Abstract:

Objective To develop a Gout Patient Self-management Scale and to test its reliability and validity. Methods Based on self-management theory,literature review and semi-structured interview,the provisional Gout Patient Self-management Assessment Scale was formed by Delphi technique and pilot investigation. Totally 260 gout patients were recruited to perform the item analysis for the provisional scale. Other 317 gout patients were investigated to test the reliability and validity of the final scale. Results The Gout Patient Self-management Assessment Scale consisted of 41 items in 4 dimensions. The Cronbach’s α coefficient of the total scale was 0.962;split-half reliability coefficient was 0.842;2-week test-retest reliability was 0.904. 4 common factors were extracted by exploratory analysis and the cumulative variance contribution rate was 60.779%. The content validity index（S-CVI） of the total scale was 0.905. Conclusion The Gout Patient Self-management Assessment Scale is a reliable and valid scale for measuring the self-management ability of gout patients.

Key words: Gout, Self-management, Scale, Reliability, Validity, Nursing Care

摘要：

目的 编制痛风患者自我管理评估量表并检验其信效度。 方法 在文献分析及半结构式访谈的基础上,通过德尔菲专家函询和预调查形成痛风患者自我管理评估预试量表,选取260例痛风患者对预试量表进行项目分析,选取317例痛风患者对正式量表进行信效度评价。 结果 正式量表包括4个维度、41个条目。总量表的Cronbach’s α系数为0.962,折半信度为0.842,2周后重测信度为0.904。探索性因子分析提取4个公因子,累计方差贡献率为60.779%;总量表的内容效度指数为0.905。 结论 痛风患者自我管理评估量表具有良好的信效度,可用于评价痛风患者的自我管理能力。

关键词: 痛风, 自我管理, 量表, 信度, 效度, 护理