糖尿病患者自我血糖监测障碍量表的编制及信效度检验  

Development,reliability and validity of the barriers to self-monitoring of blood glucose scale for diabetes patients

作　　者：彭薇 丁福[2] Peng Wei;Ding Fu(Department of Endocrinology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院内分泌内科,重庆400016 [2]重庆医科大学附属第一医院护理部,重庆400016

出　　处：《护理学杂志》2025年第8期40-45,共6页Journal of Nursing Science

摘　　要：目的编制糖尿病患者自我血糖监测障碍量表,并检验其信效度。方法以认知行为理论和社会支持理论为理论指导,采用文献回顾法、半结构式访谈法和专家函询法形成量表初稿;采用便利抽样法,选取重庆市617例2型糖尿病患者进行调查,检验量表信效度。结果糖尿病患者自我血糖监测障碍量表由认知、情绪、行为与支持3个维度组成,共23个条目。探索性因子分析提取特征值>1的公因子4个,累计方差贡献率为64.903%。验证性因子分析显示,3因子模型拟合结果可接受(χ^(2)/df=2.811,RMSEA=0.075,CFI=0.916,TLI=0.903,IFI=0.916,SRMR=0.068)。量表条目水平的内容效度指数(I-CVI)为0.833~1.000,平均CVI(S-CVI/Ave)为0.956。总量表的Cronbach′sα系数0.885,折半信度0.946。结论糖尿病患者自我血糖监测障碍量表具有良好的信效度,可用于评估糖尿病患者自我血糖监测的障碍因素。Objective To develop a scale assessing barriers to self-monitoring of blood glucose for diabetes patients and to test its reliability and validity.Methods Based on the cognitive-emotional-behavioral theory and social support theory,draft of the scale was formed using literature review,semi-structured interviews,and expert consultation.A convenience sampling method was employed to select 617 type 2 diabetes patients in Chongqing for the survey to test the reliability and validity of the scale.Results The barriers to self-monitoring of blood glucose scale for diabetes patients consists of three dimensions named as cognition,emotion,behavior and support,with a total of 23 items.Exploratory factor analysis yielded four common factors with eigenvalue greater than 1 that accounted for 64.903%of variance.Confirmatory factor analysis showed the three-factor model had a good fit with the latent constructs(χ^(2)/df=2.811,RMSEA=0.075,CFI=0.916,TLI=0.903,IFI=0.916,and SRMR=0.068).The item-level content validity index(I-CVI)ranged from 0.833 to 1.000,and the scale-level content validity index(S-CVI/Ave)was 0.956.The overall Cronbach′s alpha coefficient was 0.885,and the split-half reliability was 0.946.Conclusion The barriers to self-monitoring of blood glucose scale for diabetes patients is reliable and valid to assess the obstacles to self-monitoring of blood glucose in diabetes patients.

关 键 词：糖尿病 自我血糖监测 血糖管理 障碍 自我管理 认知行为理论 社会支持 量表研制 

分 类 号：R473.5[医药卫生—护理学] R587.1[医药卫生—临床医学]