中文版老年人锻炼心理需求满足量表的信效度检验及适用性分析  

Reliability,Validity and Applicability of the Chinese Version of the Psychological Need Satisfaction in Exercise Scale for the Elderly

作　　者：刘蕾 刘华平[1] 郭宏[2] 孙哲[3] 钟丽丽 李小雪[1] LIU Lei;LIU Huaping;GUO Hong;SUN Zhe;ZHONG Lili;LI Xiaoxue(School of Nursing,Peking Union Medical College,Beijing 100144,China;School of Nursing,Shenyang Medical College,Shenyang 110034,China;Department of Foreign Language,Shenyang Medical College,Shenyang 110034,China;School of Nursing,Dalian University,Dalian 116622,China)

机构地区：[1]北京协和医学院护理学院,北京市100144 [2]沈阳医学院护理学院,辽宁省沈阳市110034 [3]沈阳医学院外语部,辽宁省沈阳市110034 [4]大连大学护理学院,辽宁省大连市116622

出　　处：《中国全科医学》2021年第5期619-624,共6页Chinese General Practice

基　　金：2016年度北京协和医学院护理学院科研项目(PUMCSON201601)。

摘　　要：背景基本心理需求作为自我决定理论(SDT)框架中的重要变量,其测量有助于研究者了解锻炼领域中自主、胜任、归属3种心理需求的满足情况、影响因素及自我决定动机的形成,并为锻炼干预提供依据,但目前国内尚未有测量养老院老年人锻炼领域心理需求满足的量表。目的对锻炼领域的心理需求满足量表(PNSE)进行汉化,并在中国养老院老年人群中进行信效度检验,探索其适用性,以提供有效的测量工具。方法对锻炼领域的PNSE进行汉化,形成中文版PNSE。2017-02-04至03-06采用便利抽样法选取沈阳市102家养老院中800名老年人为研究对象,采用一般资料调查表、中文版PNSE进行调查。共进行两轮量表发放,第一轮发放量表400份,收回量表389份,有效量表354份,用于项目分析和探索性因子分析;第二轮发放量表400份,收回量表376份,有效量表355份,用于验证性因子分析和信度分析;采用项目分析的方法来测验题项的适切度〔按照研究对象的总得分由高到低排列,前27%为“高分组”,后27%为“低分组”,并采用独立样本t检验对高、低分组研究对象各条目的平均分进行比较,以临界比值(CR值,即t值)>3.000作为题项筛选的依据〕,专家间一致性水平(IR)、内容效度指数(I-CVI)、量表水平的内容效度指数(S-CVI)〔全体一致S-CVI(S-CVI/UA)、平均S-CVI(S-CVI/Ave)〕及Kappa值来评价量表的内容效度,Bartlett's球形检验χ2值及KMO值判断量表是否适合进行探索性因子分析,最大似然法对模型的比较拟合指数(CFI)、标准化均方根残差(SRMR)、近似误差均方根(RMSEA)进行模型适配分析,采用克朗巴赫α系数和再测信度来分析量表的内部一致性和稳定性。结果所有条目的CR值>3.000,高分组与低分组各条目平均分比较,差异均有统计学意义(P<0.05)。IR为1.00,I-CVI均>0.78,Kappa值>0.74,S-CVI/UA为0.89,S-CVI/Ave为0.98。KMO值为0.93,经过主成分分Background As an important variable in the framework of self-determination theory,the measurement of basic psychological needs in excise helps to understand the satisfaction of three needs for autonomy,competence and relatedness,influences and the formation of self-determination motivation,it can also provide a basis for exercise intervention.However,there is no scale to measure the psychological needs in exercise of the elderly in China.Objective To chinesize the Psychological Need Satisfaction in Exercise Scale(PNSE),and evaluate its reliability and validity and applicability in Chinese older adults receiving nursing home care,to provide an effective psychological need assessment instrument for nursing home residents.Methods We chinesized the PNSE to form a Chinese version of PNSE,and tested its reliability and validity in a convenience sample of 800 older adults from 102 nursing homes in Shenyang from February 4 to March 6,2017.Then we conducted two rounds of surveys among the participants,one for evaluating the contents and item analysis and exploratory factor analysis of the scale using a self-developed Demographic Data Questionnaire and the scale,and another for confirmatory factor analysis and reliability analysis of the scale,with response rates achieved as high as 88.50%(389 out of the 400 completed,and 354 responded effectively),and 88.75%(376 out of the 400 completed,and 355 responded effectively),respectively.Item analysis method was used to testify item relevancy during which the independent-sample t test was used to compare the average scores of high and low score groups(those ranked among the top 27%and bottom 27%in terms of the total scale score)with critical ratio(CR value,that is,t value)>3.000 as the criterion of item selection.Inter-rater reliability(IR),item-content validity index(I-CVI),scale-content validity index(S-CVI),universal agreement S-CVI(S-CVI/UA),average S-CVI(S-CVI/Ave)and Kappa value were used to evaluate the content validity of the scale.Bartlett's test of sphericity ofχ2 valu

关 键 词：精神卫生 养老院 老年人 自我决定理论 锻炼心理需求满足 信度 效度 身体锻炼 

分 类 号：R395.6[医药卫生—医学心理学]