心房颤动患者导管消融术后复发恐惧量表编制与信效度检验  

Development and reliability and validity tests of the Recurrence Fear Scale for Patients with Atrial Fibrillation after Catheter Ablation

作　　者：卢晓虹[1] 王纪哲 郎晗旭 史少婷 韩静[1] 王晓杰[2] 王茂敬[1] 张栩[3] 魏丽丽[4] Lu Xiaohong;Wang Jizhe;Lang Hanxu;Shi Shaoting;Han Jing;Wang Xiaojie;Wang Maojing;Zhang Xu;Wei Lili(Department of Cardiovascular Medicine,Affiliated Hospital of Qingdao University,Qingdao 266000,China;School of Nursing,Qingdao University,Qingdao 266000,China;Department of Psychology,Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Nursing,Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院心血管内科,青岛266000 [2]青岛大学护理学院,青岛266000 [3]青岛大学附属医院心理科,青岛266000 [4]青岛大学附属医院护理部,青岛266000

出　　处：《中华现代护理杂志》2025年第2期192-197,共6页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2022—2023年护理学科研究课题(CMAPH-NRP2022013);2023年度青岛大学附属医院青年科研基金(QDFYQN2023208)。

摘　　要：目的编制心房颤动患者导管消融术后复发恐惧量表并进行信效度检验。方法以自我调节常识模型为理论框架,通过文献回顾和半结构式访谈构建量表条目池,经专家函询和预调查形成量表初稿。采用便利抽样法,于2024年1—3月选取青岛大学附属医院心血管内科病房住院及门诊复查的361例导管消融术后心房颤动患者为研究对象进行问卷调查,对量表进行项目分析和信效度检验。结果探索性因子分析共提取5个公因子,累计方差贡献率为74.375%;验证性因子分析结果证明模型拟合良好。最终量表共包括触发因素、复发风险感知、疾病不确定感、心理负担与应对策略5个维度,24个条目。量表水平的内容效度指数为0.864,条目水平的内容效度指数为0.684~0.947。量表的Cronbach'sα系数为0.919,折半信度系数为0.834,重测信度系数为0.872。结论心房颤动患者导管消融术后复发恐惧量表编制过程科学、规范,且量表具有良好的信效度,可有效评估心房颤动患者导管消融术后复发恐惧水平。ObjectiveTo develop a Recurrence Fear Scale for Patients with Atrial Fibrillation after Catheter Ablation and conduct psychometric testing for its reliability and validity.MethodsBased on the common-sense model of self-regulation,the scale was developed through a literature review and semi-structured interviews to construct an item pool.The scale draft was formed through expert consultation and a pre-survey.Using convenience sampling,361 patients with atrial fibrillation who had undergone catheter ablation and were either hospitalized or attending outpatient follow-up at the Department of Cardiology,Affiliated Hospital of Qingdao University,between January and March 2024,were selected for questionnaire survey.Item analysis and reliability and validity tests were performed on the scale.ResultsExploratory factor analysis identified five common factors,with a cumulative variance contribution rate of 74.375%.Confirmatory factor analysis showed good model fit.The final scale included five dimensions and 24 items:trigger factors,recurrence risk perception,disease uncertainty,psychological burden,and coping strategies.The content validity index at the scale level was 0.864,and the item-level content validity index ranged from 0.684 to 0.947.The Cronbach'sαcoefficient of the scale was 0.919,the split-half reliability coefficient was 0.834,and the test-retest reliability coefficient was 0.872.ConclusionsThe development of the Recurrence Fear Scale for Patients with Atrial Fibrillation after Catheter Ablation is scientific and standardized,and the scale has good reliability and validity.It can effectively assess the level of recurrence fear in these patients.

关 键 词：心房颤动 导管消融术 复发恐惧 信度 效度 

分 类 号：R473.5[医药卫生—护理学]