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Sinicization of Self-Care Confidence Index for ACHD and its reliability and validity test
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Xiaotong PAN1, 2, Xinfang ZHANG1, 2, Xin WANG1, 2, Xiaoxia CHEN1, 2, Xi CAO3
Chinese Nursing Research | 2026, 40(11) : 1883 - 1889
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Chinese Nursing Research | 2026, 40(11): 1883-1889
• Scale Study •
Sinicization of Self-Care Confidence Index for ACHD and its reliability and validity test
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Xiaotong PAN1, 2, Xinfang ZHANG1, 2, Xin WANG1, 2, Xiaoxia CHEN1, 2, Xi CAO3
Affiliations
  • 1Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences), Southern Medical University,Guangdong 510080 China
  • 2Guangdong Provincial Key Laboratory of South China Structural Heart Disease
  • 3School of Nursing, Sun Yat-sen University
Published: 2026-06-10 doi: 10.12102/j.issn.1009-6493.2026.11.010
Outline
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Objective

To translate the Self-Care Confidence Index for ACHD into Chinese and to test its reliability and validity.

Methods

The scale was translated and back-translated based on the modified Brislin translation model.Chinese version of Self-Care Confidence Index for ACHD was conducted by cross-cultural adjustment and pre-investigation.From September 2023 to November 2024,a total of 225 adult patients with congenital heart disease who were recruited at the heart center of a tertiary grade A hospital in Guangzhou city,were selected as the research subjects,to test the reliability and validity of the Chinese version of scale.

Results

The Chinese version of Self-Care Confidence Index for ACHD consisted of 6 items.The scale-level content validity index(S-CVI) was 0.988.The item-level content validity index(I-CVI) ranged from 0.927 to 1.000.The Cronbach's alpha coefficient of the scale was 0.83.The test-retest reliability was 0.95.Rasch model analysis demonstrated favorable validity,reliability,and separation properties of the scale.Confirmatory factor analysis indicated that all fit indices were within normal ranges.

Conclusions

The Chinese version of the Self-Care Confidence Index for ACHD exhibits good reliability and validity and could be used to test self-care confidence in Chinese adults with congenital heart disease.

adult congenital heart disease  /  self-care confidence  /  reliability  /  validity  /  scale
潘晓彤, 张新芳, 王欣, 陈晓霞, 曹希. 成年先天性心脏病病人自我护理信心量表的汉化及信效度检验. 护理研究, 2026 , 40 (11) : 1883 -1889 . DOI: 10.12102/j.issn.1009-6493.2026.11.010
Xiaotong PAN, Xinfang ZHANG, Xin WANG, Xiaoxia CHEN, Xi CAO. Sinicization of Self-Care Confidence Index for ACHD and its reliability and validity test[J]. Chinese Nursing Research, 2026 , 40 (11) : 1883 -1889 . DOI: 10.12102/j.issn.1009-6493.2026.11.010
Appendix
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Year 2026 volume 40 Issue 11
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.11.010
  • Receive Date：2025-10-24
  • Online Date：2026-10-30
  • Published：2026-06-10
Article Data
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History
  • Received：2025-10-24
  • Revised：2026-04-16
Affiliations
    1Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences), Southern Medical University,Guangdong 510080 China
    2Guangdong Provincial Key Laboratory of South China Structural Heart Disease
    3School of Nursing, Sun Yat-sen University
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https://castjournals.cast.org.cn/joweb/hlyj/EN/10.12102/j.issn.1009-6493.2026.11.010
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