角膜塑形术患儿用眼健康行为评定问卷的构建与验证  

Development and validation of an Eye Health Behavior Assessment Scale for children after orthokeratology

作　　者：卢海燕[1] 邓群波 蓝方方[1] 甘露[1] 何坤夏 韩云 Lu Haiyan;Deng Qunbo;Lan Fangfang;Gan Lu;He Kunxia;Han Yun(Department of Optometry,The People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区人民医院视光科,广西南宁530021 [2]河池市第一人民医院

出　　处：《护理学杂志》2021年第4期22-25,共4页Journal of Nursing Science

摘　　要：目的研制角膜塑形术患儿用眼健康行为测评工具,为针对性干预提供参考。方法采用文献分析、访谈法构建问卷的初始条目池,选取20名专家进行2轮函询形成初始问卷,选取714例角膜塑形术患儿进行调查以进行信度和效度检验。结果形成用眼时间、用眼环境、用眼行为、饮食和运动、戴镜行为5个维度共48个条目的角膜塑形术用眼健康行为评定问卷,累积解释变异量为60.075%,问卷总Cronbach′sα系数为0.885、各维度Cronbach′sα系数为0.738~0.891;问卷整体内容效度为0.937,条目内容效度0.845~1.000。结论该问卷具有良好的信效度,可作为角膜塑形术患儿用眼健康行为的评价工具和制定护理干预方案的参考。Objective To develop an eye health behavior assessment scale for children after keratoplasty and to provide reference for targeted intervention.Methods Literature review and interviews were performed to develop the initial item pool,20 experts were consulted to form the initial scale,and then 714 children who had undergone keratoplasty were investigated for testing the reliability and validity of the scale.Results A 48-item scale assessing 5 dimensions of duration of eyes use,environment of eyes use,behavior of eyes use,diet and exercise,as well as glass use behavior,was identified through exploratory factor analysis,which could explain 60.075%of the total variance.The Cronbach′s alpha coefficient for the overall scale was 0.885 and for dimensions ranged from 0.738 to 0.891.The scale-level content validity index(CVI)was 0.937,and the item-level CVI was between 0.845 and 1.000.Conclusion The scale is reliable and valid to evaluate eye health behavior of children undergoing keratoplasty.

关 键 词：患儿 屈光不正 角膜塑形术 用眼健康行为 问卷 信度 效度 评价工具 

分 类 号：R473.77[医药卫生—护理学]