多囊卵巢综合征患者健康促进生活方式量表的编制及信效度检验

doi:10.3761/j.issn.0254-1769.2024.04.008

摘要/Abstract

摘要：

目的编制多囊卵巢综合征（polycystic ovary syndrome，PCOS）患者健康促进生活方式量表，检验其信效度，并初步应用该量表。方法基于Pender健康促进模型，通过文献研究、半结构式访谈、小组讨论构建量表条目池；经过德尔菲专家函询、预调查，形成初始量表。于2022年4月—10月，选取在南京市某三级甲等医院就诊的PCOS患者作为调查对象，第1次纳入316例、第2次纳入358例PCOS患者进行量表项目分析及信效度检验；2022年11月—2023年2月，初步应用量表调查294例PCOS患者健康促进生活方式水平现状。结果 PCOS患者健康促进生活方式量表包括5个维度，33个条目。量表水平的内容效度指数为0.942；探索性因子分析提取5个公因子，累计方差贡献率为62.399%。验证性因子分析显示，模型拟合良好。总量表的Cronbach’s α系数为0.930、折半信度为0.842，重测信度为0.888。初步应用结果显示，PCOS患者健康促进生活方式量表总分为（96.925±14.273）分，处于中等水平。结论 PCOS患者健康促进生活方式量表信效度较好，可作为医护人员评估PCOS患者健康促进生活方式水平的工具，并能帮助护理人员快速识别患者健康促进生活方式水平等级及各维度情况，以制订个体化的精准健康管理方案。

关键词: 多囊卵巢综合征, 健康促进生活方式, 量表, 信度, 效度, 护理

Abstract:

Objective To develop a health-promoting lifestyle scale for women with polycystic ovary syndrome （PCOS），and to test its reliability and validity，and preliminarily apply it. Methods Based on the Pender health promotion model，the item pool of the scale was constructed through literature research，semi-structured interviews and group discussions. After 2 rounds of Delphi expert consultation and pre-survey，the initial scale was formed. From April to July 2022，316 patients with PCOS in the health management center，reproductive medicine center and endocrinology department of a tertiary hospital in Nanjing were selected for item analysis，exploratory factor analysis and reliability test，respectively. From August to October 2022，358 PCOS patients were selected for confirmatory factor analysis. From November 2022 to February 2013，294 PCOS patients were selected，and the scale was used to investigate the status of health-promoting lifestyle in PCOS patients. Results The health-promoting lifestyle scale for PCOS patients included 5 dimensions and 33 items. The total content validity index of the scale was 0.942，and the content validity index of each item was 0.810-1.000. 5 common factors were extracted by 2 exploratory factor analyses，and the cumulative variance contribution rate was 62.399%. Confirmatory factor analysis showed that the model fit was good. The Cronbach’s α coefficient of the total scale was 0.930；the split-half reliability was 0.842；the test-retest reliability was 0.888. The preliminary application results showed that the total score of health-promoting lifestyle in PCOS patients was（96.925±14.273），and the average score of items was （2.937±0.433），which was at a medium level. Conclusion The health-promoting lifestyle scale for PCOS patients has good reliability and validity，which can be used as a tool for medical staff to assess the level of health-promoting lifestyle of PCOS patients，and can help nurses to quickly identify the level and dimensions of health-promoting lifestyle of patients，so as to formulate individualized precise health management plans.

Key words: Polycystic Ovary Syndrome, Health-Promoting Lifestyle, Scale, Reliability, Validity, Nursing Care

张宁, 孙小玲, 王静, 王颖捷, 杨海明, 沈山梅, 卢山, 刘才琪, 张成果, 孟芳芳. 多囊卵巢综合征患者健康促进生活方式量表的编制及信效度检验[J]. 中华护理杂志, 2024, 59(4): 438-446.

ZHANG Ning, SUN Xiaoling, WANG Jing, WANG Yingjie, YANG Haiming, SHEN Shanmei, LU Shan, LIU Caiqi, ZHANG Chengguo, MENG Fangfang. The development of a health-promoting lifestyle scale for patients with polycystic ovary syndrome and the test of its reliability and validity[J]. Chinese Journal of Nursing, 2024, 59(4): 438-446.

