以质量求发展,以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (8): 1-5.doi: 10.16460/j.issn1008-9969.2020.08.001

• 研究生园地 •    下一篇

脑卒中高危人群保护动机问卷的编制及信效度检验

邓丽萍1, 谢小华2, 王亚萍2, 杨洁1, 潘璐2, 马家惠1, 肖静怡3, 熊小云3   

  1. 1.安徽医科大学 深圳二院临床学院,广东 深圳 518035;
    2.深圳市第二人民医院 深圳大学第一附属医院,广东 深圳 518035;
    3.广州医科大学 护理学院,广东 广州,510000
  • 收稿日期:2019-09-19 出版日期:2020-04-25 发布日期:2020-07-14
  • 通讯作者: 谢小华(1964-),女,广西合浦人,硕士,主任护师,硕士研究生导师。E-mail:13560779836@163.com
  • 作者简介:邓丽萍(1995-),女,安徽淮南人,本科学历,硕士研究生在读。
  • 基金资助:
    广东省科技厅资助项目(2017A020215121); 广东省卫生经济学会(2017-WJ02-08); 广东省护理学会资助项目(gdhlxueh2019zl048); 深圳市科创委资助项目(JCYJ20180228163026995)

Development of Protection Motivation Questionnaire for High Risk Population of Stroke and Its Reliability and Validity

DENG Li-ping1, XIE Xiao-hua2, WANG Ya-ping2, YANG Jie1, PAN Lu2, MA Jia-hui1, XIAO Jing-yi3, XIONG Xiao-yun3   

  1. 1. Anhui Medical University, Clinical College of the Second Shenzhen Hospital, Shenzhen 518035, China;
    2. The Second People's Hospital of Shenzhen, the First Affiliated Hospital of Shenzhen University, Shenzhen 518035, China;
    3. School of Nursing, Guangzhou Medical University, Guangzhou 510000,China
  • Received:2019-09-19 Online:2020-04-25 Published:2020-07-14

摘要: 目的 编制脑卒中高危人群保护动机问卷,并检验其信效度。方法 以保护动机理论为指导,通过指南和文献回顾、德尔菲法专家咨询、预实验后形成正式施测问卷。采用方便采样法对304例脑卒中高危人群进行问卷调查,分析问卷信效度。结果 脑卒中高危人群保护动机问卷包括严重性、易感性、内外部奖励、反应效能、反应代价和自我效能6个维度,42个条目。各因子的累积方差贡献率分别为64.162%、47.559%、53.396%、63.531%、50.235%、49.636%。问卷内容效度指数为0.963,各条目内容效度指数为0.857~1。问卷的Cronbach α系数为0.872,各维度的Cronbach α系数为 0.779~0.874。问卷的折半信度为0.909,问卷的重测信度为0.810,各维度重测信度分别为0.718~0.885(P<0.01)。结论 脑卒中高危人群保护动机问卷具有良好的信效度,可用于解释和预测脑卒中高危人群健康行为的意图。

关键词: 脑卒中, 高危人群, 保护动机理论, 德尔菲法, 信度, 效度

Abstract: Objective To develop a protective motivation questionnaire for stroke high-risk population(PMQ-SHR) and to test its reliability and validity. Methods Guided by the protection motivation theory, the initial questionnaire was formed through guidelines and literature review, Delphi consulting, and pre-experiment. A total of 304 stroke high-risk patients by convenient sampling method were chosen to test its reliability and validity. Results There were 6 dimensions in the developed PMQ-SHR including severity, susceptibility, internal and external reward, response efficacy, response cost and self-efficacy, and 42 items. The cumulative variance contribution rate of the factors was 64.162%, 47.559%, 53.396%, 63.531%, 50.235%, and 49.636%, respectively. The content validity index of the questionnaire was 0.963, and that of the items ranged from 0.857 to 1. The Cronbach α coefficient was 0.872 for the questionnaire, and 0.779 to 0.874 for all the dimensions. The half-fold reliability of the questionnaire was 0.909; the test-retest reliability coefficient 0.810 for the questionnaire, and 0.718~0.885 for all the dimensions (P<0.01). Conclusion With good reliability and validity, the developed PMQ-SHR can be used to explain and predict the intention of healthy behavior of high-risk population of stroke.

Key words: stroke, high risk population, protective motivation theory, Delphi Technique, reliability, validity

中图分类号: 

