肝硬化患者上消化道出血复发风险感知测评量表的编制  

Development of a scale to measure the perceived risk of recurrence of upper gastrointestinal bleeding in patients with liver cirrhosis

作　　者：朱新颖 于文轩 钟延美[2] 战同霞 Zhu Xinying;Yu Wenxuan;Zhong Yanmei;Zhan Tongxia(School of Nursing,Shandong Second Medical University,Weifang 261053,China)

机构地区：[1]山东第二医科大学护理学院,山东潍坊261053 [2]潍坊市人民医院消化内科

出　　处：《护理学杂志》2025年第4期41-45,共5页Journal of Nursing Science

基　　金：潍坊市科技发展计划(软科学)项目(2023RKX015)。

摘　　要：目的编制肝硬化患者上消化道出血复发风险感知测评量表,为医护人员评估肝硬化患者复发风险感知能力和构建针对性风险管理计划提供依据。方法以风险感知态度框架和健康信念模型为理论基础,结合文献检索、质性访谈、专家函询和预调查构建肝硬化患者上消化道出血复发风险感知测评量表。调查466例肝硬化上消化道出血患者进行信效度检验。结果探索性因子分析共提取3个公因子,累计方差贡献率为68.914%。验证性因子分析χ^(2)/df=1.551,RMSEA=0.049,NFI=0.907,IFI=0.965,CFI=0.965。量表内容效度指数为0.902;量表总的Cronbach′s α系数为0.957。结论肝硬化患者上消化道出血复发风险感知测评量表具有良好的信效度,可用于评估肝硬化患者上消化道出血复发风险感知能力。Objective To develop a recurrence risk perception scale for cirrhotic patients with upper gastrointestinal bleeding,to provide a basis for healthcare professionals to assess the recurrence risk perception of cirrhotic patients and to construct targeted risk management plans.Methods The Risk Perception Attitude Framework and Health Belief Model were used as the theoretical basis to construct the recurrence risk perception scale for cirrhotic patients with upper gastrointestinal bleeding by combining literature search,qualitative interview,Delphi expert inquiry and pre-survey.Reliability test was conducted by investigating 466 cirrhotic patients with upper gastrointestinal bleeding.Results Exploratory factor analysis extracted 3 common factors with a cumulative variance contribution rate of 68.914%.The results of validated factor analysis showed thatχ^(2)/df=1.551,RMSEA=0.049,NFI=0.907,IFI=0.965,and CFI=0.965.The content validity index of the scale was 0.902;the total Cronbach′s alpha coefficient of the scale was 0.957.Conclusion The Perceived Risk of Recurrence of Upper Gastrointestinal Bleeding in Cirrhotic Patients scale has good reliability and validity,and can be used to assess the perceived risk of recurrence of upper gastrointestinal bleeding in cirrhotic patients.

关 键 词：肝硬化 上消化道出血 复发 风险感知 量表 信度 效度 健康信念模型 

分 类 号：R473.5[医药卫生—护理学] R575.2[医药卫生—临床医学]