高血压病人运动自我效能量表的编制  

Development of the exercise self⁃efficacy scale for patients with hypertension

作　　者：郑丽维[1] 方晓鸿 饶玉莲 林春霞 汪永杰 ZHENG Liwei;FANG Xiaohong;RAO Yulian;LIN Chunxia;WANG Yongjie(School of Nursing,Fujian University of Traditional Chinese Medicine,Fujian 350122 China)

机构地区：[1]福建中医药大学护理学院,福建350122 [2]厦门医学院附属第二医院 [3]中国人民解放军陆军第七十三集团军医院

出　　处：《护理研究》2024年第16期2835-2841,共7页Chinese Nursing Research

基　　金：2022年福建中医药大学护理学科开放课题,编号:XHL2022007。

摘　　要：目的:编制高血压病人运动自我效能量表并检验其信效度。方法:以自我效能理论和社会认知理论为指导,通过文献分析、专家函询形成初期量表。采用方便抽样法选取137例高血压病人进行预调查,根据病人的意见反馈和数据分析结果,完成量表的条目筛选和语言调试。选取572例高血压病人进行正式调查,检验量表的信效度。结果:最终形成的高血压病人运动自我效能量表包括2个1级指标、5个2级指标及34个三级指标。条目水平的内容效度指数为0.818~1.000,全体一致量表水平的内容效度指数为0.875,平均量表水平的内容效度指数为0.990。探索性因子分析提取了5个公因子,累计方差贡献率为62.173%。验证性因子分析提示模型拟合良好。总量表的Cronbach'sα系数为0.942,折半信度为0.957,重测信度为0.888。结论:高血压病人运动自我效能量表具有良好的信度和效度,可作为高血压病人运动自我效能的测评工具。Objective:To develop the exercise self-efficacy scale for patients with hypertension,and to test its reliability and validity.Methods:Guided by self-efficacy theory and social cognition theory,the initial scale was formed through literature analysis and expert correspondence.The convenience sampling method was used to select 137 patients with hypertension for pre-investigation.According to the patients'feedback and data analysis results,the items of the scale were screened and the language was adjusted.A total of 572 patients with hypertension were investigated to test the reliability and validity of the scale.Results:The finalized exercise self-efficacy scale for patients with hypertension included two first-level items,five second-level items and 34 third-level items.The item-level content validity index(I-CVI)ranged from 0.818 to 1.000.The universal agreement scale-level content validity index(S-CVI/UA)was 0.875,and the average scale-level content validity index(S-CVI/Ave)was 0.990.Exploratory factor analysis extracted 5 common factors,and the cumulative contribution rate of variance was 62.173%.The results of confirmatory factor analysis showed that the fitting effect was good.The Cronbach's alpha coefficient of the total scale was 0.942,the split-half reliability was 0.957,and the test-retest reliability was 0.888.Conclusions:The exercise self-efficacy scale for patients with hypertension has good reliability and validity,and it can be used as an assessment tool for exercise self-efficacy in patients with hypertension.

关 键 词：高血压 运动自我效能 量表 信度 效度 

分 类 号：R473.5[医药卫生—护理学]