Abstract:

Objective To develop a Self-Management Demand Scale for infertile patients with obese polycystic ovary syndrome（PCOS） suitable for domestic socio-cultural background，and to test its validity and reliability. Methods Based on the self-management model，the item pool of the scale was constructed through literature review，semi-structured interviews，and Delphi expert consultation. Using convenience sampling method，560 obese PCOS combined with infertility patients from a tertiary-level hospital in Wuhan City were selected for questionnaire survey from June to November 2023，and they were divided into 2 parts according to the time of survey for exploratory factor analysis and validation factor analysis. Results Finally，554 valid questionnaires were collected. The Self-Management Demand Scale for infertile patients with obese PCOS contains 3 dimensions and 37 entries. Exploratory factor analysis extracted 3 factors with the cumulative variance contribution rate of 78.785%. The results of the validation factor analysis showed a good model fit. The content validity indices at the scale entry level ranged from 0.830 to 1.000，and the content validity indices at the scale level were 0.920. The Cronbach’s α coefficients for the scale as a whole were 0.967，and those for the dimensions ranged from 0.890 to 0.971；the split-half reliabilities of the overall scale as a whole were 0.856 and the split-half reliabilities of the dimensions were 0.802~0.895. Conclusion The scale has ideal validity and reliability，which provided a scientific tool to measure accurately the self-management demands of the infertile patients with obese PCOS.

Key words: Obesity, Polycystic Ovary Syndrome, Infertility, Self-Management, Scale, Nursing Demand

摘要：

目的 编制肥胖型多囊卵巢综合征合并不孕患者自我管理需求量表，并进行信效度检验，旨在为护理人员评估此类患者的自我管理需求提供科学工具。 方法 以自我管理理论为框架，通过文献回顾、质性访谈、专家函询形成量表初稿。采用便利抽样法，于2023年6—11月，选取就诊于武汉市某三级甲等医院的560例肥胖型多囊卵巢综合征合并不孕患者进行问卷调查，按调查时间将其分为2个部分，用于探索性因子分析和验证性因子分析。 结果 最终，回收有效问卷554份。肥胖型多囊卵巢综合征合并不孕患者自我管理需求量表包含3个维度、37个条目。探索性因子分析提取3个公因子，累计方差贡献率为78.785%。验证性因子分析结果显示，模型拟合较好。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0.920。总量表的Cronbach’s α系数为0.967，各维度的Cronbach’s α系数为0.890~0.971；总量表的分半信度为0.856，各维度的分半信度为0.802~0.895。 结论 该研究编制的肥胖型多囊卵巢综合征合并不孕患者自我管理需求量表具有良好的信效度，为准确评估该类患者自我管理需求提供了科学的测评工具。

关键词: 肥胖, 多囊卵巢综合征, 不孕症, 自我管理, 量表, 护理需求