参考文献 33

[1]	Mirghafourvand M, Charandabi SMA, Lak TB, et al. Predictors of depression in Iranian women with polycystic ovarian syndrome[J]. Community Ment Health J, 2018, 54(8):1274-1283. DOI
[2]	张宁, 孙小玲, 卢山, 等. 多囊卵巢综合征患者焦虑、抑郁筛查及管理的最佳证据总结[J]. 生殖医学杂志, 2023, 32(3):410-419.
	Zhang N, Sun XL, Lu S, et al. Best evidence for screening and management of anxiety and depression in patients with polycystic ovary syndrome[J]. J Reproductive Med, 2023, 32(3):410-419.
[3]	卢山, 孙小玲, 王静, 等. 多囊卵巢综合征不孕患者治疗期间生活方式管理方案的构建及应用研究[J]. 中华护理杂志, 2023, 58(2):283-290.
	Lu S, Sun XL, Wang J, et al. Construction and application of a lifestyle management scheme for infertile women with polycystic ovary syndrome during medical treatment[J]. Chin J Nurs, 2023, 58(2):283-290.
[4]	Thakur D, Saurabh Singh DS, Tripathi DM, et al. Effect of yoga on polycystic ovarian syndrome:a systematic review[J]. J Bodyw Mov Ther, 2021, 27:281-286. DOI URL
[5]	Patten RK, Pascoe MC, Moreno-Asso A, et al. Effectiveness of exercise interventions on mental health and health-related quality of life in women with polycystic ovary syndrome:a systematic review[J]. BMC Public Health, 2021, 21:2310. DOI
[6]	dos Santos IK, Ashe MC, Cobucci RN, et al. The effect of exercise as an intervention for women with polycystic ovary syndrome:a systematic review and meta-analysis[J]. Medicine(Baltimore), 2020, 99(16):e19644.
[7]	Legro RS, Arslanian SA, Ehrmann DA, et al. Diagnosis and treatment of polycystic ovary syndrome:an Endocrine Society clinical practice guideline[J]. J Clin Endocrinol Metab, 2013, 98(12):4565-4592. DOI URL
[8]	Teede HJ, Misso ML, Costello MF, et al. International evidence-based guideline for the assessment and management of polycystic ovary syndrome[EB/OL]. (2018-07-02)[2023-02-23]. http://www.monash.edu/medicine/sphpm/mchri/pcos.
[9]	中华医学会妇产科学分会内分泌学组及指南专家组. 多囊卵巢综合征中国诊疗指南[J]. 中华妇产科杂志, 2018, 53(1):2-6.
	Endocrinology Group and Guideline Expert Group,Obstetrics and Gynecology Branch of Chinese Medical Association. China guidelines for diagnosis and treatment of polycystic ovary syndrome[J]. Chin J Obstet Gynecol, 2018, 53(1):2-6.
[10]	孙小玲, 王静, 孙彦欣, 等. 育龄期多囊卵巢综合征患者健康促进生活方式与健康相关生活质量的相关性分析[J]. 中华妇幼临床医学杂志(电子版), 2020, 16(6):702-708.
	Sun XL, Wang J, Sun YX, et al. Correlation between health promoting lifestyle and health-related quality of life in patients with polycystic ovary syndrome during childbearing age[J]. Chin J Obsetrics Gynecol Pediatr Electron Ed, 2020, 16(6):702-708.
[11]	Hamed Bieyabanie M,. Mirghafourvand M. Health promoting lifestyle and its relationship with self-efficacy in Iranian mastectomized women[J]. Asian Pac J Cancer Prev, 2020, 21(6):1667-1672. DOI URL
[12]	Pender NJ. The health promotion model manual[EB/OL]. (2011-06-30)[2018-06-12]. http://deepblue.lib.umich.edu/bitstream/handle/2027.42/85350/HEALTH PROMOTI MANUAL Rev 5-2011.pdf?sequence=1.
[13]	Dicenso A, Bayley L, Haynes RB. Accessing pre-appraised evi-dence:fine-tuning the 5S model into a 6S model[J]. Evid Based Nurs, 2009, 12(4):99-101. DOI PMID
[14]	American College of Obstetricians and Gynecologists’ Commi-ttee on Practice Bulletins—Gynecology. ACOG practice bulletin No. 193:tubal ectopic pregnancy[J]. Obstet Gynecol, 2018, 131(3):e91-e103. DOI URL
[15]	Balen AH, Morley LC, Misso M, et al. The management of anovulatory infertility in women with polycystic ovary syndrome:an analysis of the evidence to support the development of global WHO guidance[J]. Hum Reprod Update, 2016, 22(6):687-708. PMID
[16]	Royal College of Obstetricians and Gynaecologists. Polycystic ovary syndrome,long-term consequences(green-top guideline No.33)[EB/OL].(2014-11-05)[2020-07-22]. https://www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg33/.
[17]	Teede HJ, Misso ML, Costello MF, et al. Evidence-based gui-deline for the assessment and management of polycystic ovary syndrome[EB/OL].[2023-02-02]. http://www.jeanhailes.org.au.
