妊娠期糖尿病孕妇社会资源支持量表的研制及信效度检验

doi:10.3761/j.issn.0254-1769.2022.12.014

摘要/Abstract

摘要：

目的研制妊娠期糖尿病孕妇社会资源支持量表并检验其信效度。方法基于社会生态模型,通过文献分析、开放式专家咨询、2轮德尔菲函询及预调查形成初始量表;采用便利抽样法,于2021年1月—8月选取福建省3所三级甲等医院的301例妊娠期糖尿病孕妇作为调查对象,对量表进行条目筛选及信效度检验。结果妊娠期糖尿病社会资源支持量表包括7个维度、38个条目,加上各维度的重要性评价7个条目,共45个条目;2轮函询的专家积极系数为100%、85.71%,权威系数均为0.879,肯德尔和谐系数为0.218、0.298（均P<0.001）;探索性因子分析共提取7个公因子,累计方差贡献率为63.210%;该量表的Cronbach’s α系数为0.935,重测信度为0.724,内容效度指数为0.970。结论妊娠期糖尿病孕妇社会资源支持量表具有良好的科学性和信效度,可作为医护人员评估妊娠期糖尿病孕妇社会支持情况的工具。

关键词: 妊娠期糖尿病, 自我管理, 社会生态模型, 护理评估, 社会支持, 信度, 效度, 护理

Abstract:

Objective To develop a social resource support scale of pregnant women with gestational diabetes and to test its reliability and validity. Methods Based on the social-ecological model,the initial scale was formed through literature analysis,open-model expert consultation,and 2 rounds of the Delphi method. The convenience sampling was adopted to select 301 pregnant women with gestational diabetes from January to August 2021 in 3 hospitals in Fujian Province of China. The items screening and the test of reliability and validity were carried out. Results The scale includes 7 dimensions,38 items,and 7 additional evaluation items of various dimensional importance,which come to 45 items in total. The positive coefficients of 2 rounds of letter consultations were 100% and 85.71%;the authority coefficient were all 0.879;the coordination coefficients were 0.218 and 0.298. The Cronbach’s α coefficient was 0.935;the test-retest reliability was 0.724;the content validity was 0.970. The exploratory factor analysis identified 7 principal factors,and the accumulative contribution of variance was 63.210%. Conclusion The social resource support scale of pregnant women with gestational diabetes has good reliability and validity. It can be used as a tool for medical staff to evaluate the social support of pregnant women with gestational diabetes.

Key words: Gestational Diabetes, Self-Management, Socio-Ecological Model, Nursing Assessment, Social Support, Reliability, Validity, Nursing Care

杨艳, 魏碧蓉, 郭胜斌, 王志萍, 曾婧, 朱淑榕, 林颖. 妊娠期糖尿病孕妇社会资源支持量表的研制及信效度检验[J]. 中华护理杂志, 2022, 57(12): 1499-1506.

YANG Yan, WEI Birong, GUO Shengbin, WANG Zhiping, ZENG Jing, ZHU Shurong, LIN Ying. Development of a social resource support scale for pregnant women with gestational diabetes and its test of validity and reliability[J]. Chinese Journal of Nursing, 2022, 57(12): 1499-1506.

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