干眼患者自我管理量表的构建及信效度检验  

Construction,reliability and validity of a scale for self-management of patients with dry eye

作　　者：刘雪娇 刘淑贤[1] 李海英[1] 周丽娟[1] 朱蕾[1] 赵梦楠 马张芳[1] 张宛侠[1] Liu Xuejiao;Liu Shuxian;Li Haiying;Zhou Lijuan;Zhu Lei;Zhao Mengnan;Ma Zhangfang;Zhang Wanxia(Department of Ophthalmology,Capital Medical University of Beijing Tongren Hospital,Beijing 100005,China)

机构地区：[1]首都医科大学附属北京同仁医院眼科,北京100005

出　　处：《中国实用护理杂志》2024年第33期2603-2611,共9页Chinese Journal of Practical Nursing

基　　金：中华医学会杂志社2021—2022年护理学科研究课题(CMAPH-NRI2021021);北京同仁医院院内护理研究专项基金(2018-YJJ-HLL-004、2018-YJJ-HLL-020)。

摘　　要：目的构建干眼患者自我管理量表,并检验其信效度,为患者建立干眼相关健康行为提供帮助。方法以知信行理论为框架,在文献检索和质性访谈的基础上构建干眼患者自我管理量表初稿,通过专家函询和专家论证进行修订。预调查后,采用便利抽样法选取2023年8月至2024年1月首都医科大学附属北京同仁医院干眼护理门诊就诊的211例干眼患者进行问卷调查,检验量表的信效度。结果211例干眼患者中,男58例,女153例,年龄(39.31±12.81)岁。干眼患者自我管理量表包括知识、态度、行为3个维度,共27个条目;2轮专家函询的权威系数均为0.86,Kendall协调系数从0.175提高到0.223(均P<0.01);3个维度的累计方差贡献率分别为41.843%、54.219%、44.273%;量表的Cronbachα系数为0.787,Spearman-Brown折半系数为0.641。结论干眼患者自我管理量表具有较好的信效度,可用于干眼患者的评估,为针对性的指导和干预提供参考依据。Objective To construct and test the reliability and validity of an assessment scale for self-management of patients with dry eye,so as to help patients establish dry eye related health behaviors.Methods Based on the knowledge attitude and practice theory,the initial scale was constructed on the basis of literature review and qualitative interview,and revised through Delphi expert consultation and expert argumentation.After the preliminary investigation,211 dry eye patients treated in the dry eye nursing outpatient department of Beijing Tongren Hospital from August 2023 to January 2024 were selected by convenience sampling method for questionnaire investigation to test the reliability and validity of the scale.Results Among 211 dry eye patients,there were 58 males and 153 females,aged(39.31±12.81)years old.The scale of self-management of patients with dry eye included 27 items in 3 dimensions:knowledge,attitude and behavior.The authority coefficient of the two rounds of expert consultation was 0.86,and the Kendall coordination index increased from 0.175 to 0.223(both P<0.01).The cumulative variance contribution rates of the three dimensions were 41.843%,54.219%and 44.273%,respectively.The Cronbachαcoefficient of the scale was 0.787,and the Spearman-Brown coefficient was 0.641.Conclusions The scale of self-management of patients with dry eye has good reliability and validity and can be used in the assessment of dry eye patients to provide a reference basis for targeted guidance and intervention.

关 键 词：干眼综合征 自我管理 知信行 信度 效度 

分 类 号：R473.77[医药卫生—护理学]