经皮冠脉介入术患者健康素养量表的编制及信效度检验
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女,硕士,主管护师

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Development and validation of a Post Percutaneous Coronary Intervention Health Literacy Scale
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    目的 编制经皮冠状动脉介入术(PCI)患者健康素养量表,并评价其信度和效度,为PCI患者提供健康素养测量工具。 方法 依据Netbeam健康素养理论,参考已有量表,结合半结构式访谈,经过2轮专家咨询形成预试量表。对310例PCI术后患者调查,应用临界比值、相关性分析、同质性检验、信效度分析对条目进行调整,形成正式量表。 结果 PCI患者健康素养量表包含3个维度,分别为功能性健康素养、交流性健康素养与批判性健康素养,共27个条目。量表水平的内容效度指数为0.879,条目水平的内容效度指数为0.803~1.000;量表Cronbach′s α系数为0.824,各维度的Cronbach′s α系数为0.740~0.886;量表的重测信度为0.841,各维度的重测信度为0.627~0.827;探索性因子分析共提取3个因子,累计方差贡献率为68.109%;验证性因子分析结果显示,卡方自由度比值(χ2/df)=2.004、近似误差的均方根(RMSEA)=0.052、递增拟合指数(IFI)=0.924、规范适配指数(TLI)=0.912、比较拟合指数(CFI)=0.909,均达到模型适配标准。 结论 PCI患者健康素养量表具有良好的信效度,可作为PCI患者健康素养水平的评价工具。

    Abstract:

    Objective To develop a Post Percutaneous Coronary Intervention Health Literacy Scale, and to test its reliability and validity, so as to provide a tool measuring health literacy for patients after percutaneous coronary intervention (PCI). Methods Based on Netbeam health literacy theory, similar scales were referred to, and a pre-scale was developed after semi-structured interviews and a 2-round expert consultation.Then the pre-scale was used to investigate 310 patients after PCI, and item analysis, correlation analysis, reliability analysis and validity analysis were conducted to adjust its items, and to form a final scale. Results The final scale consisted of 3 dimensions, functional health literacy, communicative health literacy, critical health literacy, which included 27 items.The scale content validity index was 0.879, its item content validity index was 0.803-1.000.The Cronbach′s α coefficient of the scale was 0.824, which ranged from 0.740 to 0.886 for each dimension.The test-retest reliability of the scale was 0.841,which was from 0.627 to 0.827 for each dimension.Three common factors were extracted by exploratory factor analysis, and the cumulative variance contribution rate was 68.109%.The results of confirmatory factor analysis indicated that, χ2/df=2.004,RMSEA=0.052,IFI=0.942,TLI=0.912,CFI=0.909, all met model adaptation standard. Conclusion The Post Percutaneous Coronary Intervention Health Literacy Scale has good reliability and validity, so it can be used to measure health literacy for patients after PCI.

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岳萌,张丽君,陆媛媛.经皮冠脉介入术患者健康素养量表的编制及信效度检验[J].护理学杂志,2023,28(5):46-50

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  • 收稿日期:2022-10-01
  • 最后修改日期:2022-12-09
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  • 在线发布日期: 2023-12-29