Chinese Journal of Nursing ›› 2022, Vol. 57 ›› Issue (13): 1605-1610.DOI: 10.3761/j.issn.0254-1769.2022.13.011

• Specialist Practice and Research • Previous Articles     Next Articles

Development and psychometric test of the Behavioral Decision-making Scale for Stroke Patients

LIN Beilei(), ZHANG Zhenxiang(), MEI Yongxia, WANG Wenna, WANG Panpan, TANG Qilan, GUO Jun, ZHANG Weihong   

  • Online:2022-07-10 Published:2022-06-29
  • Contact: ZHANG Zhenxiang

脑卒中患者行为决策评估量表的编制及信效度检验

林蓓蕾(), 张振香(), 梅永霞, 王文娜, 王盼盼, 唐起岚, 郭君, 张伟宏   

  1. 450001 郑州市 郑州大学护理与健康学院(林蓓蕾,张振香,梅永霞,王文娜,王盼盼,张伟宏);郑州大学第一附属医院神经内科(唐起岚);郑州大学第五附属医院神经内科(郭君)
  • 通讯作者: 张振香
  • 作者简介:林蓓蕾:女,博士,讲师,E-mail: linda870926@126.com
  • 基金资助:
    国家自然科学基金青年基金项目(72104221);河南省医学科技攻关计划(省部共建项目)(SBGJ202002014);河南省高校科技创新团队(22IRTSTHN027)

Abstract:

Objective To develop and test the reliability and validity of the Behavioral Decision-making Scale for stroke patients. Methods The conceptual structure was defined based on theory analysis. The literature review and semi-structured interview were conducted to build the items pool. The initial scale was formed after expert consultations;the cognitive interview was conducted to test and adjust the items. Then,327 stroke patients were conveniently investigated from February to October 2020,and the data was used to test the reliability and validity of the scale. Results The scale consisted of 30 items,4 dimensions,with a cumulative variance contribution of 64.408%. The 4 dimensions were named as “behavioral change motivation”,“behavioral change intention”,“decision factors”,and “decision balance”. The content validity index of the total scale was 0.800-1.000;the Cronbach’s alpha coefficient was 0.934,the half reliability was 0.797,and the 2-week retest reliability was 0.833. Conclusion The Behavior Decision-making Scale has good reliability and validity,and it can be used as a valid tool to assess health behavior decision making in stroke patients.

Key words: Stroke, Healthy Behavior, Behavioral Decision Making, Scale, Reliability and Validity

摘要:

目的 编制脑卒中患者行为决策评估量表并检验其信效度。 方法 基于跨理论模型、健康信念模型和行为决策相关理论等界定概念结构,通过文献回顾、半结构式访谈等初步构建量表条目池,经专家函询形成初始量表,采用认知性访谈对条目进行预测试及调整,2020年2月—10月,便利选取327例脑卒中患者进行调查,检验量表信效度。 结果 脑卒中患者行为决策评估量表包括4个维度、共30个条目,探索性因子分析累计方差贡献率为64.408%,条目采用Likert 5级评分法,4个维度分别命名为“行为改变动机”“行为改变意向”“决策因素”和“决策平衡”。量表内容效度指数为0.800~1.000;Cronbach’s α系数为0.934,折半信度为0.797,2周重测信度为0.833。 结论 脑卒中患者行为决策评估量表信效度较好,可作为评估脑卒中患者健康行为决策的有效工具。

关键词: 脑卒中, 健康行为, 行为决策, 量表, 信效度