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护理学报 ›› 2022, Vol. 29 ›› Issue (17): 1-6.doi: 10.16460/j.issn1008-9969.2022.17.001

• 研究生园地 •    下一篇

无症状高尿酸血症患者尿酸管理保护动机问卷的编制及信效度检验

陈赟, 伍跃婷, 叶美霞, 刘锐, 钟印芹, 程萌, 魏珍娜   

  1. 广州中医药大学深圳医院（福田）内分泌科,广东 深圳 518034
  • 收稿日期:2022-07-04 出版日期:2022-09-10 发布日期:2022-10-10
  • 通讯作者: 钟印芹（1969-）,女,吉林长春人,本科,主任护师,硕士研究生导师,副院长。E-mail：641296484@qq.com.
  • 作者简介:陈赟（1986-）,女,广东汕头人,硕士,副主任护师,护士长。
  • 基金资助:
    广东省中医药局科研项目（20211338）; 深圳市福田区卫生科研公益性项目（FTWS2019043）

Development of Questionnaire of Protective Motivation for Uric Acid Management in Patients with Asymptomatic Hyperuricemia and Its Reliability and Validity

CHEN Yun, WU Yue-ting, YE Mei-xia, LIU Rui, ZHONG Yin-qin, CHENG Meng, WEI Zhen-na   

  1. Dept. of Endocrinology,Shenzhen Hospital, Guangzhou University of Chinese Medicine, Shenzhen 518034, China
  • Received:2022-07-04 Online:2022-09-10 Published:2022-10-10

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摘要： 目的 编制无症状高尿酸血症患者尿酸管理保护动机问卷,并检验信效度。方法 以保护动机理论为指导,通过文献分析、半结构式访谈、德尔菲专家函询、预调查编制问卷初稿。通过咨询16名专家及调查318例无症状高尿酸血症患者对问卷的信度、效度进行检验。结果 最终形成的无症状高尿酸血症患者尿酸管理保护动机问卷包括7个维度,共34个条目,问卷总体内容效度指数（S-CVI）为0.832,条目水平的内容效度指数（I-CVI）为0.814~1;总Cronbach α系数为0.833,各维度的Cronbach α系数为0.782~0.845;总的折半信度为0.819,各维度折半信度为0.729~0.825;组合信度系数为0.793~0.865。探索性因子分析提取7个公因子,共同解释变异量为72.227%;验证性因子分析显示χ2/df=1.503、RMSEA=0.049、RMR=0.026、CFI=0.919、GFI=0.862、AGFI=0.875、IFI=0.921、TLI=0.910,模型拟合度良好。结论 无症状高尿酸血症患者尿酸管理保护动机问卷信度、效度检验结果良好,条目内容易于患者理解与接受,可作为临床无症状高尿酸血症患者尿酸管理认知及行为的评价工具。

关键词: 无症状, 高尿酸血症, 尿酸管理, 保护动机理论, 信度, 效度

Abstract: Objective To develop a questionnaire of protective motivation for uric acid management in patients with asymptomatic hyperuricemia and to test the reliability and validity. Methods Guided by the theory of protective motivation, the preliminary questionnaire was prepared by literature analysis, semi-structured interview, Delphi expert consultation and pre-survey. The reliability and validity of the questionnaire were tested by consulting 16 experts and investigating 318 patients with asymptomatic hyperuricemia. Results The final questionnaire of protective motivation for uric acid management in patients with asymptomatic hyperuricemia consisted of 7 dimensions, with 34 items in total. The overall content validity index (S-CVI) of the questionnaire was 0.832, and the item-level content validity index (I-CVI) 0.814~1. The total Cronbach α coefficient was 0.833, and the Cronbach α coefficient of each dimension ranged from 0.782 to 0.845. The total split-half reliability was 0.819, and the split-half reliability of each dimension ranged from 0.729 to 0.825. The combined reliability coefficients ranged from 0.793 to 0.865. Seven common factors were extracted by exploratory factor analysis, which explained 72.227% of the variation. Confirmatory factor analysis showed that χ2/df=1.503, RMSEA=0.049, RMR=0.026, CFI=0.919, GFI=0.862, AGFI=0.875, IFI=0.921, TLI=0.910, and the model fit was good. Conclusion The questionnaire has good reliability and validity and it is easy for the patients to understand. It can be used as a tool to evaluate the cognition and behavior of uric acid management in patients with asymptomatic hyperuricemia.

Key words: asymptomatic, hyperuricemia, uric acid management, protection motivation theory, reliability, validity

中图分类号: 

  • R471
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