冠心病自我管理量表的开发和评价.docVIP

PAGE 11 PAGE 7 冠心病自我管理量表的开发和评价 任洪艳，唐 萍，赵庆华（重庆医科大学附属第一医院护理部, 重庆400016） 摘要 目的: 开发冠心病自我管理量表，并进行信度、效度检验。方法：在慢性病自我管理理论和冠心病循证医学行为学证据的基础上建立量表条目库，由专家小组评议后建立初量表；随即对10名患者进行访谈并再次进行专家评议建立预测问卷；其后用预测问卷对209例样本进行正式调查。采用因子分析法、相关系数法等再次进行条目筛选确定最终量表；最后对最终量表进行全面心理测量学检测。结果：量表各项指标均达到心理测量学标准：重测信度（ICC＝0.910）、内部一致性信度（Cronbachs a＝0.913）、效标关联效度（r＝0.271～0.573）、结构效度(因子分析结果与预想结构吻合)、反应度（t=9.011, P0.01）、可接受度（回收率93.4％、有效率97.2％）。结论：冠心病自我管理量表是一种全新的具有实用性、科学性的冠心病自我管理行为测量工具，可用于二级预防实践。 关键词：冠状动脉疾病; 二级预防; 自我管理; 量表 Development and evaluation of the Coronary artery disease Self-management Scale Ren hong-yan, Zhao qing-hua, Tang ping.（ Department of Nursing, The first affiliated hospital, Chongqing University of medicine, Chongqing, 400016, China ） Abstract Objectives: To establish and evaluate the reliability and the validity of the Coronary artery disease Self-management Scale. Methods: The items pool was based on the theory of chronic disease self-management and the evidence of behavioral medical science related to coronary heart disease. Firstly, the preliminary scale was developed through specialists evaluation; then it was reviewed by 10 patients and specialists again; At last, 209 patients were surveyed and based on the pilot data, a series of statistic analysis was conducted such as factor analysis, correlation analysis, etc. to deduce the items to 27 and then a comprehensive set of psychometric tests was performed on the final version. Results: Psychometric tests with the application of stringent criteria confirmed the test-retest reliability(ICC＝0.910), internal consistency (Cronbachs a＝0.913), criterion-related validity(r=0.271～0.573)， construct validity(factor analysis confirms the hypnosis of the scale), responsiveness(t=9.011,P0.01) and acceptability（response rate 93.4%, effective rate 97.2%）. Conclusion: The Coronary Self-management Scale is a practicable and scientific instrument that measures seven important dimensions of self-management skills in patients with coronary heart disease. I