脊髓损伤自我护理量表的汉化与信度、效度检验 [中文引用][英文引用]

目的  汉化脊髓损伤自我护理量表（self-care in spinal cord injuries inventory，SC-SCII），并对其进行信度、效度检验，为医护人员评估脊髓损伤（spinal cord injury，SCI）患者的自我护理行为提供测量工具。方法  2023 年 12 月至 2024 年 1 月运用 Brislin 翻译模型对量表进行翻译、回译、文化调适及预调查，形成中文版 SC-SCII。采用便利抽样法，选取 2024 年 1 月—2025 年 3 月在西安市某 3 所三级甲等综合医院就诊的 207 例 SCI 患者实施调查，检验量表的信度和效度。结果  202 例患者完成研究。中文版 SC-SCII 包含 4 个维度，35 个条目，与源量表结构一致。量表水平的内容效度指数 0.948，条目水平的内容效度指数 0.912~1.000。通过探索性因子分析提取出 4 个公因子，分别为自我护理维持（12 个条目）、自我护理监测（8 个条目）、自我护理管理（8 个条目）和自我护理自我效能（7 个条目），累计方差贡献率 61.402%。量表总的 Cronbach α 系数为 0.820，4个维度的 Cronbach α 系数分别为 0.935、0.905、0.921 和 0.892，折半信度为 0.798；2w 后重测信度为 0.875，且配对 t 检验两次测量结果得分比较，差异无统计学意义（P>0.05），提示该量表具有较好的跨时间稳定性。结论  中文版 SC-SCII 具有良好的信度和效度，可作为 SCI 患者自我护理能力的评估工具。

Objective To translate self-care in spinal cord injuries inventory（SC-SCII）into Chinese and evaluate its reliability and validity，therefore to provide medical staff with a tool for evaluation of self-care behaviour of patients. Methods Brislin translation model was adopted for forward translation，back-translation，cultural adaptation and pilot testing in the development of Chinese version of SC-SCII. Convenience sampling was used to recruit 207 patients with spinal cord injury（SCI）from three Tier-IIIA hospitals in Xi'an between January 2024 and March 2025 for the purpose of assessing the reliability and validity of the translated inventory. Results A total of 202 patients completed the study. The finalised Chinese version of SC-SCII encompassed 4 dimensions with a total of 35 items， with the same structure as the original SC-SCII. Scale-level content validity index was 0.948，and the item-level content validity indices ranged from 0.912 to 1.000. Four common factors were extracted by exploratory factor analysis：self-care maintenance（12 items），selfcare monitoring（8 items），self-care management（8 items）and self-care self-efficacy（7 items），cumulatively accounting for 61.402% of the total variance. The overall Cronbach’s α coefficient was 0.820 and the Cronbach’s α coefficients of the four dimensions were 0.935， 0.905，0.921 and 0.892，respectively. The split-half reliability was 0.798，and the two-week retest reliability was 0.875. No statistically significant difference was observed between the original and sinicised scales（paired t-test，P>0.05），indicating a high cross-time stability of the sinicised scale. Conclusion The Chinese version of SC-SCII demonstrates a good reliability and validity，making it a suitable tool in evaluation of self-care abilities in SCI patients.