中青年心肌梗死患者自我管理行为问卷的编制及信效度检验  

Development of the Self-management Behavior Questionnaire for Middle-aged and Young Patients with Myocardial Infarction and its reliability and validity

作　　者：梁闪 刘艳萍 秦元梅[2] 王琳琳 丁艳丽 杨红蕾 王佳佳 Liang Shan;Liu Yanping;Qin Yuanmei;Wang Linlin;Ding Yanli;Yang Honglei;Wang Jiajia(Heart Center,the First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450099,China;School of Nursing,Henan University of Chinese Medicine,Zhengzhou 450099,China)

机构地区：[1]河南中医药大学第一附属医院心脏中心,郑州450099 [2]河南中医药大学护理学院,郑州450046

出　　处：《中华现代护理杂志》2024年第2期191-197,共7页Chinese Journal of Modern Nursing

基　　金：河南省卫生健康委国家中医临床研究基地科研专项(2022JDZX071);河南省卫生健康委国家中医管理局(2021JDZX2092)。

摘　　要：目的编制中青年心肌梗死患者自我管理行为问卷,并检验其信效度。方法以社会认知理论、自我效能理论和自我管理理论为理论框架,通过文献回顾、半结构式访谈、德尔菲专家函询形成问卷初稿。采用便利抽样法,于2022年6—7月选取河南中医药大学第一附属医院、河南省胸科医院、郑州大学第二附属医院就诊的中青年心肌梗死患者进行调查,对问卷进行项目分析和探索性因子分析;于2022年8—11月选取河南中医药大学第一附属医院心脏中心的中青年心肌梗死患者进行调查,对问卷进行验证性因子分析和信度检验。结果分别发放问卷300、480份,回收有效问卷280、468份,问卷有效回收率分别为93.33%(280/300)和97.50%(468/480)。中青年心肌梗死患者自我管理行为问卷共包含31个条目,问卷总体的Cronbach'sα系数为0.918、折半信度系数为0.853、重测信度系数为0.975;问卷水平的内容效度指数为0.965,问卷条目水平的内容效度指数为0.830~1.000;探索因子分析提取6个公因子,累计方差贡献率为69.795%;验证性因子分析显示模型拟合良好,问卷因子结构稳定。结论本研究编制的中青年心肌梗死患者自我管理行为问卷具有良好的信效度,可为医护人员测评中青年心肌梗死患者的自我管理行为提供参考。Objective To develop the Self-management Behavior Questionnaire for Middle-aged and Young Patients with Myocardial Infarction and test its reliability and validity.Methods Using social cognitive theory,self-efficacy theory,and self-management theory as theoretical frameworks,a preliminary questionnaire was formed through literature review,semi-structured interviews,and Delphi expert consultation.Convenience sampling was used to select middle-aged and young patients with myocardial infarction from the First Affiliated Hospital of Henan University of Chinese Medicine,Henan Provincial Chest Hospital,and the Second Affiliated Hospital of Zhengzhou University from June to July 2022 for investigation,and item analysis and exploratory factor analysis of the questionnaire were conducted.From August to November 2022,middle-aged and young patients with myocardial infarction from the Heart Center of the First Affiliated Hospital of Henan University of Chinese Medicine were selected for investigation,and confirmatory factor analysis and reliability testing of the questionnaire were conducted.Results A total of 300 and 480 questionnaires were distributed,respectively,and 280 and 468 valid questionnaires were collected,with effective response rates of 93.33%(280/300)and 97.50%(468/480),respectively.The Self-management Behavior Questionnaire for Middle-aged and Young Patients with Myocardial Infarction included 31 items.The total Cronbach'sαcoefficient of the questionnaire was 0.918,the half reliability coefficient was 0.853,and the retest reliability coefficient was 0.975.The content validity index of the questionnaire level was 0.965,and the content validity index of the item level was 0.830 to 1.000.Exploratory factor analysis extracted 6 common factors with a cumulative variance contribution rate of 69.795%.Confirmatory factor analysis showed that the model fitted well and the questionnaire factor structure was stable.Conclusions The Self-management Behavior Questionnaire for Middle-aged and Young Patients with Myocardial

关 键 词：心肌梗死 中青年患者 自我管理 问卷编制 德尔菲法 信度 效度 

分 类 号：R473.5[医药卫生—护理学]