摘要
目的编制乙肝肝硬化患者自我管理效能问卷并检验其信效度。方法以三元交互理论为理论基础,通过文献回顾、质性访谈、小组讨论、德尔菲专家函询和预调查形成问卷初稿。采用方便抽样法,于2024年3一6月、7一8月分别调查304例、331例乙肝肝硬化患者进行问卷信效度检验。结果探索性因子分析提取4个特征值>1的公因子,累计方差贡献率为61.127%;验证性因子分析显示,χ^(2)/df=1.867,RMSEA=0.055,GFI=0.927,CFI=0.918,IFI=0.920,TLI=0.901。最终形成的乙肝肝硬化患者自我管理效能问卷包括4个维度,共18个条目。问卷总体内容效度指数和各条目内容效度指数均为1.000。问卷总的Cronbach's α系数0.842,重测信度为0.987。结论乙肝肝硬化患者自我管理效能问卷具有良好的信效度,可用于测量乙肝肝硬化患者的自我管理效能水平。
Objective To develop a Self-management Efficacy Questionnaire for Patients with Hepatitis B Virus-related Cirrhosis and test its reliability and validity.Methods Based on the ternary interaction theory,the preliminary questionnaire was formulated through literature review,qualitative interview,group discussion,Delphi expert consultation,and a pilot survey.Then,a total of 304 and 331 patients with hepatitis B virus-related cirrhosis in March to June 2024 and in July to August 2024 were selected to test the reliability and validity of the questionnaire.Results Four common factors with an eigenvalue greater than 1 were extracted by exploratory factor analysis,accounting for 61.127%of the total variance.Confirmatory factor analysis showed that the four-factor structure of the questionnaire fitted well to the dataset(χ^(2)/df=1.867,RMSEA=0.055,GFI=0.927,CFI=0.918,IFI=0.920,TLI=0.901).This questionnaire consists four dimensions with 18 item.The scale-level content validity index(CVI)and the i-tem-level CVI were 1.000.The overall Cronbach'sαcoefficient was 0.842,and the test-retest reliability was 0.987.Conclusion The Self-management Efficacy Questionnaire for Patients with Hepatitis B Virus-related Cirrhosis has good reliability and validity.
作者
刘方
李素云
晏蓉
刘云访
万雅莉
陈怿
德宗
皮蓉
何子涵
Suyun;Yan Rong;Liu Yunfang;Wan Yai;Chen Yi;De Zong;Pi Rong;He Zihan(Department of Infectious Diseases,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)
出处
《护理学杂志》
北大核心
2025年第14期30-34,共5页
Journal of Nursing Science
关键词
乙型肝炎
肝硬化
传染病
自我管理
自我管理效能
问卷
三元交互理论
护理
hepatitis B
liver cirrhosis
infectious disease
self-management
self-management efficacy
questionnaire
ternary interaction theory
nursing
