特种外科医院肩部手术患者期望调查表的汉化及信效度验证
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女,硕士,主管护师

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Reliability and validity of the Chinese version of the Hospital for Special Surgery Shoulder Surgery Expectations Survey
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    目的 汉化特种外科医院肩部手术患者期望调查表,并检验汉化后量表的信效度,为肩部疾病患者手术期望评估提供科学工具。方法 按照Beaton的跨文化调适原则完成原始量表的正译、综合、回译、文化调适和预调查,形成中文版肩部手术患者期望调查表,并对420例肩部疾病患者进行问卷调查以检验其信度与效度。结果 中文版肩部手术患者期望调查表包含3个维度共17个条目。探索性因子分析提取3个因子,累计方差贡献率为69.051%;验证性因子分析拟合度良好(χ2/df=2.352,RMSEA=0.078,RMR=0.056,CFI=0.932,TLI=0.921)。聚合效度和区分效度均达到统计学标准(AVE>0.50,CR>0.70,且各因子AVE平方根大于相关系数)。量表总Cronbach′s α系数为0.910,重测信度为0.866。内容效度良好(I-CVI=0.800~1.000,S-CVI/UA=0.824,S-CVI/Ave=0.965)。结论 中文版肩部手术患者期望调查表具有良好的信度和效度,可用于肩部疾病患者手术期望水平的评估,为临床实践和相关研究提供支持。

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    Objective To translate and validate the Hospital for Special Surgery Shoulder Surgery Expectation Survey (HSS-SSES) in Chinese, and to provide a scientific tool for assessing surgery expectations in patients with shoulder disorders. Methods Following the cross-cultural adaptation guidelines proposed by Beaton et al., the translation process included forward translation, synthesis, back-translation, cultural adaptation by experts, and pilot testing, forming the Chinese version of SSES. A convenience sample of 420 patients with shoulder disorders scheduled for surgery was recruited for questionnaire survey. Reliability and validity of the Chinese version were evaluated. Results The Chinese SSES consisted of 17 items across three dimensions. Exploratory factor analysis extracted three factors with a cumulative variance contribution of 69.051%. Confirmatory factor analysis indicated good model fit (χ2/df=2.352, RMSEA=0.078, RMR=0.056, CFI=0.932, TLI=0.921). Both convergent and discriminant validity met statistical standards (AVE>0.50, CR>0.70, and the square root of AVE greater than inter-factor correlations). The scale demonstrated high internal consistency (Cronbach′s α=0.910) and test-retest reliability (ICC=0.866). Content validity index was satisfactory (I-CVI ranging from 0.800 to 1.000, S-CVI/UA=0.824, S-CVI/Ave=0.965). Conclusion The Chinese version of the SSES demonstrates good reliability and validity and can serve as an effective tool for evaluating surgical expectations in patients with shoulder disorders, providing support for clinical practice and related research.

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叶艺,雷花,刘昌凤,兰飞,张燕,李晓雪.特种外科医院肩部手术患者期望调查表的汉化及信效度验证[J].护理学杂志,2026,41(16):31-34,65

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  • 收稿日期:2026-03-16
  • 最后修改日期:2026-05-17
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  • 在线发布日期: 2026-10-08