护理研究2026，Vol.40Issue(19)：3413-3423,11.DOI:10.12102/j.issn.1009-6493.2026.19.010
父母代理健康焦虑量表的汉化及信效度检验
Sinicization of the Health Anxiety by Proxy Scale and its reliability and validity test
摘要
Abstract
Objective:To translate the Health Anxiety by Proxy Scale into Chinese,and to test its reliability and validity.Methods:After obtaining the authorization of the author of the original scale,the Health Anxiety by Proxy Scale was translated and back-translated following the Brislin model.At the same time,expert inquiry and pre-survey methods were used for cross-cultural adaptation to form a Chinese version of the Health Anxiety by Proxy Scale.Using the convenience sampling method,a total of 320 parents of children who visited a tertiary Grade A hospital in Guangdong province and completed the survey on an online social media platform from November to December 2024 were selected as the research subjects.The Chinese version of the Health Anxiety by Proxy Scale was used for the investigation to test its reliability and validity.Results:The Chinese version of the Health Anxiety by Proxy Scale comprised 3 dimensions and 26 items.The effective response rates in the two rounds of expert inquiry questionnaires were 100%,with expert authority coefficient of 0.91 and Kendall coordination coefficient of 0.22(P<0.05).The scale-level content validity index was 0.976.The item-level content validity index of the Chinese version of the Health Anxiety by Proxy Scale ranged from 0.875 to 1.000.The confirmatory factor analysis model had a good fit:χ2/ν=1.52,GFI=0.90,CFI=0.97,IFI=0.97,TLI=0.97,RMSEA=0.04.The composite reliability(CR)of each dimension of the scale ranged from 0.89 to 0.94.The average variance extracted values were 0.54-0.59.The correlation coefficients between the dimensions of the scale were 0.60,0.67,and 0.69,all of which were smaller than the square root of the average variance extracted values of the corresponding dimensions(0.74,0.76,0.77).The Cronbach's alpha coefficient of the scale was 0.96.The split-half reliability was 0.88.The test-retest reliability was 0.96.Conclusions:The Chinese version of the Health Anxiety by Proxy Scale has good reliability and validity,and can be used as an evaluation tool to assess parents'excessive concerns and behaviors towards their children's health in China.关键词
儿童/父母/代理/健康焦虑/量表/信度/效度Key words
children/parents/proxy/health anxiety/scale/reliability/validity引用本文复制引用
缪冬容,霍翠婷,庾晓君,张惠娟,龚伟坚,袁慧贞,朱晓雯..父母代理健康焦虑量表的汉化及信效度检验[J].护理研究,2026,40(19):3413-3423,11.基金项目
2024年度广东省教育厅广东省本科高校教学质量与教学改革工程建设项目,编号:粤教高函[2024]30号 （）
