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护理学报 ›› 2021, Vol. 28 ›› Issue (7): 64-68.doi: 10.16460/j.issn1008-9969.2021.07.064

• 临床护理 • 上一篇    下一篇

神经源性膀胱患者自我管理量表的编制及信效度检验

刘瑜a, 周春兰b, 周君桂a, 邓水娟a, 何任红a   

  1. 南方医科大学南方医院 a.康复理疗科; b.护理部,广东 广州 510515
  • 收稿日期:2021-01-10 出版日期:2021-04-10 发布日期:2021-05-12
  • 通讯作者: 周春兰（1962-）,女,湖南益阳人,硕士,主任护师,博士研究生导师,护理部主任。
  • 作者简介:刘瑜（1986-）,女,河南商丘人,本科学历,主管护师。
  • 基金资助:
    2020年度广东省自然科学基金项目（2020A1515010373）

Development and Validation of Self-management Scale for Neurogenic Bladder Patients

LIU Yua, ZHOU Chun-lanb, ZHOU Jun-guia, DENG Shui-juana, HE Ren-honga   

  1. a. Dept. of Rehabilitation; b. Dept. of Nursing Administration, Nanfang Hospital, Southern Medical University, Guangzhou 510515,China
  • Received:2021-01-10 Online:2021-04-10 Published:2021-05-12

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摘要： 目的 编制神经源性膀胱患者自我管理量表,并进行信效度检验,为评价神经源性膀胱患者自我管理提供有效工具。方法 在文献分析及半结构式访谈的基础上,通过德尔菲法专家评审和预调查形成预试量表,选取128例神经源性膀胱患者对预试量表进行项目分析,选取396例神经源性膀胱患者对量表进行信效度检验,形成正式量表。结果 正式量表包括3个维度29个条目。总量表Cronbach α系数为0.725,2周后的重测信度为0.790。总量表的内容效度指数为0.900,探索性因子分析提取出7个公因子,3个维度的累计方差贡献率分别为62.004%、62.366%、67.142%,验证性因子分析显示模型拟合良好。结论 神经源性膀胱患者自我管理量表信效度良好,可作为神经源性膀胱患者评价自我管理水平的工具。

关键词: 神经源性膀胱, 自我管理, 量表, 信度, 效度

Abstract: Objective To develop a self-management scale for neurogenic bladder patients, to test its reliability and validity and to provide effective method to self-management of neurogenic bladder patients. Methods After literature review and semi-structured interview, the initial self-management scale for neurogenic bladder patients was formed with Delphi expert consultation and pilot investigation. Total of 128 patients with neurogenic bladder were selected to perform the item analysis for the provisional scale. 396 patients with neurogenic bladder were surveyed to test the reliability and validity of the final scale. Results The final scale consisited of 3 dimensions and 29 items. The Cronbach’s α coefficient and content validity index（S-CVI）of the total score was 0.725 and 0.900 respectively and 2-week test-retest reliability was 0.790. Seven common factors were extracted from the exploratory factor analysis, and the cumulative variance contribution rate of the three dimensions was 62.004%,62.366% and 67.142% respectively. Confirmatory factor analysis revealed good fit of the model. Conclusion The developed scale has good reliability and validity and can be used as an assessment tool for self-management ability of neurogenic bladder patients.

Key words: neurogenic bladder, self-management, scale, reliability, validity

中图分类号: 

