尘肺患者自我管理量表的建立与评价  

Developmentand evaluation of self-management scale for patients with pneumoconiosis

作　　者：贾崇岩 秦天榜 朱秀萍 袁聚祥[1] 陈银萍[1] 范红敏[1] 王晓凯[1] 张美航[1] 李雪[1] 郭杰[1] 

机构地区：[1]河北联合大学公共卫生学院,河北唐山063000 [2]开滦职业病防治院,河北唐山063000

出　　处：《工业卫生与职业病》2014年第6期408-412,416,共6页Industrial Health and Occupational Diseases

基　　金：河北省科技厅科技公关重点研究项目(13277709D)

摘　　要：目的建立尘肺患者自我管理量表,并进行信度和效度检验。方法采用文献法、半定式访谈确定量表条目基本框架,通过专家咨询修订条目池。60位专家应用德尔菲法对条目进行评价,根据各个条目的平均分、满分比、变异系数联合筛选条目,最后评价量表的信度和效度。结果专家的积极系数为91.6%,权威系数均值为0.81,筛选后形成7个维度包含44个条目,其中症状管理维度6个,疾病知识管理维度3个,不良嗜好管理维度3个,依从性管理维度6个,日常生活管理维度10个,情绪管理维度5个,自我管理效能维度11个。整个量表的Cronbachα系数为0.945,分半信度为0.901,条目间的相关系数为0.265-0.916（P〈0.05）。结论建立的尘肺患者自我管理量表具有较好的信度和效度,可在实践中应用。Objective To develop pneumoconiosis patient＇s self-management scale and evaluate its reliability and validity.Methods The basic framework of the scale items was built through literature review and semi-structured interview procedure,then the items pool of the scale was revised by 60 experts and were selected to evaluate entries using Delphi method.And scale items were screened according to average,full marks ratio and coefficient of variation,in the end the reliability and validity of scale was evaluated.Results The positive coefficient of experts was 91.6%,and the mean of the expert authority score was0.81.The scale which included 44 items was made up of 7dimensionality after screening,symptom management（6）,knowledge management（3）,unhealthy habits management（3）,compliance management（6）,daily life management（10）,emotion management（5）,and self-efficacy（11）.The whole scale＇s Cronbach a was0.945,the split-half reliability was 0.901.correlation coefficient was between 0.265 and 0.916（P〈0.05）.Conclusions The self-management scale of patients with pneumoconiosis has good reliability,validity and can be applied in practice.

关 键 词：尘肺患者 自我管理 德尔菲法 量表 

分 类 号：R135.2[医药卫生—劳动卫生]