中老年人膝关节不适自我管理行为自评量表的编制及信度效度检验  

Development and psychometric test of self-management behavior scale for knee joint discomfort in middle-aged and elderly people

作　　者：赵沛沛 周启迪 李金秀[2] 曹吉日 周阳[3] ZHAO Peipei;ZHOU Qidi;LI Jinxiu;CAO Jiri;ZHOU Yang(Xiang Ya Nursing school of Central South University,Changsha,410013,China)

机构地区：[1]中南大学湘雅护理学院,长沙市410013 [2]吉首大学医学院 [3]中南大学湘雅医院护理部

出　　处：《中国护理管理》2020年第9期1329-1334,共6页Chinese Nursing Management

基　　金：湖南省科技创新计划项目(2017TP1004);国家级大学生创新训练项目(201810531012)。

摘　　要：目的:编制能够客观评估我国中老年人膝关节不适自我管理行为的自评量表并检验其信度和效度。方法:回顾相关文献,确定自我管理行为定义,通过半结构化访谈、专家函询等方法,形成中老年人膝关节不适自我管理行为量表初稿;便利选取528名≥45岁的中老年人对预试量表进行项目分析和信度、效度检验。结果:量表包括症状管理、日常生活管理、情绪管理及信息管理4个维度、27个条目;各条目内容效度指数为0.833~1.000,量表总体内容效度为0.964;探索性因子分析提取4个公因子,累计方差贡献率为58.583%;验证性因子分析显示拟合指数χ2、df、χ2/df、RMSEA、CFI、GFI、AGFI、NFI、IFI、TLI分别为1 077.693、318、3.388、0.094、0.817、0.731、0.680、0.761、0.819、0.798;量表总的Cronbach’s α系数为0.946,分半信度为0.894,重测信度为0.876。结论:中老年人膝关节不适自我管理行为自评量表具有较好的信度和效度,可作为评估我国中老年人人群的膝关节不适自我管理行为的工具。Objective:To develop a self-management behavior scale for knee joint discomfort in middle-aged and elderly people and test its reliability and validity.Methods:The definition of self-management behavior was determined based on literature review.Semi-structured interview and expert consultation were used to identify draft of the scale.A total of 528 middle-aged and elderly people over 45 years old were investigated by the scale,and the reliability and validity were tested.Results:The final scale includes 27 items and 4 dimensions,namely symptom management,daily life management,mood management,and information management.The I-CVI ranged from 0.833 to 1.000,S-CVI/Ave was 0.964.Exploratory factor analysis extracted 4 common factors,the cumulative contribution of variance was 58.583%.Confirmatory factor analysis showed that the fit indexχ2,df ,χ2/df ,RMSEA,CFI,GFI,AGFI,NFI,IFI,TLI were 1077.693,318,3.388,0.094,0.817,0.731,0.680,0.761,0.819,0.798 respectively.The Cronbach'sαcoefficient was 0.946,the split-half reliability was 0.894 and the test-retest reliability was 0.876.Conclusion:The scale was proved to be reliable and valid.It can be used to assess the self-management behavior of knee joint discomfort in middle-aged and elderly people.

关 键 词：膝关节 自我管理 信度 效度 

分 类 号：R47[医药卫生—护理学]