摘要：

目的 漢化肥胖患者飲食行為評(píng)估量表（Eating Behaviors Assessment for Obesity，EBA-O）并進(jìn)行信效度檢驗(yàn)，為臨床簡(jiǎn)單快速地評(píng)估肥胖患者飲食行為提供測(cè)評(píng)工具。方法 采用Brislin的翻譯模型，對(duì)EBA-O進(jìn)行翻譯、回譯、文化調(diào)適和預(yù)調(diào)查后，形成中文版EBA-O。采用方便抽樣法，選取2023年4月—6月北京市某三級(jí)甲等醫(yī)院減重中心收治的200例擬行減重手術(shù)的肥胖患者為調(diào)查對(duì)象，以檢驗(yàn)中文版EBA-O的信效度。結(jié)果 中文版EBA-O包括4個(gè)維度，共17個(gè)條目，量表的Cronbach’s α系數(shù)為0.886，各維度的Cronbach’s α系數(shù)為0.770~0.866，重測(cè)信度為0.881，量表水平的內(nèi)容效度指數(shù)為0.980，條目水平的內(nèi)容效度指數(shù)為0.889~1.000，通過(guò)探索性因子分析提取出4個(gè)公因子，累計(jì)方差貢獻(xiàn)率為66.363%。結(jié)論 中文版EBA-O具有良好的信效度，可作為評(píng)估肥胖患者飲食行為的工具。

關(guān)鍵詞: 肥胖癥, 減重手術(shù), 飲食行為, 量表, 信度, 效度, 護(hù)理

Abstract:

Objective To translate the Eating Behaviors Assessment for Obesity（EBA-O） and test its reliability and validity for providing an effective tool for brief and rapid clinical assessment of dietary behavior in obese patients. Methods The Chinese version of EBA-O was developed by Brislin’s translation model for translation，back translation，cultural adaptation，and pilot investigation. Using convenience sampling method，200 obese patients who were admitted to the inpatient ward of the Weight Loss Center of a tertiary hospital in Beijing from April to June 2023 and planned to undergo weight loss metabolic surgery were selected as the research participants to test the reliability and validity of the Chinese version of EBA-O. Results The Chinese version of EBA-O includes 4 dimensions，with a total of 17 items. The Cronbach’s α coefficient of the scale is 0.886；the Cronbach’s α coefficients of the dimensions are 0.770~0.866；the test-retest reliability of the scale is 0.881. The content validity index of the scale level is 0.980，and the content validity indexes of item level were 0.889~1.000. Totally 4 common factors were extracted through exploratory factor analysis，with a cumulative variance of 66.363%. Conclusion The Chinese version of EBA-O has good reliability and validity，and it can be used as a tool to evaluate the dietary behavior of obese patients undergoing weight loss metabolic surgery.

Key words: Obesity, Bariatric Surgery, Eating Behaviors, Scale, Reliability, Validity, Nursing Care

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