[18]	Abdolahian S, Tehrani FR, Amiri M, et al. Effect of lifestyle modifications on anthropometric,clinical,and biochemical parameters in adolescent girls with polycystic ovary syndrome:a systematic review and meta-analysis[J]. BMC Endocr Disord, 2020, 20(1):71. DOI PMID
[19]	Kite C, Lahart IM, Afzal I, et al. Exercise,or exercise and diet for the management of polycystic ovary syndrome:a systematic review and meta-analysis[J]. Syst Rev, 2019, 8(1):51. DOI
[20]	Lim SS, Hutchison SK, Van Ryswyk E, et al. Lifestyle changes in women with polycystic ovary syndrome[J]. Cochrane Database Syst Rev, 2019, 3(3):CD007506.
[21]	Zhang XS, Zheng Y, Guo YN, et al. The effect of low carbohydrate diet on polycystic ovary syndrome:a meta-analysis of randomized controlled trials[J]. Int J Endocrinol, 2019, 2019:4386401.
[22]	de Lima Nunes R, dos Santos IK, Cobucci RN, et al. Lifestyle interventions and quality of life for women with polycystic ovary syndrome[J]. Medicine, 2019, 98(50):e18323. DOI URL
[23]	Benham JL, Yamamoto JM, Friedenreich CM, et al. Role of exercise training in polycystic ovary syndrome:a systematic review and meta-analysis[J]. Clin Obes, 2018, 8(4):275-284. DOI URL
[24]	中国医师协会内分泌代谢科医师分会. 多囊卵巢综合征诊治内分泌专家共识[J]. 中华内分泌代谢杂志, 2018, 34(1):1-7.
	Endocrinologist Branch of Chinese Medical Association. Consensus of endocrine experts in the diagnosis and treatment of polycystic ovary syndrome[J]. Chin J Endocrinol Metab, 2018, 34(1):1-7.
[25]	全国卫生产业企业管理协会妇幼健康产业分会生殖内分泌学组. 青春期多囊卵巢综合征诊治共识[J]. 生殖医学杂志, 2016, 25(9):767-770.
	Reproductive Endocrinology Group,Chinese Maternal & Child Health Industry Association,National Association of Health Industry & Enterprise Management. Consensus on diagnosis and treatment of PCOS in adolescents[J]. J Reproduct Med, 2016, 25(9):767-770.
[26]	李琴, 刘婷, 张珊, 等. 痛风患者疾病感知评估量表的编制及信效度检验[J]. 中华护理杂志, 2023, 58(7):836-842. DOI
	Li Q, Liu T, Zhang S, et al. Development and psychometric validation of the Illness Perception Assessment Scale for Gout Patients[J]. Chin J Nurs, 2023, 58(7):836-842. DOI
[27]	Sousa VD, Hartman SW, Miller EH, et al. New measures of dia-betes self-care agency,diabetes self-efficacy,and diabetes self-management for insulin-treated individuals with type 2 dia-betes[J]. J Clin Nurs, 2009, 18(9):1305-1312. DOI URL
[28]	Escobar-Morreale HF. Polycystic ovary syndrome:definition,aetiology,diagnosis and treatment[J]. Nat Rev Endocrinol, 2018, 14(5):270-284. DOI PMID
[29]	杨艳, 魏碧蓉, 郭胜斌, 等. 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. DOI
	Yang Y, Wei BR, Guo SB, et al. Development of a Social Resource Support Scale for Pregnant Women with Gestational Diabetes and its test of validity and reliability[J]. Chin J Nurs, 2022, 57(12):1499-1506. DOI
[30]	罗伯特·F,. 德威利斯. 量表编制:理论与应用[M]. 3版. 重庆: 重庆大学出版社, 2016:61,167.
	DeVellis RF. Scale development:theory and application[M]. 3rd ed. Chongqing: Chongqing University Press, 2016:61,167.
[31]	周红娟, 邓丽金, 陈锦秀, 等. 社区慢性阻塞性肺疾病稳定期患者自我管理量表的编制及信效度检验[J]. 中华护理杂志, 2022, 57(17):2073-2080. DOI
	Zhou HJ, Deng LJ, Chen JX, et al. Development of a Community Self-Management Scale for Patients with Stable Chronic Obstructive Pulmonary Disease and the test of its reliability and validity[J]. Chin J Nurs, 2022, 57(17):2073-2080.
[32]	张玲玲, 王春华, 刘俊英. 腹膜透析患者健康促进生活方式量表信度和效度的检验[J]. 中国血液净化, 2018, 17(10):713-716.
	Zhang LL, Wang CH, Liu JY. Reliability and validity evaluation of the Health Promotion Lifestyle Scale for Peritoneal Dialysis Patients[J]. Chin J Blood Purif, 2018, 17(10):713-716.
[33]	王萍, 江钟立, 贺丹军, 等. 多囊卵巢综合征患者生活方式自评量表的初步编制及信度效度分析[J]. 中华行为医学与脑科学杂志, 2011, 20(10):945-947.
	Wang P, Jiang ZL, He DJ, et al. Development of a Lifestyle Self-assessment Scale in Patients with Polycystic Ovary Syndrome and Analysis of reliability and validity[J]. Chin J Behav Med Brain Sci, 2011, 20(10):945-947.

编辑推荐 0

Metrics

阅读次数

全文

HTML			PDF

最新录用	在线预览	正式出版	最新录用	在线预览	正式出版
0	0	0	0	0	20

	来源	本网站

	次数	20
	比例	100%

摘要

593

最新录用	在线预览	正式出版

0	0	593

	来源	本网站

	次数	593
	比例	100%