Development and validation of a self-management behavior questionnaire for Chinese enterostomy patients  

肠造口患者自我管理行为问卷的编制及信效度检验

作　　者：Xiaoyan Du Haoran Jiang Luxia Fu Aiping Wang 杜晓妍;姜皓然;付鹿侠;王爱平(Affiliated Hospital of Qingdao University,Qingdao,China;First Affiliated Hospital of China Medical University,Shenyang,China)

机构地区：[1]Affiliated Hospital of Qingdao University,Qingdao,China [2]First Affiliated Hospital of China Medical University,Shenyang,China

出　　处：《International Journal of Nursing Sciences》2022年第2期252-258,I0010,共8页国际护理科学（英文）

摘　　要：Objectives:This study aimed to develop a self-management behavior questionnaire for Chinese enter-ostomy patients and examine its reliability and validity.Methods:Guided by the theory of self-management,an initial questionnaire was generated through literature review,group meetings,and two rounds of an expert consultation.Finally,the reliability and validity of the questionnaire were validated through a questionnaire survey of 200 enterostomy patients were selected from the Affiliated Hospital of Medical University from June 2016 to March 2017.Results:The content validity index was 0.80e1.00.The exploratory factor analysis yielded a five-factor(dietary behavior,psychosocial behavior,symptom management behavior,medical compliance behavior,information management behavior),consisting of 40 items.The cumulative variance contri-bution rate was 65.42%.The Cronbach’s a coefficient for the total questionnaire was 0.972,and for the five factors ranged from 0.797 to 0.939,indicating a good internal consistency.The test-retest reliability was 0.867(P<0.01).The self-management behavior questionnaire score was negatively related to the Ostomy Skin Tool score(r=-0.800,P<0.01).Conclusions:The self-management behavior questionnaire developed in this study showed good reli-ability and validity and can be used to assess the self-management behavior of Chinese enterostomy patients.目的编制肠造口患者自我管理行为问卷并检验其信度和效度。方法以自我管理理论为指导,通过文献回顾、小组讨论、2轮专家咨询拟定初始问卷。于2016年6月至2017年3月采用方便抽样法,对某医科大学附属医院200例肠造口患者进行问卷调查,验证问卷的信度和效度。结果量表内容效度指数(CVI)0.80~1.00。探索性因子分析共提取出5个公因子(饮食管理、心理社会管理、症状与生活管理、遵医行为管理、信息管理),共包含40个条目,累计方差贡献率为65.42%。肠造口患者自我管理行为问卷与造口皮肤评估工具评分之间的相关系数为-0.8(P<0.01)。问卷的Cronbach’s α系数为0.972,5个维度的Cronbach’s α系数范围0.797~0.939,重测信度为0.867(P<0.01)。结论肠造口患者自我管理行为问卷的信度和效度较好,可用于评估肠造口患者的自我管理行为状况。

关 键 词：Behavior ENTEROSTOMY PATIENTS QUESTIONNAIRE RELIABILITY SELF-MANAGEMENT Validity 

分 类 号：R473.6[医药卫生—护理学]