  • R473.5
[1] Jaques C, Gilles K, Thomas K, et al.Essentials of the Adult Neurogenic Bladder[M].Boca Raton:CRC Press,2020.
[2] Budzyn J,Trinh H,Raffee S,et al.Bladder Augmentation(Enterocystoplasty): The Current State of a Historic Operation[J].Curr Urol Rep, 2019, 20(9):50.DOI:10.1007/s11934-019-0919-z.
[3] Wyndaele JJ.The Management of Neurogenic Lower Urinary Tract Dysfuction after Spinal Cord Injury[J]. Nat Rev Urol,2016,13(12):705-714.DOI:10.1038/nrurol.2016.206.
[4] Komatsu H, Oishi T, Osaku D, et al.Long-term Evaluation of Renal Function and Neurogenic Bladder Following Radical Hysterectomy in Patients with Uterine Cervical Cancer[J]. J Obstet Gynaecol Res, 2020,46(10):2108-2114.DOI:10.1111/jog.14394.
[5] Wilde MH, Mcmahon JM, Fairbanks E, et al.Feasibility of a web-based Self-management Intervention for Intermittent Urinary Catheter Users with Spinal Cord Injury[J]. J Wound Ostomy Continence Nurs,2016, 43(5):529-538.DOI:10.1097/WON.0000000000000256.
[6] Zhou CL, Wang SQ,Wang YF,et al.A Chinese Version of the Patient Perceptions of Patient-empowering Nurse Behaviours Scale:Reliability and Validity Assessment in Chronically ill patients[J]. J Clin Nurs,2019,28:444-457.DOI:10.111/jocn.14613.
[7] Darshan P, Patel,Sean P.Elliott,John T.Stoffel,et al. Patient Reported Outcomes Measures in Neurogenic Bladder and Bowel:A Systematic Review of the Current Literature[J]. Neurourol Urodyn,2016,35(1):8-14.DOI:10.1002/nau.22673.
[8] Roderick C, Blayne W.Patient Reported Outcome Measures in Neurogenic Bladder[J].Transl Androl Urol,2016,5(1):22-30.DOI:10.3978/j.issn.2223-4683.2015.12.05.
[9] 温凤鸾,葛晟,朱芳芳.医治护联合应用思维导图式健康教育在脊髓损伤病人神经源性膀胱自我管理中的应用[J].全科护理,2020,18(16):1990-1994.DOI:10.12104/j.issn.1674-4748.2020.16.023.
[10] 那彦群,孙颖浩,叶章群,等.中国泌尿外科疾病诊断治疗指南(2014版)[M].北京:人民卫生出版社,2014:267-329.
[11] 王晓彤,卢天舒,李雪华,等.ICU护理人文关怀氛围评价量表的研制及信效度检验[J].中华护理杂志, 2018,53(11):1367-1371.DOI:10.3761/j.issn.0254-1769.2018.11.018.
[12] 田家利,贺艳丽,刘宇,等.北京市房山区农村老年慢性病患者自我管理行为的研究[J].中国护理管理, 2017,17(5):619-624.DOI:10.3969/j.issn.1672-1756.2017.05.012.
[13] 廖明珍,兰柳华,黄珺.降低神经源性膀胱患者/家属清洁间歇性导尿不规范率的品管圈实践[J].护理学报,2014,21(20):22-24.DOI:10.16460/j.issn1008-9969.2014.20.009.
[14] 刘丽萍,吴艳妮,丛维莲,等.癌症患者化疗期自我护理体验质性研究的系统评价[J].护理学报,2020,27(7):1-6.DOI:10.16460/j.issn1008-9969.2020.07.001.
[15] Hanny CB, Erna H, John H, et al.Patients’s Experience with Intermitent Catheterisation in Everyday Life[J]. J Clin Nurs,2016,25(9-10):1253-1261.DOI:10.1111/jocn.13146.
[16] 余金明. 健康行为与健康教育[M].上海:复旦大学出版社,2013:80-82.
[17] Best KL, Ethans K,Craven BC, et al.Identifying and Classifying Quality of Life Tools for Neurogenic Bladder Function after Spinal Cord Injury:A Systematic Review[J].J Spinal Cord Med,2017:40(5):505-529.DOI:10.1080/10790268.2016.1226700.
[18] Zhou CL, Ji X, Tan J,et al.Psychometric Properties of the Chinese version of the Client Empowerment Scale in Chronic Patients[J]. Springer Plus,2016,5:1636.DOI:10.1186/s40064-016-3183-4.eCollection 2016.
[19] Jan G, Jürgen P, David CD, et al.Summary of European Association of Urology(EAU) Guidelines on Neuro-Urology[J].Eur Urol,2016, 69(2):324-333.DOI:10.1016/j.eururo.2015.07.071.
[20] 蔡文智,孟玲,李秀云.神经源性膀胱护理实践指南(2017年版)[J].护理学杂志,2017, 32(24):1-7.DOI:10.3870/j.issn.1001-4152.2017.24.001.
[21] 孙振球,徐勇勇.医学统计学[M].北京:人民卫生出版社,2014.
[22] 罗明琴,潘世琴,谢建芝,等.护理人员安宁疗护知识问卷的编制及信效度检验[J].护理学报,2019,26(19):35-39.DOI:10.16460/j.issn1008-9969.2019.19.035.
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