围绝经期认知与行为调查表的编制及信效度检验  

Development and the reliability and validity test of Cognitive and Behavioral Questionnaire for Perimenopausal Period

作　　者：杨青兰 冯小平[1] 林奕[1] 郝丽娟[1] 谢明慧 王晓琳[1] 孙文洁[1] 余友霞[2] 曾登芬[3] 王渝[1] Yang Qinglan;Feng Xiaoping;Lin Yi;Hao Lijuan;Xie Minghui;Wang Xiaolin;Sun Wenjie;Yu Youxia;Zeng Dengfen;Wang Yu(Department of Gynecologic Endocrinology,Chongqing Health Center for Women and Children,Chongqing 401147,China;Department of Nursing,Chongqing Health Center for Women and Children,Chongqing 401147,China;Department of Nursing,the First Affiliated Hospital of PLA General Hospital,Beijing 100048,China)

机构地区：[1]重庆市妇幼保健院妇科内分泌科,401147 [2]重庆市妇幼保健院护理部,401147 [3]解放军总医院第一附属医院护理部,北京100048

出　　处：《中国实用护理杂志》2021年第31期2443-2449,共7页Chinese Journal of Practical Nursing

基　　金：重庆市科卫联合医学科研项目(2020FYYX125)。

摘　　要：目的设计围绝经期认知与行为调查表,并检验其信度及效度,为评估围绝经期女性认知、求医与遵医行为提供有效的工具。方法通过基线调查、文献分析、头脑风暴法形成初始条目,结合小组讨论法及专家访谈法确定围绝经期认知与行为调查表最终条目。2019年7—8月,采用方便抽样法,对重庆市妇幼保健院周边社区围绝经期女性进行调查,采用项目分析、探索性因子分析、验证性因子分析、Pearson相关分析及信度分析对围绝经期认知与行为调查表进行评价。结果本研究共发放2轮调查表,第1轮有效回收率95.8%(249/260),第2轮有效回收率96.4%(240/249)。围绝经期认知与行为调查表包括4个因子和24个条目,累计方差贡献率为66.330%,Cronbachα系数为0.893,Spearman-Brown折半信度为0.773,调查表各因子与总分之间的相关系数为0.567~0.860(P<0.01);验证性因子分析显示近似误差均方根为0.055,规范拟合指数为0.801,拟合优度指数为0.828。结论围绝经期认知与行为调查表信度和效度显示良好,可用于评估围绝经期女性认知状态、求医与遵医行为。Objective To develop a questionnaire on perimenopausal cognition and behavior and verify its reliability and validity,in order to provide an effective tool for evaluating perimenopausal women's cognition,doctor-seeking and doctor-following behaviors.Methods Baseline survey,literature analysis and brainstorming were formed in the initial items,and group discussion and expert interview were performed to identify items of the form.By convenience sampling method,A survey was conducted on perimenopausal women in the communities around Chongqing Health Center for Women and Children from July to August 2019.Project analysis,exploratory factor analysis,confirmatory factor analysis,Pearson correlation analysis and reliability test were used to evaluate the questionnaire.Results Two rounds of questionnaires were distributed in this study.In the first round,260 questionnaires were distributed,249 valid questionnaires were recovered,and the effective recovery rate was 95.8%(249/260).In the second round,249 questionnaires were distributed,and the effective recovery rate was 96.4%(240/249).The questionnaire on perimenopausal cognition and behavior included 4 dimensions and 24 items.The cumulative contribution of variance was 66.330%,the Cronbachαcoefficient was 0.893 and the spearman-brown half-fold coefficient was 0.773.Regarding to the construct validity,the correlation coefficient between factors and total score of the questionnaire was 0.567-0.860(P<0.01).Confirmatory factor analysis showed that the approximate error root mean square was 0.055,the normal fitting index was 0.801,and the goodness of fit index was 0.828.Conclusions The questionnaire has been proved to be reliable and valid.It can be used to evaluate perimenopausal women′s cognition,doctor-seeking and doctor-following behaviors.

关 键 词：围绝经期 认知 行为 调查表 信度 效度 

分 类 号：R173[医药卫生—妇幼卫生保健]