基于临床视角的居民健康素养问卷的开发  

Development of residents health literacy questionnaire: a new scale based on clinical perspective

作　　者：杨文燕[1] 甄天民[1] 韩志琰[1] 谷景亮[1] 赵芳[1] 

机构地区：[1]山东省医药卫生科技信息研究所山东省医学科学院,山东济南250062

出　　处：《中国健康教育》2016年第1期24-27,共4页Chinese Journal of Health Education

摘　　要：目的开发基于临床视角的健康素养测评问卷。方法从临床的角度出发,采用文献分析方法,界定健康素养的维度,构建健康素养测评问卷,对问卷进行预调查和信、效度检验,评价问卷的可行性。根据分析结果,对问卷进行修改,再次进行预调查和信、效度的检验,直至形成具有良好信、效度的健康素养测评问卷。结果将健康素养的维度界定为:(1)健康知识;(2)阅读和理解;(3)计算;(4)交流,并构建了健康素养问卷。经过2次预调查和信、效度检验,最终形成了具有良好信、效度的居民健康素养问卷。问卷共包含14个问题,其中:健康知识6道题;阅读和理解4道题;计算3道题;交流1道题。每个题目提供3个选择项,个别题目提供4个选择项。答题时间控制在14 min左右。结论本研究从临床的角度出发,将健康素养界定为健康知识、阅读和理解、计算和沟通4个维度,构建了具有良好信、效度的健康素养问卷。Objective To develop a health literacy questionnaire from clinical perspective. Methods Based on the definition on health literacy of the World Health Organization, this study defined the dimensions of health literacy from the clinical perspective according to the literature analysis results, and developed the health literacy questionnaire. The presurvey was conducted, and the reliability and validity of the initial constructed questionnaire were tested. According to the resuhs of the pre-survey and questionnaire analysis, the feasibility of the questionnaire was preliminarily evaluated, and then the questionnaire was modified according to the results. Then the second pre-survey was carried out and the reliability and va- lidity of the questionnaire was analyzed, until the health literacy assessment questionnaire with good reliability and validity was formed. Results This study defined the health literacy as four dimensions： health knowledge, reading and comprehen- sion ability, numeracy and communication. A health literacy questionnaire was developed based on the four dimensions. After two times of the pre-survey and the reliability and validity test, the health literacy questionnaire was eventually formed with a good reliability and validity. The questionnaire contained 14 questions including： 6 health knowledge questions; 4 reading and comprehension questions; 3 numeracy section ; 1 communication section. Each question offered three options, or four answer choices. The overall answer time was more or less 14 minutes. Conclusion This study defined health literacy as four dimensions from the clinical point of view, namely health knowledge, reading and comprehension, calculation and communication, and constructed health literacy questionnaire with good reliability and validity.

关 键 词：农村居民 健康素养 问卷 临床视角 

分 类 号：R193[医药卫生—卫生事业管理]