老年膝部骨关节炎自我照护量表的编制与信效度研究  

The development and assessment of Knee Osteoarthritis Self-Care Questionnaire for Elderly

作　　者：陈婉萍 骆俊宏 陈美君[2] 

机构地区：[1]泉州医学高等专科学校护理学院,362000 [2]福建省泉州市第一医院骨科

出　　处：《中国实用护理杂志》2017年第10期747-751,共5页Chinese Journal of Practical Nursing

摘　　要：目的 编制适用于评价我国老年人群膝部骨关节炎自我照护量表（KOSCQE）,并检验该量表的信度与效度.方法 在自我照护理论的基础上,参考主观膝部骨关节评估量表,结合文献分析及通过半结构化访谈,作为建立量表条目池的依据.采用简单随机取样对148例老年膝部骨关节炎患者进行问卷调查.结果 通过探索性因子分析,提取5个公因子,共26个条目,累积方差贡献率为68.972%;条目负荷系数为0.576~1.872;各条目内容效度指数为0.901~0.928,因子总体内容效度指数为0.916;总量表的Cronbachα系数为0.898,重测信度为0.864;而验证性因子分析显示,χ2/df=1.09,拟合优度指数为0.942,近似误差均方根为0.020,调和拟合优度指数为0.964,正规拟合指数为0.960,比较拟合优度指数为0.948,相对配适指数为0.931,增值适配指数为0.918,简单良性配适指数为0.891.结论 老年膝部骨关节炎自我照护量表的信效度符合量表测量学要求,可提高老年人对膝部骨关节炎自我照护的认识与生命质量.Objective To develop Knee Osteoarthritis Self-Care Questionnaire for Elderly （KOSCQE）, and test reliability and validity of the scale. Methods Based on self care theory, with reference to International Knee Documentation Committee Subjective Knee Form, combined with literature analysis and through semi-structured interviews, the item pool of the scale was established. A total of 148 elderly were investigated by questionnaire survey. Results KOSCQE extracted 5 common factors with 26 items, and the total variance contribution rate was 68.972%;the item load factor was 0.576 to 1.872, item level content validity index was 0.901-0.928, factor in overall content validity index of 0.916;total Cronbach αcoefficient was 0.898, test-retest reliability was 0.864, and the confirmatory factor analysis showed that：χ2/df=1.09, goodness of fit index =0.942, root mean square error of approximation=0.020, adjusted goodness of fit index=0.964, normed fit index=0.960, comparative fit index=0.948, relative fit index=0.931, incremental fit index=0.918, parsimony goodness of fit index=0.891. Conclusions The reliability and validity of the KOSCQE of the elderly accord with the requirements of the measurement of the scale, it can improve the elderly＇s awareness of self care and quality of life of the knee osteoarthritis.

关 键 词：骨关节炎 膝 自我照护 信度 效度 

分 类 号：R473.6[医药卫生—护理学]