  • R473
[1] 国家卫生和计划生育委员会脑卒中筛查与防治工程委员会. 卒中筛查与防治技术规范[J]. 中华神经科杂志, 2014, 47(3):199-203.DOI:10.3760/cma.j.issn.1006-7876.2014.03.014.
[2] 《中国脑卒中防治报告2018》编写组. 我国脑卒中防治仍面临巨大挑战——《中国脑卒中防治报告2018》概要[J]. 中国循环杂志, 2019, 34(2):105-119.DOI:10.3969/j.issn.1000-3614.2019.02.001.
[3] O'donnell MJ, Chin SL, Rangarajan S, et al.Global and Regional Effects of Potentially Modifiable Risk Factors Associated with Acute Stroke in 32 Countries (Interstroke): ACase-control Study[J]. Lancet, 2016, 388(10046):761-775.DOI:10.1016/s0140-6736(16)30506-2.
[4] Rogers RW.A Protection Motivation Theory of Fear Appeals and Attitude Change1[J]. J Psychol, 1975, 91(1):93-114.DOI:10.1080/00223980.1975.9915803.
[5] Gidlow CJ, Ellis NJ, Cowap L, et al.A Qualitative Study of Cardiovascular Disease Risk Communication in Nhs Health Check Using Different Risk Calculators: Protocol for the Risk Communication in Nhs Health Check (Rico) Study[J]. BMC Fam Pract, 2019, 20(1):11.DOI:10.1186/s12875-018-0897-0.
[6] Chambers RS, Rosenstock S, Lee A, et al.Exploring the Role of Sex and Sexual Experience in Predicting American Indian Adolescent Condom Use Intention Using Protection Motivation Theory[J]. Front Public Health, 2018, (6):318.DOI:10.3389/fpubh.2018.00318.
[7] Thrul J, Stemmler M, Buhler A, et al.Adolescents' Protection Motivation and Smoking Behaviour[J]. Health Educ Res, 2013, 28(4):683-691.DOI:10.1093/her/cyt062.
[8] Mirkarimi K, Eri M, Ghanbari MR, et al.Modifying Attitude and Intention Toward Regular Physical Activity Using Protection Motivation Theory: A Randomized Controlled Trial[J]. Eastern Mediterr Health J, 2017, 23(8):543-550.
[9] Chan CW, Choi KC, Wong RS, et al.Examining the Cervical Screening Behaviour of Women Aged 50 or above and Its Predicting Factors: A Population-based Survey[J].Int J Environ Res Public Health, 2016, 13(12):E1195. DOI:10.3390/ijerph13121195.
[10] 陈娟,谢继安,徐莲英,等. 保护动机干预模式对社区中老年高血压患者自我管理行为的影响[J]. 重庆医学, 2018, 47(27):3576-3579.DOI:10.3969/j.issn.1671-8348.2018.27.025.
[11] 陈洁,吴茜,程小霁. 对妊娠期糖尿病患者基于保护动机理论的护理干预[J]. 护理学杂志,2017, 32(6):25-27.DOI:10.3870/j.issn.1001-4152.2017.06.025.
[12] 朱晨茜,赵江丽,王春霞. 脑卒中护理咨询门诊的建立与思考[J]. 齐鲁护理杂志, 2016, 22(7):88-90.DOI:10.3969/j.issn.1006-7256.2016.07.046.
[13] 吴明隆. 问卷统计分析实务-SPSS操作与应用[M]. 重庆:重庆大学出版社, 2010:160-244.
[14] 麦舒敏. 基于DART模型患者价值共创行为量表研制及应用[D].广州:南方医科大学, 2019.
[15] Je M, Rogers RW.Protection Motivation and Self-efficacy: A Revised Theory of Fear Appeals and Attitude Change[J]. Health Psychology, 1983, 19(5):469-479.
[16] 钱湘云,何炜,耿桂灵,等.社区老年高血压保护动机模型建立与分析[J]. 中国老年学杂志, 2015, 35(17):4970-4973.DOI:10.3969/j.issn.1005-9202.2015.17.116.
[17] Xiao H, Peng M, Yan H, et al.An Instrument Based on Protection Motivation Theory to Predict Chinese Adolescents' Intention to Engage in Protective Behaviors Against Schistosomiasis[J]. Global Health Res and Policy, 2016, 1:15.DOI:10.1186/s41256-016-0015-6.
[18] Wang W, Jiang B, Sun H, et al.Prevalence, Incidence, and Mortality of Stroke in China: Results from a Nationwide Population-based Survey of 480 687 Adults[J]. Circulation,2017, 135(8):759-771.DOI:10.1161/circulationaha.116.025250.
