妊娠期高血压疾病孕妇自我管理行为量表的编制及信效度检验

doi:10.3761/j.issn.0254-1769.2025.24.010

中华护理杂志 ›› 2025, Vol. 60 ›› Issue (24): 3014-3020.DOI: 10.3761/j.issn.0254-1769.2025.24.010

妊娠期高血压疾病孕妇自我管理行为量表的编制及信效度检验

胡双(), 蒲丛珊, 单春剑(), 王玉, 宋丹妮, 纪梦甜, 夏家爱, 张翔娣

211166 南京市南京医科大学护理学院（胡双，单春剑，王玉）；南京医科大学附属妇产医院/南京市妇幼保健院产科（蒲丛珊，宋丹妮，纪梦甜，夏家爱，张翔娣）

收稿日期:2025-04-22 出版日期:2025-12-20 发布日期:2025-12-19
通讯作者: 单春剑，E-mail：shanchunjian@njmu.edu.cn
作者简介:胡双：女，本科（硕士在读），E-mail：1586086570@qq.com
基金资助:
江苏高校优势学科建设工程四期项目“护理学”(苏教研函〔2023〕11号);南京市卫生科技发展专项资金项目计划(YKK23149)

Development and validation of a Self-Management Behavior Scale for Pregnant Women with Hypertensive Disorders of Pregnancy

HU Shuang(), PU Congshan, SHAN Chunjian(), WANG Yu, SONG Danni, JI Mengtian, XIA Jiaai, ZHANG Xiangdi

Received:2025-04-22 Online:2025-12-20 Published:2025-12-19

摘要/Abstract

摘要：

目的编制妊娠期高血压疾病（hypertensive disorders of pregnancy，HDP）孕妇自我管理行为量表并检验其信效度，为有效评估HDP孕妇自我管理水平提供工具。方法以自我管理理论为指导，通过文献分析、半结构式访谈、专家会议、专家函询和预调查形成预试量表。于2024年11月—2025年4月，采用便利抽样法，选取南京市某三级甲等医院产科门诊的350例HDP孕妇作为调查对象，进行信效度检验。结果回收有效问卷339份。探索性因子分析提取6个公因子，累计方差贡献率为77.425%。验证性因子分析提示模型拟合良好。量表条目水平的内容效度指数为0.830~1.000，量表水平的内容效度指数为0.840。总量表的Cronbach’s α系数为0.954、折半信度为0.735、重测信度为0.860。HDP孕妇自我管理行为量表包括6个维度，共41个条目。结论 HDP孕妇自我管理行为量表信效度良好，可作为测评HDP孕妇自我管理水平的工具。

关键词: 妊娠期高血压疾病, 自我管理, 量表, 信效, 效度, 孕妇, 护理

Abstract:

Objective To develop a self-management behavior scale for pregnant women with hypertensive disorders of pregnancy（HDP） and assess its reliability and validity，providing a tool to effectively assess the self-management level of pregnant women with HDP. Methods Based on the self-management theory，a pretest scale was formed through a literature analysis，semi-structured interviews，expert meetings，expert enquiry and pre-investigation. From November 2024 to April 2025，350 pregnant women with HDP attending the obstetrics outpatient clinic of a tertiary A hospital in Nanjing were selected as survey respondents using the convenience sampling method，and the validity and reliability test was conducted. Results 339 valid questionnaires were collected. The cumulative variance contribution rate of the 6 common factors was 77.425%. Confirmatory factor analysis suggested that the model fit well. The item-level content validity index ranged from 0.830 to 1.000； the scale-level content validity index was 0.840. The Cronbach’s α coefficient of the scale was 0.954； the split-half reliability coefficient was 0.735； the test-retest reliability coefficient was 0.860. The scale included 6 dimensions and 41 items. Conclusion The Self-Management Behavior Scale for Pregnant Women with Hypertensive Disorders of Pregnancy has good reliability and validity and can be used as a valid tool to measure the level of self-management in pregnant women with HDP.

Key words: Hypertensive Disorders of Pregnancy, Self-Management, Scale, Reliability, Validity, Pregnant Women, Nursing Care

胡双, 蒲丛珊, 单春剑, 王玉, 宋丹妮, 纪梦甜, 夏家爱, 张翔娣. 妊娠期高血压疾病孕妇自我管理行为量表的编制及信效度检验[J]. 中华护理杂志, 2025, 60(24): 3014-3020.

HU Shuang, PU Congshan, SHAN Chunjian, WANG Yu, SONG Danni, JI Mengtian, XIA Jiaai, ZHANG Xiangdi. Development and validation of a Self-Management Behavior Scale for Pregnant Women with Hypertensive Disorders of Pregnancy[J]. Chinese Journal of Nursing, 2025, 60(24): 3014-3020.

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妊娠期高血压疾病孕妇自我管理行为量表的编制及信效度检验

Development and validation of a Self-Management Behavior Scale for Pregnant Women with Hypertensive Disorders of Pregnancy

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