8至18岁儿童癫痫家庭用药自我管理量表构建及信效度检验  

Construction and reliability and validity test of self-management scale for epilepsy medication in children

作　　者：杨春松[1,2] 杨亚亚[1,2] 俞丹 张伶俐 YANG Chunsong;YANG Yaya;YU Dan;ZHANG Lingli(Department of Pharmacy/Evidence-based Pharmacy Center,West China Second Hospital,Sichuan University,Chengdu 610041,China;Key Laboratory of Birth Defects and Related Diseases of Women and Children,Sichuan University,Ministry of Education,Chengdu 610041,China;Department of pediatrics,West China Second Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西第二医院药学部/循证药学中心,成都610041 [2]四川大学出生缺陷与相关妇儿疾病教育部重点实验室,成都610041 [3]四川大学华西第二医院儿科,成都610041

出　　处：《癫痫杂志》2024年第1期26-31,共6页Journal of Epilepsy

基　　金：国家自然科学基金青年科学基金(72004151);四川省自然科学基金(2022NSFSC0644)。

摘　　要：目的开发儿童癫痫家庭用药自我管理评估量表,并对其进行信效度检验。方法成立研究小组,通过文献回顾和小组讨论及预调查对条目进行修订,并纳入280例儿童癫痫患者,开展调查,进行量表信效度检验。结果开发形成量表4个维度28个条目,即疾病和用药知识和信念、用药和就诊依从性、用药自我效能和用药的障碍。验证性因子分析共提取了4个特征根大于1的公因子,累计方差解释率为65.639%。所有条目的因子载荷均>0.5。总体α系数为0.880,7个测量维度内的α系数均大于0.8。结论儿童癫痫家庭用药自我管理评估量表信效度良好,能为儿童癫痫疾病用药管理提供测量工具。Objective We aimed to develop a self-management assessment scale for children with epilepsy and test its reliability and validity.Methods A research group was established,and the items were revised through literature review,group discussion and pre-investigation,and 280 patients with epilepsy in children were included,and the reliability and validity of the scale were tested.Results 28 items in 4 dimensions were developed to form the scale,namely,knowledge and belief of diseases and medication,compliance of medication and treatment,self-efficacy of medication and obstacles of medication.Confirmatory factor analysis extracted four common factors with characteristic roots greater than 1,and the cumulative variance explanation rate was 65.639%.The factor load of all items is>0.5.The overall Cronbach’s alpha is 0.880,and the coefficients in seven measurement dimensions are all greater than 0.8.Conclusion The self-management assessment scale for children’s epilepsy drugs has good reliability and validity,and can provide a measuring tool for the drug management of children’s epilepsy diseases.

关 键 词：儿童癫痫 用药自我管理 量表开发 信度 效度 

分 类 号：R742.1[医药卫生—神经病学与精神病学]