工作能力支持量表(中文版)在就业年龄脑卒中患者中的信度和效度

doi:10.3969/j.issn.1006-9771.2020.09.014

Abstract

Abstract:

Objective To test the reliability and validity of Work-ability Support Scale (WSS) in stroke patients.
Methods WSS was translated into Chinese with the standard translation-retroversion. From December, 2018 to March, 2019, 193 middle-aged and young stroke patients from two community health service centers in Zhengzhou were conveniently selected, and investigated with Chinese WSS by two nurses. The data were analyzed with item analysis, content validity, exploratory factor analysis, internal consistency reliability and inter-rater reliability.
Results The content validity was 0.94 in WSS A and 0.90 in WSS B. Three factors were extracted from 16 items in WSS A, with cumulative variance contribution of 67.747%; while three factors were extracted from 12 items in WSS B, with cumulative variance contribution of 56.056%. Cronbach's α was 0.933 and 0.778 in WSS A and WSS B, respectively. The kappa coefficient was above 0.6 between two raters in every item, except items B8 and B10.
Conclusion Chinese WSS is satisfactory in validity and reliability for using in young and middle-aged stroke patients during their return to work.

Key words: stroke, return to work, Work-ability Support Scale, reliability, validity

GUO Ya-wen,LIN Bei-lei,ZHANG Zhen-xiang,WANG Yong-li,FU Bo,QI Bei. Work-ability Support Scale-Chinese Version for Stroke Patients: Reliability and Validity Analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(9): 1076-1082.

Figures/Tables 4

References 24

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维度	条目	A部分			B部分
维度	条目	因子1	因子2	因子3	因子1	因子2	因子3
生理	A1	-	-	0.738
	A2	-	-	0.737
	A3	-	-	0.753
	A4	-	-	0.700
	A5	-	0.412	0.692
思考与沟通	A6	-	0.631	-
	A7	-	0.681	-
	A8	-	0.749	-
	A9	-	0.726	-
	A10	-	0.779	-
社交与行为	A11	0.684	-	-
	A12	0.722	-	-
	A13	0.777	-	-
	A14	0.827	-	-
	A15	0.796	-	-
	A16	0.740	-	-
个人因素	B1				0.884	-	-
	B2				0.816	-	-
	B3				0.773	-	-
	B4				0.616	-	-
工作相关环境因素	B5				0.434	0.636	-
	B6				-	0.795	-
	B7				-	0.661	-
	B8				-	0.539	-
重返工作障碍	B9				-	-	0.708
	B10				-	-	0.680
	B11				-	-	0.671
	B12				-	-	0.702
特征值		4.141	3.386	3.312	2.705	2.012	2.009
累计方差贡献率(%)		25.883	47.047	67.747	22.543	39.312	56.056

部分/维度	Cronbach's α	部分/维度	Cronbach's α
A部分	0.933	B部分	0.778
生理	0.866	个人因素	0.812
思考与沟通	0.867	与工作相关环境因素	0.645
社交与行为	0.908	重返工作障碍	0.658

条目	内容
生理
A1.身体与运动能力	从事这项工作所需的身体和运动能力(如提举重物的能力、敏捷度、协调性、平衡性)
A2.感觉与感知能力	从事这项工作所需的感觉和感知能力。包括感觉(例如视觉)和感知(例如感知物体间的差异：大小等)
A3.移动与使用能力	在工作环境中移动、使用工作区域、设施和设备的能力
A4.社区活动能力	因工作需求在工作单位与非工作单位之间正常上下班及外出工作(出差)的能力
A5.毅力与控制节奏能力	抵抗疲劳,可在正常工作日内坚持工作,并保持工作节奏
思考与沟通
A6.认知能力	管理工作所需的记忆力、注意力、专注力等方面能力
A7.计划与组织能力	工作中所需的发起、计划和组织能力
A8.解决问题能力	处理工作场所中非常规或意外事件的能力,如事情发生变化时可适时中断、解决问题和主动采取行动
A9.交流能力(言语)	语言沟通能力,包括语言交流和语言理解
A10.交流能力(书面)	根据工作要求阅读、书写和理解书面材料
社交与行为
A11.自我表现能力	为特定的工作角色安排时间、适当的着装和自我表现
A12.维护安全能力	在工作环境中维护自身和他人安全的能力
A13.人际交往能力(服务对象)	与服务对象或顾客进行专业性、社交性的互动
A14.人际交往能力(同事)	与同事进行专业性、社交性的互动
A15.人际交往能力(管理者)	人际交往能力,与管理者进行专业性、社交性的互动
A16.应变能力	对有关工作活动的管理性指令和/或修正做出适当的反应;纠正错误,接受工作任务中变更的能力

条目	内容
个人因素
B1.工作意愿	患者是否想重返工作?
B2.信心	患者对应对工作的能力有信心吗?
B3.现实期望	患者对工作能力和重返工作是否有具体、现实的期望?
B4.亲友支持	患者的朋友和家人是否支持其重返工作岗位?
环境因素(与工作相关)
B5.同事支持	患者的同事是否支持他/她重返工作岗位?
B6.雇主联系	患者是否与雇主就重返工作问题进行沟通?
B7.雇主积极性	雇主是否愿意采取积极措施促进患者重返工作岗位?(例如对工作职务重整、工作环境改良)
B8.职业支持与康复	是否有服务机构提供正式的支持来协调其重返工作岗位?(例如职业康复、残疾就业服务、个案管理师等)
重返工作障碍
B9.事件冲突	工作之外的事情是否阻碍其完成工作承诺?
B10.经济	重返工作岗位是否存在经济问题?
B11.法律	是否有阻碍患者重返工作岗位的法律问题?(例如正在进行的诉讼)
B12.其他因素	是否有其他积极的或消极的因素影响患者重返或继续工作?

Work-ability Support Scale-Chinese Version for Stroke Patients: Reliability and Validity Analysis

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