老年人功能性便秘健康教育量表的编制及信效度检验  

Compilation of the Elderly Functional Constipation Health Education Scale and its reliability and validity test

作　　者：孙玺荣[1] 胡郁[2] 冯淑慧[3] 金舟[1] 李聪懿 林霞娟[1] Sun Xirong Hu Yu Feng Shuhui Jin Zhou Li Congyi Lin Xiajuan(Department of Nursing, Chinese PLA 181st Hospital, Guilin 541002,China)

机构地区：[1]解放军第一八一医院干部病房,桂林541002 [2]解放军第一八一医院护理部,桂林541002 [3]广西师范大学数学与统计学院

出　　处：《中国实用护理杂志》2017年第2期81-86,共6页Chinese Journal of Practical Nursing

基　　金：广西壮族自治区桂林市科学研究与技术开发计划（20140310-3-2）

摘　　要：目的 编制老年人功能性便秘（FC）健康教育量表，并检验其信度和效度。方法 通过质性访谈、文献回顾、Delphi法拟定老年人FC健康教育量表。采用目的抽样法选取2013年1月至2015年8月入住解放军第一八一医院老年病科60岁以上的老年人，符合罗马ⅢFC诊断标准的患者进行预调查、大样本测试形成正式量表，并进行信度和效度检验。结果 编制6个维度28个条目老年人FC健康教育量表，6个因子的内部一致性信度Cronbach α系数为0.965，等同性信度Kendall tau-b等级相关系数分析，各指标变量的评分呈正相关，条目水平的内容效度指数和量表水平的内容效度指数均为1，结构效度6个因子的累积方差贡献率为60.15 %，条目间的因子载荷系数均〉0.5，拟合较好。结论 老年人FC健康教育量表具有良好的信度和效度，可作为预防老年人发生FC的健康教育工具，也可运用于老年人FC患者自我管理与出院后的延续护理。Objective To prepare the Elderly Functional Constipation（FC） Health Education Scale, and verify its reliability and validity.Methods The Elderly FC Health Education Scale was prepared by qualitative interviews, literature review, and Delphi method. The elderly patients who were over 60 years old and at Chinese PLA 181st Hospital were recruited by the purposive sampling method from January 2013 to August 2015.The diagnostic criteria of Roman Ⅲ was used to diagnose FC, the data of preliminary investigation and large sample test was used to form the formal scale, and its reliability and validity were further verified.Results The Elderly FC Health Education Scale was compiled with 6 dimensions and 28 items, and the Cronbach alpha coefficient which was the internal consistency reliability of the 6 factor was 0.965; the correlation coefficient analysis of equality reliability Kendall tau-b rank and various index variables score were positive correlation significantly. Both item level content validity index and scale level content validity index of the content validity were as a result of 1. The structure validity of the cumulated variance contribution ratio of the 6 factors were 60.15%. All factor loading coefficients between the items were more than 0.5, which indicated the fitting was good.Conclusions The reliability and validity of the Elderly FC Health Education Scale are good, and the scale may be used as a tool to prevent the elderly FC health education, and also be applied to the elderly FC patients in self-management and continue nursing after leaving hospital.

关 键 词：老年人 便秘 量表 信度 效度 

分 类 号：R473.5[医药卫生—护理学]