CAJ | 학술논문

目的考察慢性乙肝病毒感染者歧视测量量表的信度与效度.方法通过文献分析,结合专家和患者访谈,形成描述患者受歧视的项目并构建维度,编制量表初稿.通过便利抽样的方法选取151名慢性乙肝病毒感染者进行调查,并分析量表的信度和效度.结果量表应答率为94.5％；量表各维度的Cronbach's α系数介于0.75 ～0.87之间；量表各条目与其所属维度之间的相关较强(r值为0.62 ～0.86),而与其他维度的相关较弱(r值为0.14 ～0.55)；量表能较好地区分低分组[各维度得分分别为(1.89±0.30)分,(1.86±0.29)分,(1.96 ±0.23)分,(2 29±0.45)分,(1.59±0.42)分]与高分组[各维度得分分别为(3.62±0.44)分,(3.99 ±0.41)分,(3.79±0.37)分,(4.13±0.34)分,(3.10±0.53)分]患者的得分(均P＜0.01)；证实性因子分析结果显示相对拟合指数CFI为0.94,非范拟合指数NNFI为0 92,近似误差均方根RMSEA为0.087.结论慢性乙肝病毒感染者歧视测量量表具有良好的信度和效度.
목적 고찰만성을간병독감염자기시측량량표적신도여효도.방법 통과문헌분석,결합전가화환자방담,형성묘술환자수기시적항목병구건유도,편제량표초고.통과편리추양적방법선취151명만성을간병독감염자진행조사,병분석량표적신도화효도.결과 량표응답솔위94.5％；량표각유도적Cronbach's α계수개우0.75 ～0.87지간；량표각조목여기소속유도지간적상관교강(r치위0.62 ～0.86),이여기타유도적상관교약(r치위0.14 ～0.55)；량표능교호지구분저분조[각유도득분분별위(1.89±0.30)분,(1.86±0.29)분,(1.96 ±0.23)분,(2 29±0.45)분,(1.59±0.42)분]여고분조[각유도득분분별위(3.62±0.44)분,(3.99 ±0.41)분,(3.79±0.37)분,(4.13±0.34)분,(3.10±0.53)분]환자적득분(균P＜0.01)；증실성인자분석결과현시상대의합지수CFI위0.94,비범의합지수NNFI위0 92,근사오차균방근RMSEA위0.087.결론 만성을간병독감염자기시측량량표구유량호적신도화효도.
Objective To evaluate the reliahility and validity of the chronic HBV-infections related stigma scale.Methods The initial items and construct of the scale were developed according to theoretical analysis and interviews of experts and patients.A total of 151 patients with chronic HBV-infection were administered by convenient sampling method in this pilot study. The reliability and the validity of the scale were then evaluated.Results The response rate of the scale was 94.5％.The Cronbach α coefficients of all dimeusions ranged from 0.75-0.87.The results of correlation analysis showed that there were higher correlation coefficients ( r ranged from 0.62-0.86) between items and their hypothesized subscales than those with other subscales ( r ranged from 0.14-0.55).The scale distinguished between patients with low subscale scores ( the subscale scores were ( 1.89 ±0.30 ),( 1.86 ± 0.29 ),( 1.96 ± 0.23 ),( 2.29 ± 0.45 ),( 1.59 ± 0.42 ) independently) and those with high subscale scores(the subscalc scores were (3.62 ±0.44),(3.99 ±0.41 ),(3.79 ±0.37),(4.13 ±0.34),(3.10 ±0.53 ) independently) (P ＜ 0.01 ).Confirmatory factor analysis showed that the main indices of goodness of fit CFI was 0.94,NNFI 0.92,RMSEA 0.087.Conclusion The chronic HBV-infections related stigma has good psychometric properties regarding to reliability and validity.