精神分裂症恢复期患者疾病知识-态度-行为知晓度问卷的编制  

Questionnaires on Knowledge-Attitude-Practice Awareness for Schizophrenia Reconvalescents

作　　者：王丽娜[1] 周郁秋[2] 赵莉[1] 焦亚辉[3] 李秀君[1] 

机构地区：[1]赤峰学院医学院护理系,内蒙古赤峰市024000 [2]哈尔滨医科大学大庆校区护理学院 [3]承德医学院护理学院

出　　处：《中国全科医学》2014年第32期3800-3804,共5页Chinese General Practice

基　　金：国家自然科学基金资助项目(71173065);内蒙古自治区自然科学基金资助项目(2013MS1175)

摘　　要：背景国内尚缺乏评估精神分裂症恢复期患者疾病知晓度的相关问卷。目的开发适用于评价精神分裂症恢复期患者疾病知识-态度-行为知晓度的问卷,为评估患者疾病知识掌握程度及自我管理能力提供可靠工具。方法在建立理论框架、参阅文献并咨询专家、开展半结构式访谈及问卷调查的基础上,编制精神分裂症恢复期患者疾病知识-态度-行为知晓度问卷。结果探索性因素分析显示,问卷由病因知晓、危险因素知晓、治疗知晓及康复知晓4个维度构成,累计方差贡献率为56.64%。验证性因素分析显示,结构方程模型拟合指数：自由度（df）=1.187,适配度指数（GFI）=0.877,调整后适配度指数（AGFI）=0.856,渐进残差均方和平方根（RMSEA）=0.030。问卷总体Cronbach＇sα系数为0.794;各个维度的Cronbach＇sα系数为0.656-0.810。结论本研究设计的精神分裂症患者疾病知识-态度-行为知晓度问卷具有较好的信效度。Background The awareness questionnaires assessing schizophrenia reconvalescents are short in China.Objective To compile a questionnaire on knowledge- attitude- practice Awareness for schizophrenia reconvalescents and supply a scientific and practical instrument evaluating patients＇ grasp of the disease knowledge and their self- management. Methods Based on theoretical framework,related studies,expert consulting and results of questionnaire investigation,this study compiled a questionnaire on knowledge- attitude- practice awareness for schizophrenia reconvalescents by structural equation model（ SEM）. Results Exploratory factor analysis showed that the questionnaire was composed with 4 dimensions（ awareness of pathogenesis,risk factors,treatment,rehabilitation）,explaining 56. 64% of the total variance. Byconfirmatory factor analysis,structural equation model were： degree of freedom（ df） = 1. 187,goodness of fit index（ GFI） = 0. 877,adjusted goodness of fit index（ AGFI） = 0. 856,root mean square error of approximation（ RMSEA） = 0. 030. Its total Cronbach＇s α was 0. 794,and those of its dimensions were 0. 656 - 0. 810. Conclusion The compiled questionnaire is of good reliability and validity.

关 键 词：精神分裂症 健康知识 态度 实践 结构方程模型 问卷调查 

分 类 号：R749.3[医药卫生—神经病学与精神病学]