血液透析患者透析期间饮食管理知信行量表的编制及信效度检验  

Development and validation of a Knowledge-Attitude-Practice Scale for Dietary Management During Hemodialysis

作　　者：吴桃峰 蒋莹莹 严红云 陈静芳 胡兰芳 柏艳 张莉莉 许贤荣[5] 沈星星 范建桢[7] 孙翠玲 方晓兰 Wu Taofeng;Jiang Yingying;Yan Hongyun;Chen Jingfang;Hu Lanfang;Bai Yan;Zhang Lili;Xu Xianrong;Shen Xingxing;Fan Jianzhen;Sun Cuiling;Fang Xiaolan(Hemodialysis Center/Internal Medicine,The Affiliated Suzhou Hospital of Nanjing Medical University(Suzhou Municipal Hospital),Suzhou 215000,China;Hemodialysis Center,Suzhou Hospital of Integrated Traditional Chinese and Western Medicine,Suzhou 215000,China;Hemodialysis Center,Suzhou Industrial Park Xinghu Hospital,Suzhou 215000,China;Hemodialysis Center,Suzhou Jinting District People's Hospital,Suzhou 215000,China;Hemodialysis Center,Jiangsu Provincial Hospital,Nanjing 210000,China;Department of Internal Medicine,Suzhou Vocational Health College,Suzhou 215000,China;Hemodialysis Center,Wuxi People's Hospital,Wuxi 214000,China;Hemodialysis Center,The Second People's Hospital of Hefei,Hefei 230000,China)

机构地区：[1]南京医科大学附属苏州医院(苏州市立医院)血液净化中心/内科,苏州215000 [2]苏州市中西医结合医院血液净化中心,苏州215000 [3]苏州市工业园区星湖医院血液净化中心,苏州215000 [4]苏州市金庭人民医院血液净化中心,苏州215000 [5]江苏省人民医院血液净化中心,南京210000 [6]苏州卫生职业技术学院内科护理教研室,苏州215000 [7]无锡市人民医院血液净化中心,无锡214000 [8]合肥市第二人民医院血液净化中心,合肥230000

出　　处：《中华现代护理杂志》2025年第7期846-852,共7页Chinese Journal of Modern Nursing

基　　金：苏州市卫生健康委员会2023年度“科教兴卫”青年科技项目(KJXW2023038)。

摘　　要：目的编制血液透析患者透析期间饮食管理知信行量表,并进行信效度检验。方法以知信行理论为研究框架,通过文献分析和专家函询形成血液透析患者透析期间饮食管理知信行量表初版。采用便利抽样法,于2024年3月选取苏州市4所医院血液透析中心的血液透析患者进行调查,对问卷进行项目分析和信效度检验。结果共发放问卷460份,回收有效问卷438份,问卷有效回收率为95.22%。最终形成的血液透析患者透析期间饮食管理知信行量表包括知识、信念、行为3个维度,共34个条目。经检验,量表水平的内容效度指数为0.910,条目水平内容效度指数为0.800~1.000。探索性因子分析显示,共提取3个公因子,累计方差贡献率为74.520%;验证性因子分析显示模型拟合良好。量表总的Cronbach'sα系数为0.971,各维度的Cronbach'sα系数为0.963、0.933、0.934;重测信度系数为0.839。结论血液透析患者透析期间饮食管理知信行量表具有良好的信效度,可用于评估血液透析患者透析期间饮食管理知信行水平。Objective To develop a Knowledge-Attitude-Practice(KAP)Scale for Dietary Management During Hemodialysis and to test its reliability and validity.Methods Based on the KAP theoretical framework,an initial version of the scale was developed through a literature review and expert consultations.A convenience sampling method was used to recruit hemodialysis patients from four hospitals in Suzhou in March 2024.Questionnaire item analysis and reliability and validity tests were conducted.Results A total of 460 questionnaires were distributed and 438 valid responses were collected,with an effective response rate of 95.22%.The final scale included three dimensions(knowledge,attitude,and practice)with 34 items.Content validity at the scale level was 0.910,and the item level ranged from 0.800 to 1.000.Exploratory factor analysis extracted three common factors,with a cumulative variance contribution rate of 74.520%.Confirmatory factor analysis showed a good model fit.The total Cronbach'sαcoefficient of the scale was 0.971,and the Cronbach'sαcoefficients for the three dimensions were 0.963,0.933,and 0.934,respectively.The test-retest reliability coefficient was 0.839.Conclusions The Knowledge-Attitude-Practice Scale for Dietary Management During Hemodialysis demonstrates good reliability and validity,making it a valuable tool for assessing the KAP level of dietary management in hemodialysis patients.

关 键 词：血液透析 饮食 知信行 信度 效度 量表编制 

分 类 号：R47[医药卫生—护理学]