血液透析患者控磷行为健康信念问卷的编制及信度效度检验  

Development and validation of health belief questionnaire for phosphorus control behaviors in hemodialysis patients

作　　者：高漫漫 牛彦伟 朱金荣[1] 冯春燕 苏春燕[1] GAO Manman;NIU Yanwei;ZHU Jinrong;FENG Chunyan;SU Chunyan(Nephrology Department,Peking University Third Hospital,Beijing,100191,China)

机构地区：[1]北京大学第三医院肾内科,北京市100191

出　　处：《中国护理管理》2024年第2期213-217,共5页Chinese Nursing Management

基　　金：北京大学第三医院护理科研基金课题(BYSYHL2021001)。

摘　　要：目的:编制适用于血液透析患者的控磷行为健康信念问卷并进行信度、效度检验,以期为临床护士评估血透患者的控磷行为健康信念提供可靠工具。方法:依据健康信念模型理论,通过文献回顾及专家焦点访谈,初步形成问卷条目池;应用德尔菲法进行2轮专家函询,根据专家意见调整问卷内容,形成初稿。采用问卷初稿对某医院308例血透患者进行调查,进行项目分析、信度检验、效度检验和探索性因子分析;选取20例患者在一周后进行重测,检验重测信度。结果:2轮函询问卷回收率均为100%,专家权威程度为0.905。2轮肯德尔协调系数分别为0.228和0.352(P<0.05)。正式版血液透析患者控磷行为健康信念问卷共包括26个条目,探索性因子分析共产生3个公因子,累计方差贡献率为71.294%。问卷内容效度指数为0.852,条目内容效度指数在0.8~1.0之间。总问卷Cronbach’sα系数为0.911,重测信度为0.866。结论:编制的血透患者控磷行为健康信念问卷具有良好的信度、效度,适用于血透患者控磷行为健康信念的评估。Objective:To develop a questionnaire on the health belief for blood phosphorus control behaviors in hemodialysis patients and to test its reliability and validity.Methods:According to the Health Belief Model,through literature review and focus interviews with experts,a preliminary item pool was formed.Delphi method was applied to conduct two rounds of expert consultation.The contents of the questionnaire were adjusted according to the opinions of experts.The preliminary questionnaire was used to investigate 308 hemodialysis patients.Item analysis,reliability test,validity test and exploratory factor analysis were carried out.Twenty patients were selected to retest reliability one week later.Results:The response rate of the two rounds'consultation was 100%,Cr was 0.905.The Kendall coordination coefficient were 0.228,0.352 respectively(P<0.05).The final version of the phosphorus control health belief questionnaire for hemodialysis patients included 26 items,and the exploratory factor analysis produced 3 factors,with a cumulative variance contribution rate of 71.294%.The I-CVI of the questionnaire ranged from 0.8 to 1.0,S-CVI was 0.852.The coefficient of Cronbach'sαof the total questionnaire was 0.911,and the retest reliability was 0.866.Conclusion:The questionnaire has good reliability and validity,and is suitable for evaluating health belief of blood phosphorus control behavior in hemodialysis patients.

关 键 词：血液透析 血磷控制 健康信念模型 信度 效度 问卷 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]