以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (3): 67-71.doi: 10.16460/j.issn1008-9969.2022.03.067

• 临床护理:内科护理 • 上一篇    下一篇

老年慢性病患者健康赋能需求评估量表的研制及信效度检验

杨丽潇1,2, 周春兰1, 屠燕1, 谢翠华1, 吴艳妮1, 叶孝灵1, 王润1   

  1. 1.南方医科大学 南方医院,广东 广州 510515;
    2.南方医科大学 护理学院,广东 广州 510515
  • 收稿日期:2022-01-10 发布日期:2022-03-04
  • 通讯作者: 周春兰（1962-）,女,湖南益阳人,硕士,主任护师,教授,博士研究生导师。E-mail: lanchun200488@126.com
  • 作者简介:杨丽潇（1997-）,女,云南大理人,本科学历,护师。
  • 基金资助:
    国家自然科学基金-面上项目（72074106）

Construction of Health Empowerment Need Assessment Scale for Elderly Patients with Chronic Disease and Its Reliability and Validity

YANG Li-xiao1,2, ZHOU Chun-lan1, TU Yan1, XIE Cui-hua1, WU Yan-ni1, YE Xiao-ling1, WANG Run1   

  1. 1. Nanfang Hospital, Southern Medical University, Guangzhou 510515, China;
    2. School of Nursing, Southern Medical University, Guangzhou 510515, China
  • Received:2022-01-10 Published:2022-03-04

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摘要： 目的 编制适用于我国老年慢性病患者的健康赋能需求评估量表,并检验其信效度。方法 在文献分析及参照国内外相关工具的基础上编制量表条目池;通过2轮德尔菲专家函询,形成测试版老年慢性病患者健康赋能需求评估量表。便利选取2021年3—12月在广州市某三级甲等综合医院住院的236例老年慢性病患者进行问卷调查,检验量表信效度。结果 最终形成的老年慢性病患者健康赋能需求评估量表包含5个维度、30个条目,经因子分析提取5个公因子,累计方差贡献率为64.24%;各条目内容效度指数为0.72~1.00,总量表内容效度指数为0.94;量表各维度Cronbach's α系数为0.78~0.90,折半系数为0.68~0.83;总量表Cronbach's α系数为0.92,折半系数为0.76。结论 本研究所研制的老年慢性病患者健康赋能需求评估量表可作为老年慢性病患者赋能需求评估的工具,为科学地制订和实施符合患者需求的个性化慢性病管理措施提供依据。

关键词: 老年, 慢性病, 健康赋能, 需求评估, 量表编制

Abstract: Objective To develop a health empowerment need assessment scale for elderly patients with chronic diseases in China, and to test its reliability and validity. Methods After literature review and with the reference of relevant tools, the initial item pool was compiled. Then the preliminary scale was developed after 2 rounds of Delphi expert consultations. A questionnaire survey was conducted in 236 elderly patients with chronic diseases in a tertiary grade-A comprehensive hospital in Guangzhou from March to December 2021 to test the reliability and validity of the scale. Results The final scale consisted of 30 items in 5 dimensions. The exploratory factor analysis extracted 5 common factors and the cumulative variance contribution rate was 64.24%. The content validity index of each item was 0.72~1.00, and the content validity index of the scale was 0.94. Internal consistency test showed that Cronbach's α coefficient and half reliability of each dimension were 0.78~0.90 and 0.68~0.83 respectively, while those of the total scale were 0.92 and 0.76 respectively. Conclusion The health empowerment need assessment scale for elderly patients with chronic diseases developed in this research can be used as a tool to assess the health need of elderly patients in chronically conditions, which can provide reference for scientifically formulating and implementing personalized chronic disease management to meet the needs of patients.

Key words: elderly patient, chronic disease, health empowerment, needs assessment, scale construction

中图分类号: 

  • R473.5
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