中文版腹膜透析患者自我管理量表的编制与信度效度检验  

Development of self-management scale for peritoneal dialysis patients and the test of its validity and reliability

作　　者：庞建红 汪小华[2] 赵黎[3] 傅雪琴[4] 姜小梅[5] 仇静波[2] 许义[2] 汪年松[3] 

机构地区：[1]江苏盛泽医院护理部,苏州市215228 [2]苏州大学护理学院 [3]上海市交通大学附属第六人民医院肾内科 [4]浙江大学医学院附属邵逸夫医院肾内科 [5]苏州大学附属第二医院肾内科

出　　处：《中国护理管理》2014年第8期826-830,共5页Chinese Nursing Management

基　　金：苏州市科技计划项目(SYS201310)

摘　　要：目的:发展适用于持续非卧床腹膜透析(CAPD)患者自我管理的测评量表并进行信、效度检验。方法:查阅文献并结合患者访谈,发展条目池;经两轮德尔菲(Delphi)专家评定和预试验,形成包含5个因子44个条目的初始量表;调查江浙沪地区"三甲"医院的313例CAPD患者,评价量表的信、效度。结果:探索性因素分析得到含有28个条目的5个公因子:换液技术操作、操作中异常情况的处理、饮食管理、并发症监测、情绪管理及社会回归。累积解释变异率为64.567%,量表内容效度指数为0.963,Cronbach’sα系数为0.926,奇偶折半系数为0.960,重测信度系数为0.937。结论:本量表具有良好的信、效度,适用于CAPD患者自我管理能力的评价。Objective： To develop and evaluate the scale of self-management for continuous ambulatory peritoneal dialysis（CAPD） patients. Methods： The item pool was formulated based on literature review and in-depth interviews. An initial scale containing 5 dimensions and 44 items was constructed through two rounds of Delphi expert consultation and preliminary test. Totally 313 CAPD patients from Jiangsu-Zhejiang-Shanghai area were investigated to test the reliability and validity of the scale. Results： Five factors, including technical operations of liquid replacement, solution for unusual situation, diet management, complications monitoring, emotional regulation and social participation, were extracted by exploratory factor analysis; the 28 items could explain 64.567% of the total variance. The content validity index, Cronbach＇s α coefficient, split-half coefficient and test-retest reliability was 0.963, 0.926, 0.960 and 0.937 respectively. Conclusion： The scale is supported to be a reliable and valid tool for the self-management assessment of CAPD patients.

关 键 词：腹膜透析 自我管理 信度 效度 

分 类 号：R47[医药卫生—护理学]