患病人群自我调节能力量表的编制及信度效度检验  

Development and validity of the Patient Self-regulation Ability Scale

作　　者：李聪 王志新 于洪霞 路潜[3] 周文华 庞冬[3] LI Cong;WANG Zhixin;YU Hongxia;LU Qian;ZHOU Wenhua;PANG Dong(Surgical Outpatient Clinics,Peking Union Medical College Hospital,Beijing,100730,China)

机构地区：[1]中国医学科学院北京协和医院外科门诊,北京市100730 [2]中国医学科学院北京协和医院门诊部,北京市100730 [3]北京大学护理学院

出　　处：《中国护理管理》2025年第1期42-47,共6页Chinese Nursing Management

摘　　要：目的:编制患病人群自我调节能力量表并验证其在直肠癌保肛术后患者中的信度、效度,为医护人员测量患病人群自我调节能力提供评估工具。方法:基于健康行为改变整合理论中自我调节的定义,结合文献分析、专家咨询、预调查及课题组讨论形成患病人群自我调节能力量表。采用方便取样法,于2022年8月至2023年3月选取在北京市2家三级甲等医院肛肠外科接受了直肠癌保肛手术的354例患者作为研究对象,对量表进行信度、效度检验。结果:患病人群自我调节能力量表包含3个维度,17个条目。量表水平的内容效度指数和条目水平的内容效度指数均为1.00。探索性因子分析提取了3个公因子,累计方差贡献率为75.06%。验证性因子分析结果显示,量表结构模型指标均符合拟合标准。量表的效标效度为0.580(P<0.05)。量表总的Cronbach’sα系数为0.951,重测信度为0.958。结论:患病人群自我调节能力量表具有较好的信度、效度,可作为评价患病人群自我调节能力的有效工具。Objective:To develop a Patient Self-regulation Ability Scale and to test its reliability and validity in patients with rectal cancer after sphincter-preserving surgery,so as to provide an evaluation tool for medical staff to measure the self-regulation ability of patients.Methods:Based on the definition of self-regulation described in the Integrated Theory of Health Behavior Change,combining literature analysis,expert consultations,pre-survey results,and group discussions,the Patient Self-regulation Ability Scale was developed.From August 2022 to March 2023,a total of 354 patients with rectal cancer undergoing sphincter-preserving surgery in the department of rectal surgery of two tertiary grade A hospitals in Beijing were selected by convenient sampling method to test the reliability and validity of the scale.Results:The Patient Self-regulation Ability Scale were with 17 items and 3 dimensions.The content validity index of the scale and item were both 1.00.Three common factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 75.06%.Confirmatory factor analysis results showed that the fitting index of the scale structure model was good.Criterion validity was 0.580(P<0.05).The overall Cronbach's α coefficient of the scale was 0.951 and the test-retest reliability was 0.958.Conclusion:The Patient Self-regulation Ability Scale has good reliability and validity,which is suitable to evaluate the self-regulation ability of patients.

关 键 词：患病人群自我调节能力 量表编制 信度 效度 健康行为改变整合理论 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]