated assessment tool for the self-care of Chinese patients with diabetes.Methods The Brislin Translation Model was used for translation and cultural adaptation of the English version of the SCODI into Chinese.A total of 261 adult patients with diabetes were enrolled using a consecutive sampling method at the First Affiliated Hospital and the Affiliated Sir Run Run Hospital of Nanjing Medical University from December 2022 to June 2023.Data were collected using a self-developed general information questionnaire and the Chinese version of SCODI.Exploratory factor analysis was used to assess the structural validity.Cronbach's α,split-half reliability and composite reliability were used to describe the reliability.Glycosylated hemoglobin was used as a criterion to assess the criterion-related validity.Spearman's rank correlation analysis was used to examinate the correlation between the Chinese version of SCODI score and glycosylated hemoglobin.Results The Chinses version of SCODI contained 4 dimensions and 40 items:self-care maintenance score(75.94±13.15),self-care monitoring score(70.65±18.71),self-care management score(69.16±18.24),and self-care confidence score(85.41±13.63).In the self-care maintenance dimension,4 factors were identified:complication screening behaviors,exercise behaviors,hygienic care behaviors and diet-medication behaviors.The self-care monitoring dimension had 2 factors:physical monitoring and symptom identification.The self-care management dimension included 2 factors:autonomous behaviors and counseling behaviors.Two factors were extracted from the self-care confidence dimension:monitoring and managing confidence,health maintenance confidence.The Cronbach's α,split-half reliability and composite reliability values for the total scale were 0.915,0.836 and 0.912,respectively.The Cronbach's α for the four dimensions were 0.709-0.908.A significantly negative correlation was observed between each subscale and glycosylated hemoglobin(rs=-0.160,-0.300,-0.177,-0.192;P<0.001),serving as a criterion.Conclusion Based on the middle-range theory of self-care of chronic illness,the Chinese version of SCODI exhibits strong psychometric properties,making it a valid and reliable instrument for evaluating self-care of Chinese patients with diabetes.关键词
糖尿病/自我护理/糖尿病自我护理指数量表/信度/效度/慢性病自我护理中层理论Key words
Diabetes mellitus/Self-care/Self-Care of Diabetes Inventory/Reliability/Validity/Middle-range theory of self-care of chronic illness分类
临床医学引用本文复制引用
唐笑睿,徐晶晶,顾子君,王清玉,林征,朱秋瑞,雷阳..糖尿病自我护理指数量表的汉化及信效度检验[J].中国全科医学,2025,28(21):2643-2651,9.基金项目
国家自然科学基金资助项目(82204167) （82204167）
江苏省高等学校大学生创新创业训练项目(202210312104Y) （202210312104Y）
