基于COM-B模型的围绝经期女性主动健康管理量表的编制  

Development of the Active Health Management Scale for Perimenopause Women Based on the Capability,Opportunity,and Motivation-Behaviour(COM-B)model

作　　者：王倩倩 郭晓琴[1] 牛旭蕾 Wang Qianqian;Guo Xiaoqin;Niu Xulei(School of Nursing,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学护理学院,山西太原030001

出　　处：《护理学杂志》2025年第7期35-39,共5页Journal of Nursing Science

摘　　要：目的编制围绝经期女性主动健康管理量表,并检验其信效度,为评估围绝经期女性主动健康管理水平提供有效工具。方法以COM-B模型为理论依据,通过文献回顾、定性研究及专家咨询形成初始量表;采用便利抽样法,选取468名女性对量表进行项目分析及信效度检验。结果围绝经期女性主动健康管理量表包含4个维度34个条目。探索性因子分析提取4个公因子,累计方差贡献率为63.040%;验证性因子分析显示模型总体拟合度良好(χ^(2)/df=1.359,RMSEA=0.039,CFI=0.959,IFI=0.956);量表水平的内容效度指数为0.966。量表Cronbach′sα系数为0.928,重测信度为0.883。结论编制的围绝经期女性主动健康管理量表信效度良好,可作为围绝经期女性主动健康管理水平的评估工具。Objective To develop the Active Health Management Scale for Perimenopausal Women,to test its reliability and validity,and to provide an effective tool for assessing the active health management level among this population.Methods Based on the Capability,Opportunity,and Motivation-Behaviour(COM-B)model,the initial scale was formed through a literature review,qualitative research,and expert consultation.A convenience sampling method was used to select 468 women to conduct item analysis and reliability and validity tests on the scale.Results The Active Health Management Scale for Perimenopausal Women consists of 34 items across four dimensions.Exploratory factor analysis extracted four common factors,with a cumulative variance contribution rate of 63.040%.Confirmatory factor analysis indicated good overall model fit(χ^(2)/df=1.359,RMSEA=0.039,CFI=0.959,IFI=0.956).The content validity index of the scale was 0.966.The Cronbach′sαcoefficient of the scale was 0.928,and the test-retest reliability was 0.883.Conclusion The Active Health Management Scale for Perimenopausal Women demonstrates good reliability and validity,making it a suitable tool for assessing the active health management level in this demographic.

关 键 词：围绝经期 更年期 绝经综合征 女性 健康管理 COM-B模型 主动健康 妇科护理 

分 类 号：R473.71[医药卫生—护理学]