CAJ | 학술논문

目的：翻译、跨文化修订形成机构版慢性病保健评估问卷（ assessment of chronic illness care，ACIC）简体中文版，并评价其信效度。方法引进 ACIC，进行翻译、回译及文化调试，最终修订为包含七个维度，34个条目的 ACIC 简体中文版。并于2013年11月-2014年2月，采用多阶段分层整群随机抽样法在湖南省抽取102家基层医疗卫生机构的400名医务人员进行问卷调查，对问卷进行内部一致性、重测信度、内容效度、因子分析等信效度分析。结果 ACIC 简体中文版可行性良好（得到有效问卷390份，有效回收率为89.0%）。问卷的 Cronbach's α系数为0.826，问卷各维度的 Cronbach's α系数为0.880~0.930；重测信度为0.722（P <0.01）；七因子结构方程模型拟合良好，χ2/ df 为2.70，RMSEA 为0.066。结论 ACIC 简体中文版有较好的信度、效度，可作为特异性 ACIC，用于评价医疗机构慢性病保健服务能力及水平。
목적：번역、과문화수정형성궤구판만성병보건평고문권（ assessment of chronic illness care，ACIC）간체중문판，병평개기신효도。방법인진 ACIC，진행번역、회역급문화조시，최종수정위포함칠개유도，34개조목적 ACIC 간체중문판。병우2013년11월-2014년2월，채용다계단분층정군수궤추양법재호남성추취102가기층의료위생궤구적400명의무인원진행문권조사，대문권진행내부일치성、중측신도、내용효도、인자분석등신효도분석。결과 ACIC 간체중문판가행성량호（득도유효문권390빈，유효회수솔위89.0%）。문권적 Cronbach's α계수위0.826，문권각유도적 Cronbach's α계수위0.880~0.930；중측신도위0.722（P <0.01）；칠인자결구방정모형의합량호，χ2/ df 위2.70，RMSEA 위0.066。결론 ACIC 간체중문판유교호적신도、효도，가작위특이성 ACIC，용우평개의료궤구만성병보건복무능력급수평。
Objective To design the simplified Chinese version of Assessment of Chronic Illness Care( ACIC)in mechanism edition by translation and cross - cultural revision and evaluate its reliability and validity. Methods We introduced ACIC from abroad and revised it into simplified Chinese edition including 7 dimensions and 34 items by translation,back transla-tion and culture adjustment. Using multi - stage stratified cluster random sampling method,from Nov,2013 to Feb,2014,400 personnel selected from 102 community health service institutions in Hunan province were investigated with questionnaire about the internal consistency,the test - retest reliability,content validity and factor analysis. Results The simplified Chinese version of ACIC had good feasibility(returned valid questionnaires were 390 and the valid recovery rate was 89. 0% ). The Cronbach's αcoefficients was 0. 826 and that of all factors of ACIC ranged from 0. 880 to 0. 930. Test - retest reliability coefficients was 0. 722 (P < 0. 01). Structural equation model showed good fit,χ2 / df being 2. 70 and RMSEA 0. 066. Conclusion The Chinese ver-sion of ACIC has good reliability and validity,which can be used as a kind of specific ACIC to evaluate medical institutions' serv-ice ability and level in treating chronic diseases.