Revision And Application Of The Inner Strength Scale For Teeagers Living With Chronic Illness

Objectives:To Evaluative the the reliability and validity of Chinese inner strength scale(ISS)for Chinese chronic diseases in children and adolescents;To describe the statics of inner strength level of chronic diseases in children,adolescents,and to explore the influencing factors of inner strength.Methods:(1)Translation,back translation was used in the study with cultural debugging.(2)Using the convenience sampling method a total of 195 outpatient children were collected from 6 hospital in 4 cities in China.The data was collected from June to Dec.2014.A total of 202 questionnaires were sent out and 195 valid questionnaires were returned,with an effective recovery rate of 96.5%.The survey tools included general situation questionnaire,Chinese version of inner strength scale and children’s Resilience Scale for chronic diseases.(3)Correlation analysis and critical value of screen items was used to by SPSS 17.0;structure EFA,CFA was used to test the structural variety.The inner consistency reliability,test-retest reliability,split half reliability were used to evaluation scale reliability.Chronic disease in children and adolescents,in strength level status were described by percentage、mean、standard deviation and statistical description;using variance T-test analysis was used to analyze the difference of inner strength in the different age、nationality、height/weight、only child、family location、type of disease、age of illness、forget to take medicine drug、the number of primary caregivers,and the level of education and work,family monthly income,the type of insurance and other factors.Results:(1)Based on the scale of the project analysis and cross-cultural adjustment,determine the internal forces scale consisted of 20 items.Validity study showed that Chinese version of inner strength scale,5 factors were extracted,the total variance explained 59.345%and 5 factors were named created、firm、courage、connected、flexible.Research shows that the scale reliability,Cronbach’s alpha coefficient was 0.88,the dimensions of the Cronbach’s alpha coefficient were 0.751、0.6720.733、0.754、0.768,the split half reliability was 0.779,the test-retest reliability was 0.623.(2)The average score of internal force of chronic disease in children and adolescents(94.35± 13.923)points,in the middle level.The internal force have significant differences in body mass index,academic achievement,course of disease,primary care and education and work status,family income per month of the group.The inner strength and academic achievement were positively related to take care of word status and body mass index,primary caregiver,caregiver education level was negatively correlated with the duration of illness,family monthly income,showed a significant negative correlation and the correlation with the course of the maximum internal force.Conclusion:(1)The revised version of the Chinese inner strength scale,consists of 5 dimensions and 20 items has good reliability and validity,can be used as an effective tool to measure the chronic disease of teenagers of inner strength(2)Inner strength score of chronic disease in children,young people were in the middle level,still need to be improved.(3)The inner strength in the age of the patients with chronic diseases in children,adolescents,body mass index,academic performance,sick time,disease types,the main caregivers,caregiver cultural degree,caregivers work status,family per capita income has significant difference.