中华护理杂志 ›› 2024, Vol. 59 ›› Issue (12): 1468-1474.DOI: 10.3761/j.issn.0254-1769.2024.12.009

• 专科实践与研究 • 上一篇    下一篇

慢性心力衰竭患者居家容量管理自评量表的编制及信效度检验

叶林斌(), 马海红, 沈海红, 刘海婷, 郑贝贝, 吴佳芸, 宁丽()   

  1. 310053 杭州市 浙江中医药大学护理学院(叶林斌,刘海婷);海宁市中医院院部(马海红),护理部(沈海红);杭州市第一人民医院心内科(郑贝贝,吴佳芸),护理部(宁丽)
  • 收稿日期:2023-07-04 出版日期:2024-06-20 发布日期:2024-06-20
  • 通讯作者: 宁丽,E-mail:nl5401@163.com
  • 作者简介:叶林斌:男,本科(硕士在读),护师,E-mail:1174374737@qq.com
  • 基金资助:
    浙江省医药卫生科技计划项目(2023KY176);杭州市医学重点学科—护理学项目(OO20200265)

Development and reliability and validity test of the Home Volume Management Self-Rating Scale for Patients with Chronic Heart Failure

YE Linbin(), MA Haihong, SHEN Haihong, LIU Haiting, ZHENG Beibei, WU Jiayun, NING Li()   

  • Received:2023-07-04 Online:2024-06-20 Published:2024-06-20

摘要:

目的 编制适合慢性心力衰竭(chronic heart failure,CHF)患者居家容量管理的自我评估量表,并验证其信效度。 方法 以自我护理理论为理论框架,通过文献分析、质性访谈、专家函询法编制量表初稿。便利选取2022年9月—2023年1月杭州市某三级甲等医院598例CHF患者进行调查,对量表初稿进行信效度检验。 结果 CHF患者居家容量管理自评量表包含自我护理评估、自我护理维持、自我护理管理、自我护理信心4个维度、27个条目。探索性因子分析共提取4个公因子,累计方差贡献率为61.268%。验证性因子分析显示,各主要评价指标均在判断标准可接受范围。条目水平的内容效度指数为0.853~1.000,量表水平的内容效度指数为0.951。量表总的Cronbach’s α系数、分半信度系数、重测信度分别为0.930、0.723、0.867。 结论 编制的CHF患者居家容量管理自评量表具有良好的信效度,可有效评估CHF患者居家容量管理水平。

关键词: 慢性心力衰竭, 容量管理, 居家, 量表, 信度, 效度, 心血管护理

Abstract:

Objective To develop a self-assessment scale of home volume management for patients with chronic heart failure(CHF),and to test its reliability and validity. Methods With the self-care theory as the theoretical framework,the initial scale was developed through literature analysis,qualitative interview and expert consultation. A questionnaire survey was conducted on 598 patients with CHF who were treated or reviewed in a tertiary hospital in Hangzhou from September 2022 to January 2023 to test the reliability and validity of the scale. Results The exploratory factor analysis extracted 4 common factors with the cumulative variance contribution rate of 61.268%. The results of confirmatory factor analysis showed that the main evaluation indicators were all within the acceptable range of the judgment standard. The item-level content validity index ranged from 0.853 to 1.000;the scale-level content validity index/average was 0.951. The Cronbach’s α coefficient,half reliability and retest reliability of the overall scale were 0.930,0.723 and 0.867,respectively. Conclusion The self-rating scale of home volume management for CHF patients has good reliability and validity,and it can effectively assess the level of home volume management for CHF patients.

Key words: Chronic Heart Failure, Volume Management, Home, Scale, Reliability, Validity, Cardiova-scular Care