糖尿病患者自我血糖监测障碍量表的编制及信效度检验
作者:
作者单位:

作者简介:

女,硕士,主管护师,护士长

通讯作者:

基金项目:


Development, reliability and validity of the barriers to self-monitoring of blood glucose scale for diabetes patients
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的 编制糖尿病患者自我血糖监测障碍量表,并检验其信效度。方法 以认知行为理论和社会支持理论为理论指导,采用文献回顾法、半结构式访谈法和专家函询法形成量表初稿;采用便利抽样法,选取重庆市617例2型糖尿病患者进行调查,检验量表信效度。结果 糖尿病患者自我血糖监测障碍量表由认知、情绪、行为与支持3个维度组成,共23个条目。探索性因子分析提取特征值>1的公因子4个,累计方差贡献率为64.903%。验证性因子分析显示,3因子模型拟合结果可接受(χ2/df=2.811,RMSEA=0.075,CFI=0.916,TLI=0.903,IFI=0.916,SRMR=0.068)。量表条目水平的内容效度指数(I-CVI)为0.833~1.000,平均CVI(S-CVI/Ave)为0.956。总量表的Cronbach′s α系数0.885,折半信度0.946。结论 糖尿病患者自我血糖监测障碍量表具有良好的信效度,可用于评估糖尿病患者自我血糖监测的障碍因素。

    Abstract:

    Objective To develop a scale assessing barriers to self-monitoring of blood glucose for diabetes patients and to test its reliability and validity. Methods Based on the cognitive-emotional-behavioral theory and social support theory, draft of the scale was formed using literature review, semi-structured interviews, and expert consultation. A convenience sampling method was employed to select 617 type 2 diabetes patients in Chongqing for the survey to test the reliability and validity of the scale. Results The barriers to self-monitoring of blood glucose scale for diabetes patients consists of three dimensions named as cognition, emotion, behavior and support, with a total of 23 items. Exploratory factor analysis yielded four common factors with eigenvalue greater than 1 that accounted for 64.903% of variance. Confirmatory factor analysis showed the three-factor model had a good fit with the latent constructs (χ2/df=2.811, RMSEA=0.075, CFI=0.916, TLI=0.903, IFI=0.916, and SRMR=0.068). The item-level content validity index (I-CVI) ranged from 0.833 to 1.000, and the scale-level content validity index (S-CVI/Ave) was 0.956. The overall Cronbach′s alpha coefficient was 0.885, and the split-half reliability was 0.946. Conclusion The barriers to self-monitoring of blood glucose scale for diabetes patients is reliable and valid to assess the obstacles to self-monitoring of blood glucose in diabetes patients.

    参考文献
    相似文献
    引证文献
引用本文

彭薇,丁福.糖尿病患者自我血糖监测障碍量表的编制及信效度检验[J].护理学杂志,2025,(8):40-45

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2024-11-22
  • 最后修改日期:2025-01-18
  • 录用日期:
  • 在线发布日期: 2025-05-27