中文版應力性尿失禁婦女症狀嚴重度及影響度量表之信效度測試

Reliabi1ity and Validity Testing ofthe Chinese Version of Symptom Severity Index and Symptom Impact Index for Fema1e Stress Incontinence

應力性尿失禁是婦女常見的問題且會影響其生活品質，但在台灣並無測量應力性尿失禁症狀嚴重度及影響度之中文量表，本研究欲發展中文版應力性尿失禁婦女症狀嚴重度及影響度量表，並進行信效度的檢定，期能確實測出應力性尿失禁婦女尿失禁嚴重度及影響情形。研究中以跨文化適應過程翻譯中文版應力性尿失禁婦女症狀嚴重度及影響度量表後，以廣告方式招募在過去一年內曾發生應力性尿失禁之婦女共83位參與量表信效度檢定，包括內在一致性及效標關聯效度檢定，效標關聯效度以簡明版尿失禁症狀困擾（UDI-6）及影響量表（IIQ-7）與中文版應力性尿失禁婦女症狀嚴重度及影響度量表進行相關性分析。量表之內在一致性（Cronbach's α）總量表為.843、症狀嚴重度子量表為.811、影響度子量表為.862。症狀嚴重度子量表與UDI-6呈有意義之正相關（r=.653，p<.0001），症狀影響度子量表與IIQ-7亦呈有意義之正相關（r=.702，p<.0001）。本研究顯示經過跨文化適應過程之中文版應力性尿失禁婦女症狀嚴重度及影響度量表可反映原量表內容，具有良好的心理測量特質。Stress incontinence is a common problem that affects the quality of life for women. Taiwan is lacking a Chinese version tool to evaluate the symptom severity and the impact of stress incontinence on women. The purpose of this study was to test the Chinese version of symptom severity index and symptom impact index for female stress incontinence. The Chinese version of the symptom severity index and symptom impact index for female stress incontinence was translated according to the cross cultural adaptation process recommendation. A sample of women (n=83) who experienced stress incontinence in the past year were enrolled with advertisement. After translating the questionnaire, we conducted psychometric testing by internal consistency and criterion-related validity. The UDI-6 and IIQ-7 were used for the testing of criterion-related validity of the Chinese version of symptom severity index and symptom impact index. The scales' overall Cronbach's Alpha (α) was .843. The symptom severity index subscale was .811. The symptom impact index subscale was .862. In terms of the scales' criterion-related validity, the symptom severity index subscale was significantly positively correlated with UDI-6 (r=.653, p=.000). The symptom impact index subscale was also significantly positively correlated with IIQ-7 (r=.702, p=.000). The Chinese version symptom severity index and symptom impact index for female stress incontinence captured the content and meaning of the original questionnaire through the cross cultural adaptation process, and possessed good psychometric properties.