慢性肾脏病知信行调查问卷的研制及信、效度检验  

Development of knowledge-attitude-practice questionnaire on chronic kidney disease and its reliability and validity

作　　者：刘帅[1] 沈琦[1] 张苹[1] 尤佳恺 沈福来[2] 颜志军 陈霞 许梅珍[1] 齐郑[1] 顾卫英 LIU Shuai;SHEN Qi;ZHANG Ping;YOU Jia-kai;SHEN Fu-lai;YAN Zhi-jun;CHEN Xia;XU Mei-zhen;QI Zheng;GU Wei-ying(Huacao Community Health Service Center of Minhang,Shanghai 201107,China)

机构地区：[1]上海市闵行区华漕社区卫生服务中心,上海201107 [2]上海交通大学社区医学与健康管理研究所,上海200062 [3]上海市闵行区中心医院,上海201107

出　　处：《中国健康教育》2018年第8期718-722,共5页Chinese Journal of Health Education

基　　金：上海市卫生与计划生育委员会"2015年上海青年医师培训资助计划";上海市闵行区自然科学研究课题(2016MHZ03);上海市闵行区卫生与计划生育委员会科学研究课题(2016MW46)

摘　　要：目的研制适用于慢性肾脏病患者及高危人群的知信行问卷,检测其信、效度。方法以文献翻阅、专家咨询、患者讨论为基础初步编制慢性肾脏病知信行问卷;采用便利抽样法抽取上海闵行H社区卫生服务中心就诊的100名慢性肾脏病患者进行问卷调查;采用Cronbach'sα系数、分半信度进行信度检测,采用内容效度、探索因子检验问卷效度。结果本问卷包含认知、信念、行为3个子问卷,问卷共30个条目,每个子问卷各有10个条目。问卷内部一致性信度为0.849,各子问卷的内部一致性信度分别为0.805、0.833和0.909,各子问卷的内容效度系数分别为0.876、0.818和0.922。对全问卷及各子问卷进行因子分析,累积贡献率分别为65.50%、56.38%、69.29%和71.71%,每个项目的共性方差均超过0.4。结论慢性肾脏病知信行调查问卷具有良好的信、效度,可作为评鉴慢性肾脏病患者及高危人群认知、信念、行为状况的可靠工具。Objective To develop a knowledge-attitude-practice （KAP） questionnaire for chronic kidney disease patients and high-risk group, and test its reliability and validity. Methods A KAP questionnaire was established based on literature review, expert consultation and group discussion. 100 patients with chronic kidney disease in H community health service center of Minhang District selected by convenient sampling method were participated. Its reliability was determined by using Cronbach＇ s α coefficient and half confidence. Its validity was test by using validity of content validity and exploratory factor analysis. Results This 30-item questionnaire contained three sub-scales adapted from knowledge, belief and behav- ior related to chronic kidney disease. The total internal consistency reliability of the questionnaire was 0. 849. Cronbach＇ s α coefficient in these three sub-scales were 0. 805, O. 833 and 0. 909, respectively. The validities in these three domains were 0. 876, 0. 818 and 0. 922 and the cumulative contribution rates were 65.50% , 56. 38%, 69. 29% and 71.71% , separately. The common variance of each project was greater than 0. 4. Conclusion The questionnaire has good reliability and validity. It can be used as a reliable tool to evaluate the cognition, belief and behavior of the patients with chronic kidney disease and high-risk group.

关 键 词：慢性肾脏病 知信行 信度 效度 

分 类 号：R193[医药卫生—卫生事业管理]