中青年冠心病患者健康素养量表的编制及信效度检验  

Reliability and validity testing of health literacy scale for young and middle-aged7patients with coronary heart disease

作　　者：贾媛 王玉君[1] 高新星[1] 崔峥嵘[1] 郑碧锦 赵金霞[1] 洪菲菲[2] 樊现岗[3] 郭建星 JIA Yuan;WANG Yujun;GAO XinXing;CUI Zhengrong;ZHENG Bijin;ZHAO Jinxia;HONG Feifei;FAN Xiangang;GUO Jianxing(The Second Hospital of Tianjin Medical University,Tianjin 300211;School of Nursing,Tianjin University of Traditional Chinese Medicine;The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine;Changzhi People′s Hospital)

机构地区：[1]天津医科大学第二医院,天津300211 [2]天津中医药大学护理学院 [3]天津中医药大学第一附属医院 [4]长治市人民医院

出　　处：《天津护理》2024年第2期132-137,共6页Tianjin Journal of Nursing

基　　金：天津医科大学第二医院青年科研基金项目(2021ydey11)。

摘　　要：目的:编制中青年冠心病患者健康素养量表并检验其信效度,为医护人员对该群体的健康教育及管理提供参考。方法:基于Paasche-Orlow和Wolf健康素养模式和知识-态度-行为(KAP)理论,通过文献回顾、半结构式访谈、2轮专家咨询及预调查后形成初始量表;2022年9月至2023年1月便利选取204例中青年冠心病患者进行调查,对量表进行项目分析及信效度检验。结果:中青年冠心病患者健康素养量表包含3个维度,18个条目,条目水平内容效度指数为0.8~1.0,量表水平内容效度指数为0.952;共提取出资源获取与利用、医患沟通、自我护理3个公因子,各因子的条目载荷均>0.4,累计方差贡献率为69.001%;量表的Cronbach′s α系数为0.933,各维度的Cronbach′s α系数分别为0.919,0.865,0.920。结论:中青年冠心病患者健康素养量表具有良好的信效度,可用于评估中青年冠心病患者健康素养水平。Objective:To develop a health literacy scale for young and middle-aged patients with coronary heart disease and test its reliability and validity,so as to provide reference for health education and management of the group by medical staff.Methods:Based on the Paasche-Orlow and Wolf health literacy model and KAP theory,the initial scale was formed after literature review,semi-structured interview,two rounds of expert consultation and pre-experiment.A total of 204 young and middle-aged patients with coronary heart disease were conveniently selected for investigation,and item analysis and reliability and validity test of the scale were conducted from September 2022 to January 2023.Results:The health literacy scale for young and middle-aged patients with coronary heart disease contained 3 dimensions and 18 items.The content validity index of the items ranges from 0.8 to 1.0,and the content validity index of the scale was 0.952.Three common factors including resource acquisition and utilization,doctor-patient communication and self-care were extracted.The item load of each factor was>0.4,the cumulative variance contribution rate was 69.001%.The Cronbach′sαcoefficient of the scale was 0.933,Cronbach′sαcoefficient of each dimension was 0.919,0.865 and 0.920.Conclusion:The health literacy scale for young and middle-aged patients with coronary heart disease is scientific and practical,which can be used as a tool for medical staff to evaluate health literacy for young and middle-aged patients with coronary heart disease,and can provide a basis for evaluating the health literacy level of young and middle-aged patients with coronary heart disease.

关 键 词：中青年 冠心病 健康素养 量表编制 

分 类 号：R473.54[医药卫生—护理学]