孕妇静脉血栓栓塞风险感知与健康行为决策评估量表的编制  

Development of an Assessment Scale of Venous Thromboembolism Risk Perception and Health Behavior Decision for Pregnant Women

作　　者：刘皓昕 黄丽丽[2] 胡蕾 崔晓花[1] 周满[3] 张盼盼[1] 田莹莹 Liu Haoxin;Huang Lili;Hu Lei;Cui Xiaohua;Zhou Man;Zhang Panpan;Tian Yingying(Department of Anesthesiology,Women′s Hospital of Nanjing Medical University/Nanjing Women and Children′s Healthcare Hospital,Nanjing 210004,China)

机构地区：[1]南京医科大学附属妇产医院(南京市妇幼保健院)麻醉科,江苏南京210004 [2]南京医科大学附属妇产医院(南京市妇幼保健院)健康体检中心,江苏南京210004 [3]南京医科大学附属妇产医院(南京市妇幼保健院)急诊医学科,江苏南京210004 [4]南京医科大学附属妇产医院(南京市妇幼保健院)综合诊疗部,江苏南京210004

出　　处：《护理学杂志》2025年第4期25-30,共6页Journal of Nursing Science

摘　　要：目的编制孕妇静脉血栓栓塞风险感知与健康行为决策评估量表并检验其信效度,为准确评估孕妇静脉血栓栓塞风险感知与健康行为水平,开展健康行为干预提供参考。方法通过文献回顾、半结构式访谈初步构建量表条目池,经2轮专家函询形成初始量表,通过预调查对条目表述进行调整,形成测试版量表。采用便利抽样法,选取663名孕妇进行问卷调查,检验量表信效度。结果孕妇静脉血栓栓塞风险感知与行为决策评估量表包括6个维度,53个条目。探索性因子分析提取6个公因子,累计方差贡献率为81.618%;验证性因子分析显示,χ^(2)/df=2.846、RMR=0.022、RMSEA=0.075、TLI=0.912、CFI=0.921、IFI=0.921。总量表的Cronbach′sα系数为0.987,折半信度为0.889,2周后的重测信度为0.906;量表水平的内容效度指数为0.993,条目水平的内容效度指数为0.900~1.000。结论孕妇静脉血栓栓塞风险感知与健康行为决策评估量表具有良好的信效度,可用于评估孕妇静脉血栓栓塞风险感知和健康行为水平。Objective To develop an Assessment Scale of Venous Thromboembolism Risk Perception and Health Behavior Decision for Pregnant Women,and test its reliability and validity,so as to provide reference for accurately assessing the level of pregnant women′s risk perception of venous thromboembolism and health behavior,as well as carrying out health behavior intervention.Methods The pool of scale items was initially constructed through a literature review and semi-structured interviews.The initial scale was formed after two rounds of expert consultation,and the expressions of items were adjusted through a pre-survey to form the test version of the scale.A convenience sampling method was adopted to select 663 pregnant women for a questionnaire survey to test the reliability and validity of the scale.Results The Assessment Scale of Venous Thromboembolism Risk Perception and Health Behavior Decision for Pregnant Women included 6 dimensions and 53 items.Exploratory factor analysis extracted 6 common factors,and the cumulative variance contribution rate was 81.618%.Confirmatory factor analysis showed that χ^(2)/df=2.846,RMR=0.022,RMSEA=0.075,TLI=0.912,CFI=0.921,IFI=0.921.The Cronbach′sαcoefficient of the total scale was 0.987,the split-half reliability was 0.889,and the test-retest reliability was 0.906.The S-CVI/Ave was 0.993,and the I-CVI was between 0.900 and 1.000.Conclusion The Assessment Scale of Venous Thromboembolism Risk Perception and Health Behavior Decision for Pregnant Women has good reliability and validity,and it can be used to evaluate the level of venous thromboembolism risk perception and health behavior of pregnant women.

关 键 词：孕妇 静脉血栓栓塞 风险感知 健康行为 行为决策 量表 效度 信度 

分 类 号：R473.71[医药卫生—护理学] R714.25[医药卫生—临床医学]