Chinese Journal of Nursing ›› 2020, Vol. 55 ›› Issue (10): 1509-1513.DOI: 10.3761/j.issn.0254-1769.2020.10.011

• Special Planning-Gestational Diabetes M ellitus Nursing • Previous Articles     Next Articles

Development and psychometric test of self-management scale for patients with gestational diabetes mellitus

ZHANG Xia(),ZHANG Xin,WAN Jingjing()   

  • Received:2019-10-15 Online:2020-10-15 Published:2020-09-27
  • Contact: Jingjing WAN

妊娠期糖尿病孕妇自我管理评价量表的研制及信效度检验

张霞(),张鑫,万晶晶()   

  1. 中南大学湘雅三医院门诊手术室(万晶晶)
  • 通讯作者: 万晶晶
  • 作者简介:张霞:女,硕士,护师,E-mail: 840394755@qq.com
  • 基金资助:
    湖南省自然科学基金青年基金项目(2017JJ3095)

Abstract:

Objective To develop the Self-management Scale for Chinese Gestational Diabetes Mellitus(SMS-GDM),and to test the reliability and validity of the scale. Methods Based on the theory of social cognition and health empowerment,the initial scale was formulated by semi-structured interviews,literature reviews and 2 rounds of Delphi expert consultations. A total of 226 gestational diabetes patients were selected to examine the reliability and validity of the scale. Results The scale consisted of 4 dimensions and 32 items. The Cronbach’s α coefficient of scale was 0.939;Spearman-Brown coefficient of scale was 0.780,and the test-retest reliability was 0.903. The content validity of the scale was 0.927. The exploratory factor analysis showed that the cumulative variance contribution rates of the 4 dimensions were 55.636%. Conclusion The scale is valid and reliable,and it can be applied to measure the self-management ability of gestational diabetes patients.

Key words: Gestational Diabetes Mellitus, Self-Management, Scale, Reliability, Validity, Nursing Care

摘要:

目的 研制妊娠期糖尿病孕妇自我管理评价量表并检测其信效度,为医护人员对该群体的健康教育及管理提供参考。方法 基于社会认知理论及健康赋权理论,通过半结构式访谈、文献回顾及2轮专家咨询形成初始量表;2018年11月—2019年3月便利选取226例妊娠期糖尿病孕妇进行调查,对量表进行项目分析及信效度检验。 结果 妊娠期糖尿病孕妇自我管理评价量表包括自我管理意识、孕期管理、血糖管理、资源利用4个维度,共32个条目,该量表的Cronbach’s α系数为0.939,折半信度为0.780,重测信度为0.903(P<0.05),内容效度指数为0.927,探索性因子分析提取4个公因子,累计方差贡献率为55.636%。 结论 妊娠期糖尿病孕妇自我管理评价量表可信度高,可作为医护人员评估妊娠期糖尿病孕妇自我管理水平的工具。

关键词: 妊娠期糖尿病, 自我管理, 量表, 信度, 效度, 护理