2型糖尿病患者自我损耗量表的编制及信效度检验

doi:10.3761/j.issn.0254-1769.2025.19.010

摘要/Abstract

摘要：

目的编制2型糖尿病患者自我损耗量表并检验其信效度，为测评其自我管理中的自我损耗提供特异性评估工具。方法基于自我控制力量模型，通过文献回顾、半结构式访谈、2轮专家函询和预调查构建测试版量表。采用便利抽样法，于2024年4—7月，选取湖北省武汉市某三级甲等医院内分泌科的460例2型糖尿病患者进行问卷调查，采用随机数字法将其分为2个部分，用于探索性因子分析和验证性因子分析。结果回收有效问卷451份。探索性因子分析提取出6个公因子，累计方差贡献率为73.231%；验证性因子分析中，因标准化载荷未达标删除1个条目，修正后的2型糖尿病患者自我损耗量表包括6个维度和22个条目。总量表的Cronbach’s α系数为0.911，折半信度为0.744，内容效度指数为0.860，量表总分及各维度得分与自我调节疲劳量表总分的相关系数为0.558~0.946（P<0.001）。结论该量表具有良好的信效度，可作为2型糖尿病患者自我损耗的测量工具。

关键词: 2型糖尿病, 自我损耗, 自我调节疲劳, 量表编制, 信度, 效度, 心理护理

Abstract:

Objective To develop the Ego Depletion Scale for Type 2 Diabetes Patients and evaluate its reliability and validity，and to provide a specific assessment tool for evaluating ego-depletion in self-management. Methods Guided by the self-control strength model，the initial scale was constructed through literature review，semi-structured interviews，2 rounds of expert consultation，and a pilot survey. A convenience sampling method was employed to recruit 460 patients with Type 2 Diabetes from the endocrinology department of a tertiary hospital in Wuhan，Hubei Province，between April and July 2024. They were randomly divided into 2 subsets for exploratory factor analysis and confirmatory factor analysis. Results A total of 451 valid questionnaires were collected. Exploratory factor analysis extracted 6 common factors，with a cumulative variance contribution of 73.231%. In confirmatory factor analysis，an item was deleted due to failing to meet the standardized loading value criterion. The revised Ego Depletion Scale for Type 2 Diabetes Patients comprised 6 dimensions and 22 items. The total Cronbach’s α coefficient was 0.911；split-half reliability was 0.744；the content validity index was 0.860. Correlation coefficients between the total score and scores of each dimension of the scale and the total score of the Self-Regulatory Fatigue Scale ranged from 0.558 to 0.946（P<0.001）. Conclusion The scale exhibits robust reliability and validity，serving as a scientifically instrument for assessing ego depletion in patients with Type 2 Diabetes.

Key words: Type 2 Diabetes, Ego Depletion, Self-Regulatory Fatigue, Scale Development, Reliability, Validity, Psychological Care

游嘉欣, 徐蓉, 夏添, 黄海珊, 卢霄, 刘红, 黄焱, 刘清华, 边旭娜. 2型糖尿病患者自我损耗量表的编制及信效度检验[J]. 中华护理杂志, 2025, 60(19): 2371-2377.

YOU Jiaxin, XU Rong, XIA Tian, HUANG Haishan, LU Xiao, LIU Hong, HUANG Yan, LIU Qinghua, BIAN Xuna. Development and reliability and validity test of the Ego Depletion Scale for Type 2 Diabetes Patients[J]. Chinese Journal of Nursing, 2025, 60(19): 2371-2377.

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