[19] Chamroonsawasdi K, Chottanapund S, Tunyasitthisundhorn P, et al.Development and Validation of a Questionnaire to Assess Knowledge, Threat and Coping Appraisal, and Intention to Practice Healthy Behaviors Related to Non-Communicable Diseases in the Thai Population[J]. Behav Sci (Basel, Switzerland),2017,7(2):E20.DOI:10.3390/bs7020020.
[20] Goldstein LB, Bushnell CD, Adams RJ, et al.Guidelines for the Primary Prevention of Stroke[J]. Stroke, 2011, 42(2):517-584.DOI:10.1161/STR.0b013e3181fcb238.
[21] 杨莘. 中国脑卒中护理指导规范[M]. 国家卫生计生委脑卒中防治工程委员会, 2015:8-14.
[22] Ping W, Cao W, Tan H, et al.Health Protective Behavior Scale: Development and Psychometric Evaluation[J]. PloS one, 2018,13(1):e0190390.DOI:10.1371/journal.pone.0190390.
[23] 梅永霞. 脑卒中照顾者获益感概念框架及其评估工具的研究[D].郑州:郑州大学, 2018.
[24] 张凡,张静萍. 基于Delphi-AHP法多发伤患者ICU护理监测评估量表的构建[J]. 护理学报, 2019, 26(22):11-15.DOI:10.16460/j.issn1008-9969.2019.22.011.
[25] 李峥,刘宇. 护理学研究方法[M]. 北京:人民卫生出版社, 2018:251.
[26] Hickman RLJ, Pignatiello GA, Tahir S.Evaluation of the Decisional Fatigue Scale Among Surrogate Decision Makers of the Critically Ill[J]. West J Nurs Res, 2018, 40(2):191-208.DOI:10.1177/0193945917723828.
[27] 王妍,刘峰,田敏,等. 心内科护理安全管理评价量表的编制及信度效度检验[J]. 护理学报, 2019, 26(15):5-8.DOI:10.16460/j.issn1008-9969.2019.15.005.
[28] Koh YL, Lua YH, Hong L, et al.Using a Web-based Approach to Assess Test-retest Reliability of the "Hypertension Self-care Profile" Tool in an Asian Population[J]. Medicine (Baltimore), 2016, 95(9):e2955.DOI:10.1097/MD.0000000000002955.
[29] Dikken J, Hoogerduijn JG, Kruitwagen C, et al.Content Validity and Psychometric Characteristics of the "Knowledge about Older Patients Quiz" for Nurses Using Item Response Theory[J].J Am Geriatr Soc, 2016, 64(11):2378-2383.DOI:10.1111/jgs.14476.
[1] 郭林芳, 张培莉, 侯晓雅, 李滢, 曹敏, 高超越. 肝癌化疗患者线上线下结合营养干预方案的构建[J]. 护理学报, 2025, 32(4): 1-5.
[2] 张玺, 黄静, 汪天华, 李燕, 曹沅, 李明惠, 余立平. 发育障碍儿童养育心理韧性量表的汉化及信效度检验[J]. 护理学报, 2025, 32(4): 6-11.
[3] 田美雨, 王翠玲, 高若男, 田佳, 刘怡. 妇科肿瘤科护士性健康照护培训方案的构建[J]. 护理学报, 2025, 32(4): 18-23.
[4] 陈恩琳, 莫丰菱, 庄泽明, 张明哲, 周佳坤, 黄丽芳, 纪龙飞, 张莉芳. 脑卒中单侧空间忽略评估工具的范围综述[J]. 护理学报, 2025, 32(3): 43-49.
[5] 李珂, 贺雨琼, 李雨蔚, 常颖. 脑卒中患者跌倒恐惧干预研究的范围综述[J]. 护理学报, 2025, 32(1): 50-55.
[6] 全伊萍, 陈霞, 胡琼丹. 脑心健康管理师核心胜任力评价指标体系的构建[J]. 护理学报, 2024, 31(9): 5-9.
[7] 林丽华, 盖薇, 王语璇, 尹丽丽, 吕郑晗, 陶艳玲. 自我同情在脑卒中患者社会支持与病耻感的中介作用[J]. 护理学报, 2024, 31(9): 15-19.
[8] 李丁丁, 王帅有, 朱杉杉, 郭鑫, 张会敏, 王宏茹, 潘勤. 脑卒中患者支持性照护需求评估工具的范围综述[J]. 护理学报, 2024, 31(9): 48-53.
[9] 郑亚楠, 郭惠娟, 张振香, 蔡姝倩. 脑卒中半失能患者自我接纳的潜在剖面分析及影响因素研究[J]. 护理学报, 2024, 31(8): 1-6.
[10] 王冰冰, 马英芝, 孙小卫, 杨琴, 肖江琴. 中青年脑卒中患者与配偶二元应对潜在剖面分析及影响因素研究[J]. 护理学报, 2024, 31(8): 7-12.
[11] 陈芮, 王梅, 唐晓霞, 朱傲雪, 毛惠娜. 基于ERG理论的免疫检查点抑制剂治疗癌症患者护理需求方案的构建[J]. 护理学报, 2024, 31(7): 1-5.
[12] 丁心舒, 孙乐菲, 高伟, 鲁琦, 闫畅, 刘德山. 矛盾年龄歧视量表在社区老年人中的信效度检验[J]. 护理学报, 2024, 31(7): 12-16.
[13] 薛荣, 张开利, 陈保云, 马荣慧, 张雨欣. 中老年脑卒中患者多维衰弱发展轨迹及其影响因素研究[J]. 护理学报, 2024, 31(6): 6-12.
[14] 袁华君, 段功香, 陈路桥, 王慧清. 癌症终末期患者救护意愿量表的编制及信效度检验[J]. 护理学报, 2024, 31(6): 73-78.
[15] 谭如意, 龙秀红, 马红利, 陈兰. 腰椎间盘突出症患者中医康复健康信息获取行为量表的编制及信效度检验[J]. 护理学报, 2024, 31(5): 67-72.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!